Behavioral
The Mental Health Fund INC
The Mental Health Fund INC was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoTHE MENTAL HEALTH FUND INC
HICKORY, NC 28601
HICKORY, NC 28601
33aNPI1962478362assigned 02/24/2006
33bProvider typeMental Health Counselor
28Total paid$2.23M
24GClaims49,834
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in North Carolina
Rank by total paid#46 of 321
Median peer was paid$192K
This provider vs. median12×
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 | 7,671 | $293K | |
| 2019 | 6,187 | $255K | |
| 2020 | 5,623 | $244K | |
| 2021 | 5,510 | $257K | |
| 2022 | 6,382 | $303K | |
| 2023 | 9,772 | $396K | |
| 2024incomplete | 8,689 | $479K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 20,239 | 17,212 | $1.16M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 3,738 | 2,833 | $298K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 7,866 | 6,415 | $277K |
| H0038 | Self-help/peer services, per 15 minutes | 7.6% | 3,018 | 1,828 | $170K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 4.8% | 501 | 338 | $108K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 2.6% | 7,383 | 5,525 | $58K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 1,120 | 881 | $46K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 733 | 617 | $33K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 2,480 | 1,738 | $24K |
| 99205 | Prolong outpt/office vis | <1% | 182 | 146 | $21K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 238 | 193 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 46 | 43 | $5K |
10 more codes
| 99406 | <1% | 365 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,114 | $2K |
| 99199 | Unlisted special service, procedure or report | <1% | 234 | $830.00 |
| 99443 | <1% | 15 | $509.25 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 80 | $431.19 |
| 98968 | <1% | 15 | $381.90 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 94 | $346.09 |
| 82962 | <1% | 229 | $232.08 | |
| 96127 | <1% | 67 | $79.05 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 77 | $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.
From NPPES
Who's on the registration
Authorized officialWATERS, JOHN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| The Mental Health Fund INC | Newton, NC | $6.24M |
| The Mental Health Fund INC | Hickory, NC | $5.57M |
| The Mental Health Fund INC | Hickory, NC | $2.35M |
| The Mental Health Fund INC | Hickory, NC | $609K |
| The Mental Health Fund INC | Hickory, NC | $203K |
| The Mental Health Fund INC | Hickory, NC | $6K |
| Complete Eye Care, P.C. | Flint, MI | $2K |
| The Mental Health Fund INC | Hickory, NC | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.