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.

Virginia Medical & Therapeutic Services (NPI 1184138448)

Field	Value
Entity Type	Organization
Organization	Virginia Medical & Therapeutic Services
Address	13540 E Boundary Rd
City	Midlothian
State	VA
ZIP	23112
Taxonomy	Clinical Social Worker
NPI Enumerated	November 24, 2017

Payer Source	Total Paid
Medicaid	$6.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	12,200	$220	$2.7M
H2011	Crisis intervention service, per 15 minutes	1,160	$900	$1M
H2018	Psychosocial rehabilitation services, per diem	1,290	$680	$874.7K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	1,090	$640	$695.4K
S9482	Family stabilization services, per 15 minutes	1,190	$530	$633.3K
H0046	Mental health services, not otherwise specified	3,800	$150	$581.9K
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…	1,550	$60	$89.7K

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

Virginia Medical & Therapeutic Services — 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
H2033	Multisystemic therapy for juveniles, per 15 minutes	28	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	309	510	6,100	$190	$2.8M
S9482	Family stabilization services, per 15 minutes	65	180	650	$1,070	$1.7M
H2011	Crisis intervention service, per 15 minutes	52	230	360	$1,290	$1.1M
H2018	Psychosocial rehabilitation services, per diem	12	40	940	$720	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	43	90	1,030	$260	$977.2K
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…	443	1,340	710	$90	$245K

Nearby Providers

Other providers in the same ZIP code as Virginia Medical & Therapeutic Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rcg State Government Services, LLC	VA	Community/Behavioral Health Agency	$0	$16.2M
A Walk Through Life Mhss, LLC	VA	Community/Behavioral Health Agency	$0	$10.2M
L&r Of Chesterfield	VA	Developmentally Disabled Services Day Training Agency	$0	$9.8M
Children's Dentistry Of Virginia, PC	VA	Dental Clinic/Center	$0	$9.7M
Mare Transportation	VA	Non-emergency Medical Transport (VAN)	$0	$7.6M
Counseling And Advocacy Assc.	VA	Community/Behavioral Health Agency	$0	$7.1M
Counseling And Advocacy Assc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.1M
Richmond City Taxi Cab,inc	VA	Non-emergency Medical Transport (VAN)	$0	$5.7M
Katherine Price	VA	Pulmonary Disease Physician	$780.4K	$0
Mark Johns	VA	Cardiovascular Disease Physician	$644.8K	$90

Virginia Medical & Therapeutic Services — Billing Profile & Reimbursement Data

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Virginia Medical & Therapeutic Services — 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