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    OpenPayerNPI Medicare & MedicaidDominion Waiver Services
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    Dominion Waiver Services — Billing Profile & Reimbursement Data

    NPI 1467607580 · Richmond, VA · Community/Behavioral Health Agency

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    Dominion Waiver Services is a community/behavioral health agency provider located in Richmond, Virginia. This profile covers 0 Medicare and 5 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
    OrganizationDominion Waiver Services
    Address1002 Wilmer Ave
    CityRichmond
    StateVA
    ZIP23227
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedNovember 18, 2008

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

    Payer SourceTotal Paid
    Medicaid$49.2M
    Medicare$0

    Key Findings

    DOMINION WAIVER SERVICES is effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is $49.2M, indicating the organization operates at scale within Medicaid-funded waiver and habilitation services rather than Medicare fee-for-service lines. Its NPI was enumerated on 2008-11-18 (~18 years ago), showing long-standing participation in the program.

    Revenue is highly concentrated in a few waiver and habilitation codes: the top three Medicaid codes (T2033, H2014, 97150) together account for 89.6% of this provider's total Medicaid revenue. Those three codes individually generate $18.5M (37.5%), $17.8M (36.1%), and $7.9M (16.0%) respectively, signaling that a small set of service lines drives most of the business.

    The code mix (T2033 and T2032 residential waiver codes; H2014 skills training and development; T2021 day habilitation; 97150 group therapeutic supervision) indicates the provider operates residential waiver programs and provides intensive skills training, day habilitation, and group therapeutic services. This constellation of codes is consistent with a community/behavioral health agency focused on long-duration residential supports and hands-on habilitation rather than short outpatient medical procedures.

    H2014 (Skills training and development, per 15 minutes) is a standout competency: 26K claims produced $17.8M in revenue and the provider ranks #2 of 73 in-state (99th percentile; notably above typical state volume). This ranking positions the provider as a major in-state supplier of skills training services under Medicaid waiver programs.

    T2033 (Residential care, waiver; per diem) is another central revenue driver with 54.4K claims, $18.5M revenue and ranking #4 of 43 in-state (93th percentile; notably above typical state volume). This position indicates a strong presence in per-diem residential waiver care and likely substantial bed or residential capacity relative to most peers.

    97150 (group supervision of therapeutic procedures) accounts for $7.9M (16.0%) on 26.7K claims and ranks #16 of 201 in-state (93th percentile; typical, unremarkable volume). Despite being a meaningful revenue contributor, the dataset characterizes 97150 activity as typical for in-state providers, suggesting this is a common service line rather than a point of unique competitive advantage.

    T2032 (Residential care, waiver; per month) contributes $3M (6.2%) on 1.6K claims and ranks #1 of 4 in-state (100th percentile; typical, unremarkable volume), which signals top placement among a very small set of billers for that monthly residential code. The combination of a #1 rank but a small peer group suggests leadership in a narrow niche code rather than broad statewide dominance for monthly residential billing.

    The combination of large claim volumes (e.g., T2033: 54.4K claims; H2014: 26K claims) and the concentration of 89.6% of Medicaid revenue in three codes implies operational dependence on a few high-volume waiver services. For payer or network analysts, this concentration highlights both strategic strengths in waiver-based residential and skills-training services and potential revenue risk if policy, reimbursement, or network referrals for those specific codes change.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2033Residential care, not otherwise specified (nos), waiver; per diem54,360$340$18.5M
    H2014Skills training and development, per 15 minutes26,000$680$17.8M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.26,690$300$7.9M
    T2032Residential care, not otherwise specified (nos), waiver; per month1,590$1,910$3M
    T2021Day habilitation, waiver; per 15 minutes7,860$260$2.1M

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2033Residential care, not otherwise specified (nos), waiver; per diem4406,080$1,660$27.6M
    H2014Skills training and development, per 15 minutes2702,500$1,380$7M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.162002,840$320$2.4M
    T2032Residential care, not otherwise specified (nos), waiver; per month110910$2,180$2M
    T2021Day habilitation, waiver; per 15 minutes181101,500$340$1.3M

    Nearby Providers

    Other providers in the same ZIP code as Dominion Waiver Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dominion Day Treatment LLC.VACommunity/Behavioral Health Agency$0$26M
    Soar 365VADevelopmentally Disabled Services Day Training Agency$0$16.9M
    St. Joseph's VillaVAMental Health Counselor$0$15.2M
    Bon Secours Medical Group Richmond Primary Care LLCVAFamily Medicine Physician$0$15.1M
    Bon Secours Medical Group Richmond Specialty Care LLCVACardiovascular Disease Physician$0$12.9M
    Bon Secours Medical Group Hampton Roads Specialty Care LLCVACardiovascular Disease Physician$0$9.8M
    HarrycoVAMental Health Counselor$0$8.8M
    Dominion AbaVACommunity/Behavioral Health Agency$0$7.4M
    Family And Adolescent Services, LLCVACommunity/Behavioral Health Agency$0$6.1M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Dominion Waiver Services — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia