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 1306252804)

Field	Value
Entity Type	Organization
Organization	Community Alternatives Virginia, Inc.
Address	100 Quinn West Stuart Blvd Nw
City	Christiansburg
State	VA
ZIP	24073
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 3, 2014

Payer Source	Total Paid
Medicaid	$58.6M
Medicare	$0

Key Findings

COMMUNITY ALTERNATIVES VIRGINIA, INC. is effectively a Medicaid-focused behavioral health agency: it has no Medicare billing on file and reports $58.6M in lifetime Medicaid revenue, indicating its operations and reimbursement mix are concentrated almost entirely within Medicaid programs. Its NPI was enumerated on 2014-07-03 (~12 years ago), signalling a stable near-decade-and-a-half presence in the state market.

Revenue is highly concentrated in a small set of service codes: the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with H2014 and H2022 together representing the vast majority of billed dollars (H2014 at $34.5M and H2022 at $20.2M). That concentration suggests the business is organized around a narrow set of service offerings rather than a broad mix of Medicaid services.

The dominant code H2014 (Skills training and development, per 15 minutes) generates $34.5M, or 58.9% of the provider’s Medicaid revenue, which positions the organization as a major deliverer of skills training relative to peers: it ranks #12 of 73 providers in-state and sits in the 85th percentile — a high-volume but not uniquely exceptional footprint for this code. This ranking implies strong capacity or specialization in time-based skills training and development services.

H2022 (Community-based wrap-around services, per diem) contributes $20.2M and 34.5% of Medicaid revenue, but the provider’s rank on this code is #81 of 136 (41st percentile), indicating that while wrap-around services are a key revenue driver for this provider, its per-diem wrap-around volume is around the middle of state peers rather than dominant. This mix (very high H2014 but middling H2022 rank) suggests the organization emphasizes skills training delivery more than broad per-diem wrap-around programs.

H0046 (Mental health services, not otherwise specified) accounts for $3.8M (6.6% of Medicaid revenue) and the provider ranks #108 of 509 in-state (79th percentile) for this code, indicating it participates meaningfully in catch-all mental health services but at a scale smaller than its skills-training footprint. The relatively lower share of H0046 compared with H2014 and H2022 points to a service-line profile weighted toward habilitation and community support rather than general outpatient mental-health billing.

Several lower-revenue codes (T2021 and H0032) appear only as minor contributors — T2021 yields $14.6K and H0032 $11.3K — each representing a negligible share of total Medicaid revenue. Their low ranks and revenues suggest limited activity in day habilitation waiver billing and non-physician service-plan development relative to peers, reinforcing the conclusion that the provider’s operations are concentrated in a few high-volume therapy and wrap-around service lines.

Given the absence of Medicare revenue, this provider should be considered effectively single-payer (Medicaid) in its historical billing footprint; analysts evaluating payer risk, contract negotiations, or market reach should treat Medicare exposure as non-existent based on available records. The provider’s tenure (~12 years since NPI enumeration) combined with concentrated Medicaid revenue implies an established specialist role within Virginia’s community/behavioral health services marketplace.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2014	Skills training and development, per 15 minutes	10,140	$3,400	$34.5M
H2022	Community-based wrap-around services, per diem	2,860	$7,080	$20.2M
H0046	Mental health services, not otherwise specified	18,820	$200	$3.8M
T2021	Day habilitation, waiver; per 15 minutes	40	$360	$14.6K
H0032	Mental health service plan development by non-physician	270	$40	$11.3K

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 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	81	140	4,450	$1,150	$15.3M
H2014	Skills training and development, per 15 minutes	12	70	2,500	$1,380	$7M
H0046	Mental health services, not otherwise specified	108	510	6,100	$190	$2.8M
T2021	Day habilitation, waiver; per 15 minutes	106	110	1,500	$340	$1.3M
H0032	Mental health service plan development by non-physician	88	240	100	$70	$32.2K

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
Carilion New River Valley Medical Center	VA	General Acute Care Hospital	$0	$32.4M
National Counseling Group, Inc	VA	Counselor	$0	$6.4M
Med-trans Corporation	VA	Air Ambulance	$842.5K	$1M
Jerome Goldschmidt	VA	Hematology & Oncology Physician	$870.1K	$90
Heather Brooks	VA	Hematology & Oncology Physician	$779.2K	$0
Tedd Puckett	VA	Ophthalmology Physician	$759.5K	$0
Carilion Surgery Center New River Valley, LLC	VA	Ambulatory Surgical Clinic/Center	$673.5K	$0
Tejal Raju	VA	Anesthesiology Physician	$634.7K	$0
Mustali Dohadwala	VA	Cardiovascular Disease Physician	$391K	$0
David Heltzel	VA	Diagnostic Radiology Physician	$287.1K	$0

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

Sign up for Community Alternatives Virginia, Inc. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Community Alternatives Virginia, Inc. — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References