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.

Lutheran Family Services Of Virginia, Inc. (NPI 1104986017)

Field	Value
Entity Type	Organization
Organization	Lutheran Family Services Of Virginia, Inc.
Address	3601 Old Forest Rd
City	Lynchburg
State	VA
ZIP	24501
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicaid	$194.3M
Medicare	$0

Key Findings

This provider reports $194.3M in lifetime Medicaid revenue and no Medicare billing on file, indicating it operates as an effectively single-payer Medicaid provider rather than a dual-payer practice. The absence of Medicare activity means analyses of Medicare share, cross-payer mix, or Medicare-driven service lines are not applicable for this entity.

Revenue is highly concentrated: the precomputed top three Medicaid codes (T2033, H2022, H2014) account for 97.6% of the provider's total Medicaid revenue. T2033 alone represents $153.4M (78.9% of Medicaid revenue), followed by H2022 at $22.3M (11.5%) and H2014 at $14M (7.2%), so nearly all earnings derive from a narrow set of waiver- and habilitation-related services.

The code mix and volumes indicate core operations are community-based residential and habilitation services for intellectual and developmental disabilities: T2033 (residential care, waiver; per diem) dominance points to a facility-focused residential model, while H2022 (community-based wrap-around services; per diem) and H2014 (skills training and development; per 15 minutes) show complementary outpatient/waiver supports. Together these codes are consistent with the listed taxonomy of an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.

Despite T2033 driving the bulk of revenue, the provider's statewide competitive standing on that code is not outsized: T2033 ranks #12 of 43 providers in-state (74th percentile) and is characterized in the data as a typical, unremarkable volume for this code. In other words, the provider is a meaningful residential services operator in Virginia but not a unique outlier or dominant monopoly for that benefit.

For the other top codes the provider is a modest-to-moderate participant statewide: H2022 ranks #90 of 136 (34th percentile) and is labeled typical, unremarkable volume for that code, while H2014 ranks #28 of 73 (63th percentile) and is also described as typical, unremarkable volume. These rankings suggest strength in residential services with more modest market share in wrap-around and skills-training segments.

Secondary billing lines are present but small relative to the top three: 97150 yields $4.2M (2.2% of Medicaid revenue) and ranks #84 of 201 (59th percentile), while T2021, S9124, and S9123 together account for negligible shares of total Medicaid revenue. This pattern indicates some diversification into group therapeutic supervision, day habilitation, and limited in-home nursing, but these are not primary revenue drivers.

The provider's NPI was enumerated on 2006-12-11 (~20 years ago), indicating a long tenure in the market. That longevity, combined with concentrated Medicaid revenues, suggests established relationships with state Medicaid waiver programs and operational stability around residential waiver services.

Because T2033 accounts for 78.9% of Medicaid revenue, the provider's financial performance is highly sensitive to changes in residential waiver per-diem policy, reimbursement rates, or slot availability; any material policy change affecting T2033 could disproportionately impact overall revenue. At the same time, the provider's in-state ranks indicate peers of comparable scale exist, so competitive shifts among similar residential providers could affect occupancy and per-diem utilization.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	19,010	$8,070	$153.4M
H2022	Community-based wrap-around services, per diem	2,500	$8,950	$22.3M
H2014	Skills training and development, per 15 minutes	3,540	$3,960	$14M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	3,880	$1,080	$4.2M
T2021	Day habilitation, waiver; per 15 minutes	880	$290	$252.9K
S9124	Nursing care, in the home; by licensed practical nurse, per hour	1,070	$80	$86.8K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1,540	$50	$78.6K

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

Lutheran Family Services Of Virginia, Inc. — 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	12	40	6,080	$1,660	$27.6M
H2022	Community-based wrap-around services, per diem	90	140	4,450	$1,150	$15.3M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	28	40	6,460	$450	$11.1M
H2014	Skills training and development, per 15 minutes	28	70	2,500	$1,380	$7M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	16	30	1,000	$500	$2.6M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	84	200	2,840	$320	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	67	110	1,500	$340	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizon Behavioral Health	VA	Community/Behavioral Health Agency	$0	$138.1M
Brightview LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$32M
Centra Health Inc	VA	General Acute Care Hospital	$0	$18.5M
Virginia Treatment Center, LLC	VA	Methadone Clinic	$116.5K	$15.9M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Cabaniss Consultants LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Sense Of Security Care, Inc.	VA	Home Health Aide	$0	$9.2M
Surgery Center Of Lynchburg LLC	VA	Ambulatory Surgical Clinic/Center	$4M	$799.8K
Landon Colling	VA	Ophthalmology Physician	$2.8M	$190
Jong An	VA	Hematology & Oncology Physician	$2.4M	$0

Lutheran Family Services Of Virginia, Inc. — Billing Profile & Reimbursement Data

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Lutheran Family Services Of Virginia, Inc. — 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