Behavioral
Winchester Community Mental Health Center, INC.
Winchester Community Mental Health Center, INC. was paid $3.39M by Medicaid between Oct 2020 and Dec 2024, across 15 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 48% of everything it billed.
33Billing provider infoWINCHESTER COMMUNITY MENTAL HEALTH CENTER, INC.
INWOOD, WV 25428
INWOOD, WV 25428
33aNPI1841783487assigned 06/08/2018
33bProvider typeClinical Social Worker
28Total paid$3.39M
24GClaims49,253
24DCodes billed15
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in West Virginia
Rank by total paid#1 of 35
Median peer was paid$97K
This provider vs. median35×
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 | 1,309 | $72K | |
| 2021 | 17,284 | $1.14M | |
| 2022 | 17,011 | $1.13M | |
| 2023 | 5,757 | $430K | |
| 2024incomplete | 7,892 | $617K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 48% | 27,583 | 4,274 | $1.64M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 28% | 8,514 | 2,467 | $945K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 11% | 3,717 | 2,036 | $375K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 2,418 | 1,888 | $141K |
| 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 | 3.7% | 1,508 | 1,280 | $124K |
| H0031 | Mental health assessment, by non-physician | 1.3% | 280 | 260 | $44K |
| 80305 | <1% | 2,848 | 2,059 | $30K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 460 | 389 | $21K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 124 | 119 | $14K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 215 | 154 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 119 | 102 | $13K |
| 80306 | <1% | 956 | 572 | $13K |
3 more codes
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 officialPUIG, EVELYN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Winchester Community Mental Health Center, INC. | Winchester, VA | $8.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.