Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Appalachian Psychiatric Services PLLC

Appalachian Psychiatric Services PLLC was paid $3.49M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.

33Billing provider infoAPPALACHIAN PSYCHIATRIC SERVICES PLLC
BECKLEY, WV 25801
33aNPI1982056404assigned 07/08/2016
33bProvider typeMental Health Counselor
28Total paid$3.49M
24GClaims80,548
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Counselor providers in West Virginia

Rank by total paid#3 of 35
Median peer was paid$213K
This provider vs. median16×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
201811,513$566K
20198,644$298K
202012,306$498K
202113,329$536K
202212,087$514K
202312,515$562K
2024incomplete10,154$512K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 51% 39,980 36,678 $1.76M
99231 Subsequent hospital care, per day, straightforward or low complexity 10% 15,243 3,674 $358K
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 9.6% 5,969 4,200 $334K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 9.5% 8,066 1,749 $331K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 4.7% 1,601 1,446 $163K
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 4.3% 2,322 2,133 $149K
99222 Initial hospital care, per day, moderate complexity 4.2% 2,224 1,890 $145K
99238 Hospital discharge day management, 30 minutes or less 2.5% 2,004 1,711 $89K
90792 Psychiatric diagnostic evaluation with medical services 2.3% 776 728 $82K
99221 1.5% 1,188 964 $51K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 74 70 $8K
99306 Prolong nursin fac eval 15m <1% 115 106 $6K
8 more codes
99219 <1% 53 $4K
90832 Psychotherapy session, about 30 minutes <1% 67 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 85 $2K
99307 <1% 279 $737.60
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 13 $620.70
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 35 $468.90
2014F 0% 428 $0.00
3085F 0% 26 $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 officialFAHEEM, AHMED (MANAGING PARTNER)