Pressley Ridge
Pressley Ridge was paid $2.19M by Medicaid between Jan 2018 and May 2021, across 5 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.
CLARKSBURG, WV 26301
Next to other Emotionally Disturbed Childrens' Residential Treatment Facility providers in West Virginia
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,058 | $1.04M | |
| 2019 | 23,710 | $791K | |
| 2020 | 7,201 | $251K | |
| 2021 | 1,277 | $104K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 100% | 23,938 | 1,094 | $2.19M |
| H0032 | Mental health service plan development by non-physician | <1% | 282 | 182 | $2K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 25,277 | 867 | $0.00 |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 0% | 1,251 | 599 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 498 | 344 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Pressley Ridge | Waynesburg, PA | $12.19M |
| Pressley Ridge | Greensburg, PA | $6.62M |
| Pressley Ridge | Ona, WV | $5.59M |
| Pressley Ridge | Pittsburgh, PA | $2.51M |
| Pressley Ridge | Cincinnati, OH | $1.83M |
| Pressley Ridge | York, PA | $1.69M |
| Pressley Ridge | Ona, WV | $1.67M |
| Pressley Ridge | Pittsburgh, PA | $1.23M |
| Pressley Ridge | Pittsburgh, PA | $686K |
| Pressley Ridge | Pittsburgh, PA | $436K |
| Pressley Ridge | Cumberland, MD | $220K |
| Pressley Ridge | Morgantown, WV | $188K |
| Pressley Ridge | Morgantown, WV | $43K |
| Pressley Ridge | Pittsburgh, PA | $41K |
| Pressley Ridge | Clarksburg, WV | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.