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.

The Right Choice Mwm, Inc (NPI 1134539224)

Field	Value
Entity Type	Organization
Organization	The Right Choice Mwm, Inc
Address	101 Franklin Tpke
City	Danville
State	VA
ZIP	24540
Taxonomy	Case Management Agency
NPI Enumerated	April 29, 2014

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0046	Mental health services, not otherwise specified	90,260	$150	$13.4M
H2012	Behavioral health day treatment, per hour	3,190	$120	$385.9K
H0032	Mental health service plan development by non-physician	140	$70	$9.7K
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…	80	$30	$1.9K

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

The Right Choice Mwm, Inc — 1 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0046	Mental health services, not otherwise specified	11	510	6,100	$190	$2.8M
H2012	Behavioral health day treatment, per hour	198	360	3,770	$200	$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…	1,139	1,340	710	$90	$245K
H0032	Mental health service plan development by non-physician	111	240	100	$70	$32.2K

Nearby Providers

Other providers in the same ZIP code as The Right Choice Mwm, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Partners, LLC	VA	Exclusive Provider Organization	$0	$45.3M
Danville-pittsylvania Community Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$42.5M
Negril, Inc-r C Right Group Homes	VA	Lodging Provider	$0	$35M
Therapeutic Intervention Services, Inc.	VA	Community/Behavioral Health Agency	$0	$21.3M
Negril, Inc	VA	Mental Health Counselor	$0	$11.6M
Center For Pediatric Therapies, Inc.	VA	Pediatric Occupational Therapist	$0	$11.5M
Life Support Mh Community Support Services	VA	Community/Behavioral Health Agency	$0	$11.4M
A Better Tomorrow Support Services, LLC.	VA	Community/Behavioral Health Agency	$0	$10M
Vista Clinical Diagnostics LLC	VA	Clinical Medical Laboratory	$4.3M	$3.3M
Turning Point Family Services	VA	Community/Behavioral Health Agency	$0	$7M

The Right Choice Mwm, Inc — Billing Profile & Reimbursement Data

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The Right Choice Mwm, Inc — 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