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.

Connecting Communities, LLC (NPI 1033571005)

Field	Value
Entity Type	Organization
Organization	Connecting Communities, LLC
Address	808 Loudoun Ave Ste 1
City	Portsmouth
State	VA
ZIP	23707
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 28, 2016

Payer Source	Total Paid
Medicaid	$9.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	29,410	$150	$4.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	7,940	$230	$1.8M
H0046	Mental health services, not otherwise specified	9,120	$150	$1.4M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3,010	$330	$990.3K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	630	$450	$281.9K
H2033	Multisystemic therapy for juveniles, per 15 minutes	480	$270	$128.7K
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	200	$370	$74.3K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	400	$170	$66.2K
H0031	Mental health assessment, by non-physician	30	$60	$1.6K

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

Connecting Communities, LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	69	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	204	510	6,100	$190	$2.8M
H2012	Behavioral health day treatment, per hour	29	360	3,770	$200	$1.8M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	32	90	4,220	$210	$1.6M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	28	90	1,030	$260	$977.2K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	13	40	350	$290	$278K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	24	50	320	$160	$164.1K
0373T	Two or more technicians, under the direction of an on–site physician or other qualified healthcare professional, administer adaptive behavior treatment with modifications in protocol for a patient…	1	10	200	$370	$74.3K
H0031	Mental health assessment, by non-physician	76	110	50	$70	$13.8K

Nearby Providers

Other providers in the same ZIP code as Connecting Communities, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fishing Point Health Care LLC	VA	General Practice Physician	$0	$169.8M
Maryview Hospital LLC	VA	General Acute Care Hospital	$0	$74.9M
Safe Harbor Behavioral Healthcare, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$13.8M
Premier Home Health Care LLC	VA	Home Health Agency	$0	$9.4M
Anointed And Blessed Home Health Care, LLC	VA	Home Health Agency	$0	$7.4M
Patient Centered Care	VA	Home Health Agency	$0	$6.3M
Gloria's Angels Home Health Care	VA	Home Health Agency	$0	$6.1M
Tidewater Medical Transport, Inc	VA	Ambulance	$394.5K	$171.2K
Karen Olmo	VA	Physician Assistant	$251.2K	$0
Steven Blasdell	VA	Orthopaedic Surgery Physician	$171.8K	$1.2K

Connecting Communities, LLC — Billing Profile & Reimbursement Data

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Connecting Communities, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References