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.

Family Guidance Of Virginia (NPI 1104178367)

Field	Value
Entity Type	Organization
Organization	Family Guidance Of Virginia
Address	8014 Midlothian Turnpike
City	N. Chesterfield
State	VA
ZIP	23235
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 11, 2012

Payer Source	Total Paid
Medicaid	$9.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	5,450	$590	$3.2M
H2011	Crisis intervention service, per 15 minutes	1,070	$1,940	$2.1M
S9482	Family stabilization services, per 15 minutes	1,330	$1,240	$1.7M
H0046	Mental health services, not otherwise specified	11,980	$120	$1.5M
S9485	Crisis intervention mental health services, per diem	1,150	$960	$1.1M
H0032	Mental health service plan development by non-physician	870	$90	$77.2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	280	$60	$17.1K
G8421	Bmi not documented and no reason is given	30	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	30	$0	$0
G8785	Blood pressure reading not documented, reason not given	30	$0	$0

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

Family Guidance Of Virginia — 0 of 7 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	165	510	6,100	$190	$2.8M
S9482	Family stabilization services, per 15 minutes	58	180	650	$1,070	$1.7M
H2019	Therapeutic behavioral services, per 15 minutes	18	120	1,100	$610	$1.7M
H2011	Crisis intervention service, per 15 minutes	54	230	360	$1,290	$1.1M
S9485	Crisis intervention mental health services, per diem	6	80	120	$800	$250.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	163	610	70	$110	$68.1K
H0032	Mental health service plan development by non-physician	41	240	100	$70	$32.2K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	19	30	50	$1	$1.9K
G8785	Blood pressure reading not documented, reason not given	10	10	110	$1	$70
G8421	Bmi not documented and no reason is given	2	10	30	$0	$0

Nearby Providers

Other providers in the same ZIP code as Family Guidance Of Virginia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lighthouse Behavioral Health Center, LLC	VA	Community/Behavioral Health Agency	$0	$16.5M
Radiology Associates Of Richmond Inc	VA	Diagnostic Radiology Physician	$0	$14.2M
Hobby Home Care, LLC	VA	Home Health Agency	$0	$12M
The Pediatric Connection, Inc	VA	Nursing Care Agency	$0	$11.7M
Caremed, Inc	VA	Home Health Agency	$0	$10.7M
Care Advantage, Inc	VA	Home Health Agency	$0	$10.7M
Daily Grace, LLC	VA	Community/Behavioral Health Agency	$0	$9.1M
Trinity Care LLC	VA	Community/Behavioral Health Agency	$0	$7.8M
Stony Point Surgery Center, L.L.C	VA	Ambulatory Surgical Clinic/Center	$4.9M	$1.4M
Community Faith Inc	VA	Community/Behavioral Health Agency	$0	$5.8M

Family Guidance Of Virginia — Billing Profile & Reimbursement Data

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Family Guidance Of Virginia — 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