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.

Civitas Health Services, Inc. (NPI 1366727984)

Field	Value
Entity Type	Organization
Organization	Civitas Health Services, Inc.
Address	5663 S Laburnum Ave
City	Richmond
State	VA
ZIP	23231
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 14, 2011

Payer Source	Total Paid
Medicaid	$13.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	37,330	$160	$5.9M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	6,860	$230	$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…	4,970	$250	$1.3M
H0046	Mental health services, not otherwise specified	7,420	$150	$1.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	13,870	$70	$971K
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…	5,210	$190	$964.6K
H2012	Behavioral health day treatment, per hour	5,030	$120	$593.1K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,700	$280	$478K
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…	4,860	$80	$403.5K
97154	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	540	$160	$84.8K

Showing 1–10 of 17

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

Civitas Health Services, Inc. — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	13	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	225	510	6,100	$190	$2.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	38	150	5,420	$110	$1.9M
H2012	Behavioral health day treatment, per hour	159	360	3,770	$200	$1.8M
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…	41	90	4,220	$210	$1.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	26	110	1,830	$220	$1.1M
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…	15	90	1,030	$260	$977.2K
97158	The provider administers adaptive behavior treatment to multiple patients in a social skills group. Report this code for each 15 minutes that the provider spends face–to–face with multiple patients…	6	10	1,120	$250	$383.7K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	22	50	1,510	$180	$364.4K
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…	23	40	350	$290	$278K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Civitas Health Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Divine Youth Counseling LLC	VA	Case Management Agency	$0	$16.8M
Greater Unity Adult Services	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$11.6M
Community Assistance Network, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$8.6M
Empowering You For Positive Change	VA	Community/Behavioral Health Agency	$0	$8.4M
Youth And Family Dynamics In-home Services,llc	VA	Community/Behavioral Health Agency	$0	$7.4M
Swsleep Inc	VA	Sleep Disorder Diagnostic Clinic/Center	$60.7K	$11.1K

Civitas Health Services, Inc. — Billing Profile & Reimbursement Data

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Civitas Health Services, Inc. — 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