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.

Community Alternatives Virginia, Inc. (NPI 1194020370)

Field	Value
Entity Type	Organization
Organization	Community Alternatives Virginia, Inc.
Address	2201 Graves Mill Rd
City	Forest
State	VA
ZIP	24551
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 19, 2011

Payer Source	Total Paid
Medicaid	$172.7M
Medicare	$0

Key Findings

This entity is effectively single‑payer at scale: there is no Medicare billing on file and Total Medicaid revenue is $172.7M, indicating the organization’s entire recorded lifetime federal billing footprint is driven by Medicaid. With NPI enumeration on 2011-01-19 (~15 years ago), the provider appears to be an established community/behavioral health agency with a sustained Medicaid presence.

Revenue is extremely concentrated in a single service family: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, and T2033 alone represents $166.5M (96.4% of the provider’s Medicaid revenue). This concentration means a very large share of cash flows is tied to the billing and reimbursement environment for residential waiver services.

The code mix and descriptions point to a residential and rehabilitative operating model: T2033 (Residential care, not otherwise specified, waiver; per diem) dominates revenue, while H2014 (Skills training and development, per 15 minutes) and 97150 (group therapeutic procedures supervision) together represent the remaining reported activity. This profile is consistent with a community/behavioral health agency primarily providing Medicaid waiver residential care supported by skills training and group therapy services.

Code-level volume and payment details underscore the operational scale of the residential program: T2033 shows 20K claims with $8331 avg paid/claim for $166.5M revenue; H2014 has 1K claims with $3839 avg paid/claim for $3.8M revenue; and 97150 records 1.9K claims with $1236 avg paid/claim for $2.4M revenue. These figures confirm a high per‑claim payment level for the residential waiver service (T2033) that drives the provider’s revenue base.

Statewide competitive standing for the dominant code is above median but not top tier: T2033 ranks #11 of 43 providers in-state (76th percentile) and is labeled as "typical, unremarkable volume for this code," indicating the provider is a meaningful regional participant in residential waiver services without being an outlier. The 76th percentile rank signals stronger-than-average volume relative to peers while the descriptive label cautions against treating it as an exceptional statistical outlier.

The two secondary codes reflect modest in‑state participation in training and group therapy services: H2014 ranks #53 of 73 providers in-state (28th percentile) and 97150 ranks #117 of 201 providers in-state (42th percentile), both described as "typical, unremarkable volume for this code." These placements suggest the provider’s non‑residential services are present but not market-leading within Virginia.

The extreme dependence on a single high‑value code (T2033 at $8331 avg paid/claim) creates strategic and reimbursement sensitivity: because $166.5M (96.4% of Medicaid revenue) is tied to residential waiver per diem billing, any changes in waiver policy, per‑diem rates, or utilization management could materially affect the provider’s revenue. Analysts should treat the provider’s financial profile as highly concentrated and monitor state waiver policies and rate-setting for impact assessment.

Given NPI enumeration on 2011-01-19 (~15 years ago) and the concentrated Medicaid footprint, the organization appears operationally stable in its chosen service line but specialized: long tenure supports continuity in residential waiver operations, yet the lack of Medicare activity and the 100.0% Medicaid revenue concentration indicate limited payer diversification that could constrain growth or resilience to payer-specific changes.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	19,990	$8,330	$166.5M
H2014	Skills training and development, per 15 minutes	1,000	$3,840	$3.8M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1,940	$1,240	$2.4M

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

Community Alternatives Virginia, Inc. — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	11	40	6,080	$1,660	$27.6M
H2014	Skills training and development, per 15 minutes	53	70	2,500	$1,380	$7M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	117	200	2,840	$320	$2.4M

Nearby Providers

Other providers in the same ZIP code as Community Alternatives Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David M Harman Md LLC	VA	Ophthalmology Physician	$0	$9.6M
Surgery Center Of Central Virginia Inc.	VA	Ambulatory Surgical Clinic/Center	$1.9M	$976.1K
Catherine Baston	VA	Ophthalmology Physician	$449K	$0
Kevin Lowder	VA	Ophthalmology Physician	$402.3K	$0
Billy Haley	VA	Optometrist	$379.8K	$0
Daniel Acevedo	VA	Physician Assistant	$343.7K	$0
Charles Latham	VA	Family Medicine Physician	$325.6K	$0
Rick Lee	VA	Pain Medicine (Anesthesiology) Physician	$275.9K	$0
Manuel Peralta	VA	Family Medicine Physician	$264.2K	$0
John Carmack	VA	Family Medicine Physician	$253.1K	$0

Community Alternatives Virginia, Inc. — Billing Profile & Reimbursement Data

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Community Alternatives 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