Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Henrico Area Mental Heatlh And Developmental Services (NPI 1023119773)

Field	Value
Entity Type	Organization
Organization	Henrico Area Mental Heatlh And Developmental Services
Address	10299 Woodman Rd
City	Glen Allen
State	VA
ZIP	23060
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$64.7M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $64.7M in Medicaid revenue, making it effectively a Medicaid-focused operation; absence of Medicare activity means Medicaid drives both utilization and revenue patterns for analysts evaluating this entity.

Revenue is highly concentrated: the top three Medicaid codes (T1017, H0023, H2022) account for 71.0% of the provider's Medicaid revenue, with T1017 $19.7M (30.5% of total), H0023 $14.9M (23.1% of total), and H2022 $11.3M (17.5% of total). This degree of concentration implies that reimbursement or policy changes affecting those three services would materially impact overall revenue.

The payer-code mix (T1017 targeted case management, H0023 behavioral health outreach, and H2022 community-based wrap-around per diem) points to a community mental health / case-management operational model emphasizing outreach and per-diem wrap-around programs rather than traditional office-based E/M care; the $7809 avg paid/claim for H2022 signals particularly high-dollar, intensive per-diem services within that portfolio.

Competitive standing across the top revenue drivers is mixed: for T1017 the provider reports 57.7K claims, $342 avg paid/claim, $19.7M revenue and ranks #5 of 46 providers in-state (91th percentile; typical, unremarkable volume for this code), indicating a strong state-level presence for targeted case management even though the dataset characterizes the volume as typical. H0023 ranks #18 of 50 (65th percentile; typical) and H2022 ranks #101 of 136 (26th percentile; typical), so the provider is comparatively more prominent in case management and outreach than in the wrap-around per-diem market.

Beyond the top three, the provider shows a notably large supervised therapeutic workload: 97150 appears with 32.6K claims, $172 avg paid/claim, $5.6M revenue (8.7% of Medicaid revenue) and ranks #10 of 201 providers in-state (96th percentile; notably above typical state volume for this code), suggesting an unusually large program of group supervision or group therapy relative to peers.

Psychiatric evaluation activity is also unusually high: 90791 appears with 6K claims, $93 avg paid/claim, $557.2K revenue (0.9% of Medicaid revenue) and ranks #14 of 612 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code), indicating the provider conducts diagnostic evaluations at a much higher rate than nearly all in-state peers despite that code being a small share of revenue.

The provider operates assertive community treatment and related community services at mid-range penetration: H0039 (3.1K claims, $818 avg paid/claim, $2.6M, 4.0% revenue) ranks #13 of 31 (60th percentile; typical) and H0040 (9.9K claims, $182 avg paid/claim, $1.8M, 2.8% revenue) ranks #22 of 38 (43th percentile; typical). These entries show a multi-modal community treatment footprint that includes ACT-style services but not dominant market share for those specific program codes.

Given the concentration (top three codes = 71.0%) in community-based case management, outreach, and per-diem wrap-around services, the provider's financial and operational profile is sensitive to Medicaid reimbursement policy changes for those service categories; analysts modeling future revenue should prioritize scenario analysis around T1017, H0023, H2022, and the high-volume 97150 group supervision code when assessing risk.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1017	Targeted case management, each 15 minutes	57,700	$340	$19.7M
H0023	Alcohol and/or drug outreach	46,290	$320	$14.9M
H2022	Community-based wrap-around services, per diem	1,450	$7,810	$11.3M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	32,570	$170	$5.6M
T2023	Targeted case management; per month	9,010	$310	$2.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	3,130	$820	$2.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	14,750	$160	$2.3M
H0040	Assertive community treatment program, per diem	9,900	$180	$1.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	11,140	$90	$957.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	19,420	$40	$679.8K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Henrico Area Mental Heatlh And Developmental Services — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	101	140	4,450	$1,150	$15.3M
H0023	Alcohol and/or drug outreach	18	50	33,630	$320	$15M
T1017	Targeted case management, each 15 minutes	5	50	23,860	$330	$9.4M
H0046	Mental health services, not otherwise specified	330	510	6,100	$190	$2.8M
H0040	Assertive community treatment program, per diem	22	40	10,830	$200	$2.7M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	10	200	2,840	$320	$2.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	13	30	2,740	$530	$2M
H2017	Psychosocial rehabilitation services, per 15 minutes	52	100	15,920	$60	$1.9M
G9012	Other specified case management service not elsewhere classified	81	120	2,160	$220	$1.6M
T2021	Day habilitation, waiver; per 15 minutes	61	110	1,500	$340	$1.3M

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as Henrico Area Mental Heatlh And Developmental Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Richmond Medical Group PLLC	VA	Family Medicine Physician	$0	$75.4M
Rca Laboratory Services, LLC	VA	Clinical Medical Laboratory	$5.3M	$17.1M
Virginia Center For Addiction Medicine	VA	Addiction Medicine (Internal Medicine) Physician	$0	$19.7M
Patient First Maryland Medical Group, PLLC	VA	Family Medicine Physician	$0	$19.5M
Family Integrated Counseling Services	VA	Community/Behavioral Health Agency	$0	$17.8M
Patient First Pennsylvania Medical Group PLLC	VA	Urgent Care Clinic/Center	$0	$14.6M
Patient First Richmond Physician's Group PC	VA	Urgent Care Clinic/Center	$0	$11.1M
Renewing Stability LLC	VA	Community/Behavioral Health Agency	$0	$8.4M
Patient First Maryland Physician's Group PC	VA	Family Medicine Physician	$0	$7M
Tidewater Physical Therapy, LLC	VA	Physical Therapist	$0	$6.4M

Henrico Area Mental Heatlh And Developmental Services — Billing Profile & Reimbursement Data

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Henrico Area Mental Heatlh And Developmental Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References