Agency
Council of the Southern Mountains
Council of the Southern Mountains was paid $9.02M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 95% of everything it billed.
33Billing provider infoCOUNCIL OF THE SOUTHERN MOUNTAINS
KEYSTONE, WV 24868
KEYSTONE, WV 24868
33aNPI1881716611assigned 04/04/2007
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$9.02M
24GClaims55,554
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in West Virginia
Rank by total paid#6 of 19
Median peer was paid$2.18M
This provider vs. median4.1×
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 | 6,595 | $559K | |
| 2019 | 5,272 | $485K | |
| 2020 | 4,340 | $463K | |
| 2021 | 8,312 | $1.50M | |
| 2022 | 9,234 | $1.86M | |
| 2023 | 10,516 | $2.08M | |
| 2024incomplete | 11,285 | $2.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5125 | Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes | 95% | 51,706 | 1,581 | $8.61M |
| G9002 | Coordinated care fee, maintenance rate | 2.6% | 1,158 | 1,062 | $233K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | 1.1% | 530 | 500 | $101K |
| T1016 | Case management, each 15 minutes | <1% | 893 | 551 | $52K |
| T1002 | Rn services, up to 15 minutes | <1% | 470 | 134 | $14K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 748 | 140 | $13K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 49 | 38 | $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 officialJOHNSON, RANDAL (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Council of the Southern Mountains, WV Branch, Mcdowell Co Chapter, INC | Keystone, WV | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.