Clinic
Western PA Behavioral Health Resources
Western PA Behavioral Health Resources was paid $5.54M by Medicaid between Mar 2020 and Dec 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoWESTERN PA BEHAVIORAL HEALTH RESOURCES
GRINDSTONE, PA 15442
GRINDSTONE, PA 15442
33aNPI1841432184assigned 04/01/2009
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$5.54M
24GClaims62,100
24DCodes billed8
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Pennsylvania
Rank by total paid#10 of 45
Median peer was paid$1.61M
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2020 | 2,646 | $233K | |
| 2021 | 15,017 | $1.29M | |
| 2022 | 17,498 | $1.59M | |
| 2023 | 14,547 | $1.30M | |
| 2024incomplete | 12,392 | $1.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 72% | 42,906 | 38,502 | $3.99M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 20% | 16,172 | 10,611 | $1.09M |
| 99205 | Prolong outpt/office vis | 8.0% | 2,260 | 2,214 | $441K |
| 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 | <1% | 158 | 154 | $16K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 537 | 513 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 29 | 29 | $4K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | 12 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | 26 | $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 officialSHAHOUD, GEITH (SOLE PROPRIETOR)