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.

Abs Lincs Va (NPI 1083794093)

Field	Value
Entity Type	Organization
Organization	Abs Lincs Va
Address	1634 London Blvd
City	Portsmouth
State	VA
ZIP	23704
Taxonomy	Clinical Psychologist
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicaid	$6.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	9,650	$250	$2.4M
H0046	Mental health services, not otherwise specified	6,970	$110	$773.6K
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	7,840	$100	$768K
H2012	Behavioral health day treatment, per hour	6,330	$120	$727.5K
T2021	Day habilitation, waiver; per 15 minutes	5,160	$130	$650.5K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2,050	$240	$498.9K
H2033	Multisystemic therapy for juveniles, per 15 minutes	4,880	$90	$429.8K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,150	$120	$138.4K
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…	1,740	$40	$74.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,200	$30	$55.1K

Showing 1–10 of 13

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

Abs Lincs Va — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	42	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	237	510	6,100	$190	$2.8M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	50	200	2,840	$320	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	99	150	5,420	$110	$1.9M
H2012	Behavioral health day treatment, per hour	141	360	3,770	$200	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	23	110	1,500	$340	$1.3M
T1016	Case management, each 15 minutes	1	40	910	$290	$510K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	32	50	1,510	$180	$364.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	876	3,520	370	$70	$280.7K
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…	415	1,340	710	$90	$245K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Abs Lincs Va, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brilliant Healthcare, Inc.	VA	Home Health Agency	$0	$19.1M
Hansel Union Consulting, PLLC	VA	Community/Behavioral Health Agency	$0	$19M
Lucas Lodge, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17M
City Of Portsmouth	VA	Community/Behavioral Health Agency	$0	$14.6M
Portsmouth Community Health Center, Inc.	VA	Federally Qualified Health Center (FQHC)	$0	$6.9M
James Bentley Treatment Program	VA	In Home Supportive Care Agency	$0	$6M
City Of Portsmouth	VA	Paramedic	$750.7K	$3.7M
Magdy Sidhom	VA	Anesthesiology Physician	$37.2K	$0

Abs Lincs Va — Billing Profile & Reimbursement Data

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Abs Lincs Va — 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