Clinic
FMRS Health Systems INC
FMRS Health Systems INC was paid $27.02M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is H0040, Assertive community treatment program, per diem — 36% of everything it billed.
33Billing provider infoFMRS HEALTH SYSTEMS INC
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1881733616assigned 02/06/2007
28Total paid$27.02M
24GClaims311,005
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in West Virginia
Rank by total paid#1 of 27
Median peer was paid$583K
This provider vs. median46×
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 | 43,819 | $3.27M | |
| 2019 | 33,797 | $2.27M | |
| 2020 | 48,140 | $3.42M | |
| 2021 | 45,417 | $3.54M | |
| 2022 | 51,199 | $5.49M | |
| 2023 | 49,362 | $5.29M | |
| 2024incomplete | 39,271 | $3.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0040 | Assertive community treatment program, per diem | 36% | 116,468 | 4,088 | $9.86M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 18% | 53,427 | 25,784 | $4.93M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 11% | 7,472 | 1,428 | $2.95M |
| H2036 | Alcohol and/or other drug treatment program, per diem | 9.6% | 11,745 | 897 | $2.59M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 45,693 | 39,993 | $2.30M |
| H0031 | Mental health assessment, by non-physician | 6.5% | 11,316 | 10,379 | $1.77M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.2% | 4,902 | 4,774 | $593K |
| Q3014 | Telehealth originating site facility fee | 1.5% | 16,523 | 14,378 | $413K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 1.2% | 5,883 | 598 | $322K |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.1% | 1,020 | 765 | $296K |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 4,492 | 4,426 | $226K |
| 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% | 2,967 | 2,363 | $225K |
9 more codes
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 15,404 | $155K |
| T1016 | Case management, each 15 minutes | <1% | 3,134 | $147K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,080 | $102K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,918 | $36K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 280 | $35K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 876 | $31K |
| T1017 | Case management, billed per 15 minutes | <1% | 494 | $22K |
| 80305 | <1% | 1,426 | $13K | |
| H0032 | Mental health service plan development by non-physician | <1% | 485 | $12K |
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 officialREDMAN, MARY (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| FMRS Health Systems INC | Beckley, WV | $5.91M |
| FMRS Health Systems INC | Beckley, WV | $132K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.