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.

Family Insight Inc (NPI 1194996280)

Field	Value
Entity Type	Organization
Organization	Family Insight Inc
Address	6800 Paragon Pl Ste 200
City	Richmond
State	VA
ZIP	23230
Taxonomy	Behavior Analyst
NPI Enumerated	March 17, 2008

Payer Source	Total Paid
Medicaid	$93.5M
Medicare	$0

Key Findings

FAMILY INSIGHT INC reports $93.5M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a Medicaid-focused provider. Its NPI was enumerated on 2008-03-17 (~18 years ago), indicating an established presence in the state market with long operational tenure.

Revenue is highly concentrated: the top three Medicaid codes (H2033, H2012, H0046) account for 65.9% of the provider’s total Medicaid revenue. Those three line items are H2033 (30.2%), H2012 (20.5%), and H0046 (15.2%), which suggests the business is substantially dependent on a narrow set of high-volume behavioral-health services.

Service-line mix is dominated by intensive youth and community-based behavioral health modalities. The top code H2033 (H2033 – Multisystemic therapy for juveniles, per 15 minutes) has 142.1K claims and $28.3M revenue, and H2012 (Behavioral health day treatment, per hour) has 116.9K claims and $19.2M revenue, pointing to programmatic delivery of multisystemic and day-treatment services rather than a primarily office-based therapy practice.

The provider shows a structured ABA workforce model: high volumes of technician-delivered care (97153: 47.4K claims, $7.6M revenue, 8.1% of Medicaid revenue) alongside supervisory/provider-delivered ABA (97155: 31.1K claims, $6.7M revenue, 7.1%). Both ABA codes rank in the 98th percentile statewide and are described as extreme outliers, indicating unusually large-scale ABA operations relative to in-state peers.

FAMILY INSIGHT holds dominant statewide market positions on several high-revenue codes. It ranks #1 of 78 for H2033 and #1 of 363 for H2012 (both 100th percentile; extreme outlier, far above typical state volume for these codes), and it ranks #2 of 1337 for 90837 (113.5K claims, $10M revenue, 10.7% of Medicaid revenue; 100th percentile; extreme outlier), signaling leadership across both intensive youth services and longer psychotherapy sessions.

The provider also demonstrates outsized volume in assessment and intake-related codes, supporting a high-throughput care model: H0031 (3.1K claims, $182.9K revenue) ranks #1 of 112 (100th percentile; extreme outlier), and 90791 (6.5K claims, $701.7K revenue) ranks #10 of 612 (99th percentile; extreme outlier). These patterns suggest strong capacity for initial evaluations and service planning at scale.

There is evidence of a full continuum of behavioral health services beyond the top three drivers: H0035 partial hospitalization (24.9K claims, $3.3M revenue), multiple psychotherapy codes (90837, 90834, 90832) and program-support codes (H0032, 97151) are all present. Telehealth originating site activity is modest (Q3014: 2.3K claims, $36.7K revenue), indicating some virtual service enablement but primary delivery remains in-person programmatic care.

The concentration in a few high-volume codes creates operational and reimbursement exposure: with 65.9% of Medicaid revenue tied to H2033, H2012, and H0046, changes in state coverage, rate-setting, or utilization oversight for these services could materially affect revenue. At the same time, the provider’s extreme-outlier rankings across multiple codes imply competitive scale and programmatic specialization that may be difficult for local competitors to replicate quickly.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	142,060	$200	$28.3M
H2012	Behavioral health day treatment, per hour	116,860	$160	$19.2M
H0046	Mental health services, not otherwise specified	78,010	$180	$14.2M
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…	113,490	$90	$10M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	47,370	$160	$7.6M
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…	31,120	$210	$6.7M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	24,900	$130	$3.3M
H2019	Therapeutic behavioral services, per 15 minutes	2,240	$330	$744.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	6,500	$110	$701.7K
H0032	Mental health service plan development by non-physician	3,300	$130	$439.2K

Showing 1–10 of 31

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

Family Insight Inc — 10 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

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	1	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	14	510	6,100	$190	$2.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	25	150	5,420	$110	$1.9M
H2012	Behavioral health day treatment, per hour	1	360	3,770	$200	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	43	120	1,100	$610	$1.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3	90	4,220	$210	$1.6M
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…	3	90	1,030	$260	$977.2K
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…	494	3,520	370	$70	$280.7K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	16	40	350	$290	$278K
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…	2	1,340	710	$90	$245K

Showing 1–10 of 31

Related Providers

Other providers that share a Tax Identification Number (TIN) with Family Insight Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathryn Johnson	VA	Psychiatry Physician	$14.7K	$0

Nearby Providers

Other providers in the same ZIP code as Family Insight Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richmond Residential Services, Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$56.6M
Hype Counseling Services LLC	VA	Community/Behavioral Health Agency	$0	$44.7M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$32.2M
Brothers Keeper Inc	VA	Community/Behavioral Health Agency	$0	$25.6M
Heart Havens Inc	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$19.4M
Central Virginia Healthcare Association	VA	Community/Behavioral Health Agency	$0	$17.3M
The Concordia Group, Inc.	VA	Home Health Agency	$0	$16.6M
Pinnacle Treatment Centers Va-i, LLC	VA	Methadone Clinic	$99.1K	$16.4M
Virginia Family Services	VA	Community/Behavioral Health Agency	$0	$13.6M
We Help Our Adolescents	VA	Community/Behavioral Health Agency	$0	$11.3M

Family Insight 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

Related Providers

Nearby Providers

Frequently Asked Questions

References