Agency
Tri-State Addiction Recovery Resources
Tri-State Addiction Recovery Resources was paid $29.66M by Medicaid between Apr 2019 and Jul 2024, across 17 billing codes. Its largest line is H0038, Self-help/peer services, per 15 minutes — 53% of everything it billed.
33Billing provider infoTRI-STATE ADDICTION RECOVERY RESOURCES
HUNTINGTON, WV 25701
HUNTINGTON, WV 25701
33aNPI1790242055assigned 02/22/2019
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$29.66M
24GClaims348,416
24DCodes billed17
24AFirst – last monthApr 2019 – Jul 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in West Virginia
Rank by total paid#12 of 93
Median peer was paid$1.97M
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 15,506 | $1.30M | |
| 2020 | 71,138 | $7.06M | |
| 2021 | 80,819 | $7.68M | |
| 2022 | 87,151 | $7.82M | |
| 2023 | 71,330 | $4.52M | |
| 2024incomplete | 22,472 | $1.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0038 | Self-help/peer services, per 15 minutes | 53% | 105,668 | 9,077 | $15.57M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 28% | 114,391 | 8,882 | $8.41M |
| J2315 | Injection, naltrexone, depot form, 1 mg | 6.1% | 1,835 | 1,420 | $1.80M |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 5.2% | 86,675 | 7,835 | $1.54M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.2% | 9,097 | 5,241 | $653K |
| 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 | 2.2% | 8,200 | 4,696 | $640K |
| H0031 | Mental health assessment, by non-physician | 1.8% | 3,243 | 2,844 | $523K |
| H0032 | Mental health service plan development by non-physician | <1% | 2,882 | 2,352 | $256K |
| 80306 | <1% | 10,777 | 5,273 | $122K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,698 | 3,008 | $72K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,649 | 833 | $60K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 58 | 54 | $5K |
5 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 62 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | $540.60 |
| 96127 | <1% | 66 | $332.81 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $269.94 |
| 86308 | <1% | 29 | $84.51 |
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 officialCRUTCHER, HELEN (CEO)