Behavioral
Southern Highlands Community Mental Health Center, INC.
Southern Highlands Community Mental Health Center, INC. was paid $44.25M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is H2036, Alcohol and/or other drug treatment program, per diem — 19% of everything it billed.
33Billing provider infoSOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1740234673assigned 05/22/2006
33bProvider typeCounselor
28Total paid$44.25M
24GClaims571,253
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Counselor providers in West Virginia
Rank by total paid#1 of 21
Median peer was paid$122K
This provider vs. median363×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 49,223 | $2.92M | |
| 2019 | 43,170 | $3.29M | |
| 2020 | 78,573 | $5.46M | |
| 2021 | 84,741 | $6.76M | |
| 2022 | 113,557 | $9.45M | |
| 2023 | 112,683 | $9.06M | |
| 2024incomplete | 89,306 | $7.32M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2036 | Alcohol and/or other drug treatment program, per diem | 19% | 44,525 | 2,578 | $8.61M |
| H0040 | Assertive community treatment program, per diem | 13% | 71,351 | 2,512 | $5.68M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 12% | 122,883 | 7,382 | $5.43M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 12% | 70,647 | 28,088 | $5.37M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 9.4% | 9,705 | 1,814 | $4.17M |
| H0031 | Mental health assessment, by non-physician | 6.6% | 18,322 | 16,548 | $2.92M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 53,937 | 34,305 | $2.66M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 6.0% | 64,460 | 14,437 | $2.64M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.8% | 36,282 | 29,977 | $2.57M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 3.4% | 6,274 | 3,517 | $1.49M |
| Q3014 | Telehealth originating site facility fee | 1.7% | 31,117 | 26,291 | $767K |
| H0038 | Self-help/peer services, per 15 minutes | 1.6% | 14,911 | 4,739 | $723K |
9 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 4,609 | $557K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 6,713 | $240K |
| H0037 | Community psychiatric supportive treatment program, per diem | <1% | 310 | $163K |
| H0032 | Mental health service plan development by non-physician | <1% | 9,993 | $138K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,498 | $105K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 805 | $8K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 828 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 68 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialAKERS, JUDY (CHIEF EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Southern Highlands Community Mental Health Center, INC. | Princeton, WV | $22.01M |
| Della Lamb Community Services | Kansas City, MO | $1.71M |
| Southern Highlands Community Mental Health Center, INC. | Princeton, WV | $1.52M |
| Southern Highlands Community Mental Health Center, INC. | Princeton, WV | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.