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    OpenPayerNPI Medicare & MedicaidEastern Virginia Adult Care, LLC
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    Eastern Virginia Adult Care, LLC — Billing Profile & Reimbursement Data

    NPI 1396097341 · Newport News, VA · Case Management Agency

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    Eastern Virginia Adult Care, LLC is a case management agency provider located in Newport News, Virginia. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEastern Virginia Adult Care, LLC
    Address13193 Warwick Blvd Ste 105
    CityNewport News
    StateVA
    ZIP23602
    TaxonomyCase Management Agency
    NPI EnumeratedOctober 15, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$20.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9482Family stabilization services, per 15 minutes8,330$750$6.2M
    H2019Therapeutic behavioral services, per 15 minutes3,940$1,490$5.9M
    H2011Crisis intervention service, per 15 minutes2,270$1,820$4.1M
    H2012Behavioral health day treatment, per hour3,510$440$1.5M
    H0046Mental health services, not otherwise specified3,180$450$1.4M
    H0035Mental health partial hospitalization, treatment, less than 24 hours4,430$210$917.2K
    S9485Crisis intervention mental health services, per diem750$760$570.7K
    H0015Alcohol 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…610$220$132K
    H2014Skills training and development, per 15 minutes160$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    9 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2014Skills training and development, per 15 minutes68702,500$1,380$7M
    H0046Mental health services, not otherwise specified3245106,100$190$2.8M
    H0035Mental health partial hospitalization, treatment, less than 24 hours781505,420$110$1.9M
    H2012Behavioral health day treatment, per hour1923603,770$200$1.8M
    S9482Family stabilization services, per 15 minutes5180650$1,070$1.7M
    H2019Therapeutic behavioral services, per 15 minutes251201,100$610$1.7M
    H0015Alcohol 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…771101,830$220$1.1M
    H2011Crisis intervention service, per 15 minutes18230360$1,290$1.1M
    S9485Crisis intervention mental health services, per diem880120$800$250.5K

    Nearby Providers

    Other providers in the same ZIP code as Eastern Virginia Adult Care, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mary Immaculate Hospital LLCVAGeneral Acute Care Hospital$0$24.5M
    Divind Behavioral Services,incVAMental Illness Community Based Residential Treatment Facility$0$16.6M
    Beyond Excellence, LLCVADevelopmentally Disabled Services Day Training Agency$0$15M
    American Addiction Treatment Center, IncVAMethadone Clinic$80.3K$9.2M
    Kian KazVAOphthalmology Physician$639.1K$0
    Mrugesh SoniVAInterventional Cardiology Physician$435.3K$0
    Ahmed AminiVANephrology Physician$304.5K$0
    Rocco BascianoVAGeriatric Medicine (Internal Medicine) Physician$279.8K$0
    Sudip GhimireVAStudent in an Organized Health Care Education/Training Program$242.8K$0
    Mary Immaculate Ambulatory Surgery Center LLCVAAmbulatory Surgical Clinic/Center$198.1K$5.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Virginia Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Eastern Virginia Adult Care, LLC — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia