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.

Eastern Shore Community Mh Mr Sas Services Board (NPI 1154411510)

Field	Value
Entity Type	Organization
Organization	Eastern Shore Community Mh Mr Sas Services Board
Address	19056 Greenbush Rd
City	Parksley
State	VA
ZIP	23421
Taxonomy	Professional Counselor
NPI Enumerated	October 13, 2006

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	1,170	$6,210	$7.2M
H0023	Alcohol and/or drug outreach	21,830	$300	$6.5M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	29,540	$190	$5.6M
T1017	Targeted case management, each 15 minutes	11,600	$340	$3.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	45,140	$40	$1.9M
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…	16,200	$80	$1.3M
H0006	Alcohol and/or drug services; case management	3,060	$160	$498.8K
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…	7,140	$50	$385.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	24,850	$20	$372.7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	3,860	$100	$367K

Showing 1–10 of 27

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

Eastern Shore Community Mh Mr Sas Services Board — 4 of 25 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

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	109	140	4,450	$1,150	$15.3M
H0023	Alcohol and/or drug outreach	28	50	33,630	$320	$15M
T1017	Targeted case management, each 15 minutes	37	50	23,860	$330	$9.4M
H0046	Mental health services, not otherwise specified	363	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.	15	200	2,840	$320	$2.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	21	100	15,920	$60	$1.9M
T2021	Day habilitation, waiver; per 15 minutes	52	110	1,500	$340	$1.3M
H2011	Crisis intervention service, per 15 minutes	134	230	360	$1,290	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	86	100	3,280	$40	$455.8K
T2003	Non-emergency transportation; encounter/trip	350	860	4,410	$30	$437.1K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as Eastern Shore Community Mh Mr Sas Services Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shore Transport Services Inc.	VA	Ambulance	$660.9K	$5.5M

Eastern Shore Community Mh Mr Sas Services Board — Billing Profile & Reimbursement Data

Sign up for Eastern Shore Community Mh Mr Sas Services Board — Billing Profile & Reimbursement Data policy alerts

Eastern Shore Community Mh Mr Sas Services Board — Billing Profile & Reimbursement Data

Sign up for Eastern Shore Community Mh Mr Sas Services Board — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References