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.

Virginia Center For Addiction Medicine (NPI 1477091247)

Field	Value
Entity Type	Organization
Organization	Virginia Center For Addiction Medicine
Address	4212 Park Place Ct
City	Glen Allen
State	VA
ZIP	23060
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	February 1, 2017

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9012	Other specified case management service not elsewhere classified	38,330	$230	$9M
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…	47,450	$70	$3.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	52,840	$40	$2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	24,110	$50	$1.3M
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…	4,850	$240	$1.1M
H0005	Alcohol and/or drug services; group counseling by a clinician	35,620	$30	$997.3K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	54,710	$10	$601.8K
T1012	Alcohol and/or substance abuse services, skills development	58,310	$10	$583.1K
H0014	Alcohol and/or drug services; ambulatory detoxification	2,670	$130	$344.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	740	$130	$97.3K

Showing 1–10 of 21

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

Virginia Center For Addiction Medicine — 8 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	5	120	2,160	$220	$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…	40	110	1,830	$220	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	1	100	3,280	$40	$455.8K
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…	42	3,520	370	$70	$280.7K
T1012	Alcohol and/or substance abuse services, skills development	1	30	790	$60	$267.1K
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…	1,102	1,340	710	$90	$245K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	123	4,010	290	$50	$199.8K
H0014	Alcohol and/or drug services; ambulatory detoxification	4	50	410	$130	$117.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	133	230	120	$120	$108.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	241	610	150	$90	$104K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Virginia Center For Addiction Medicine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kira Bleecher	VA	Psychiatry Physician	$33.7K	$3K
James Thompson	VA	Internal Medicine Physician	$16.6K	$1.1K
Ruby Haynes	VA	Family Nurse Practitioner	$15.5K	$0

Nearby Providers

Other providers in the same ZIP code as Virginia Center For Addiction Medicine, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Richmond Medical Group PLLC	VA	Family Medicine Physician	$0	$75.4M
Henrico Area Mental Heatlh And Developmental Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$64.7M
Rca Laboratory Services, LLC	VA	Clinical Medical Laboratory	$5.3M	$17.1M
Patient First Maryland Medical Group, PLLC	VA	Family Medicine Physician	$0	$19.5M
Family Integrated Counseling Services	VA	Community/Behavioral Health Agency	$0	$17.8M
Patient First Pennsylvania Medical Group PLLC	VA	Urgent Care Clinic/Center	$0	$14.6M
Patient First Richmond Physician's Group PC	VA	Urgent Care Clinic/Center	$0	$11.1M
Renewing Stability LLC	VA	Community/Behavioral Health Agency	$0	$8.4M
Patient First Maryland Physician's Group PC	VA	Family Medicine Physician	$0	$7M
Tidewater Physical Therapy, LLC	VA	Physical Therapist	$0	$6.4M

Virginia Center For Addiction Medicine — Billing Profile & Reimbursement Data

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Virginia Center For Addiction Medicine — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References