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 North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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 Health Partners LLC (NPI 1477834653)

Field	Value
Entity Type	Organization
Organization	Virginia Health Partners LLC
Address	3000 Bethesda Pl Ste 601
City	Winston Salem
State	NC
ZIP	27103
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 1, 2011

Payer Source	Total Paid
Medicaid	$8.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0046	Mental health services, not otherwise specified	16,990	$290	$4.9M
H2033	Multisystemic therapy for juveniles, per 15 minutes	580	$3,090	$1.8M
H2022	Community-based wrap-around services, per diem	4,170	$240	$987.8K
H2012	Behavioral health day treatment, per hour	2,550	$220	$554.2K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1,100	$240	$260.9K
H2017	Psychosocial rehabilitation services, per 15 minutes	80	$150	$11.8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Virginia Health Partners LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	15	20	3,620	$390	$3.9M
H2022	Community-based wrap-around services, per diem	101	220	3,330	$290	$3.3M
H0046	Mental health services, not otherwise specified	2	10	10,070	$220	$2.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	141	140	17,630	$80	$1.8M
H2012	Behavioral health day treatment, per hour	49	90	4,080	$180	$1.7M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	6	10	1,020	$160	$353.4K

Nearby Providers

Other providers in the same ZIP code as Virginia Health Partners LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forsyth Memorial Hospital, Inc.	NC	General Acute Care Hospital	$0	$40.9M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$39.5M
Bayada Home Health Care, Inc.	NC	Developmental Disabilities Clinic/Center	$0	$35.4M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$34.4M
Rafael Rivera, Jr., Dds, PLLC	NC	Dentist	$0	$22.1M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$21M
A Bridge To Achievement Nc, LLC	NC	Community/Behavioral Health Agency	$0	$15.6M
Nevaeh & Company LLC	NC	Customized Equipment (DME)	$0	$12.1M
Speechcenter LLC, D/b/a Sidekick Therapy Partners	NC	Speech-Language Pathologist	$0	$10.8M
Champion Family Healthcare Services, LLC	NC	Home Health Agency	$0	$9.9M

Virginia Health Partners LLC — Billing Profile & Reimbursement Data

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Virginia Health Partners LLC — 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