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    OpenPayerNPI Medicare & MedicaidCrossroads Services Board
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    Crossroads Services Board — Billing Profile & Reimbursement Data

    NPI 1528091063 · Farmville, VA · Community/Behavioral Health Agency

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    Crossroads Services Board is a community/behavioral health agency provider located in Farmville, Virginia. This profile covers 0 Medicare and 26 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
    OrganizationCrossroads Services Board
    Address60 Bush River Drive
    CityFarmville
    StateVA
    ZIP23901
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJuly 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$74.2M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: CROSSROADS SERVICES BOARD reports $74.2M in lifetime Medicaid revenue and has no Medicare billing on file, indicating its entire claims footprint in our dataset is Medicaid‑focused. That scale points to a Medicaid-centric operating model rather than a mixed Medicare/Medicaid practice mix.

    Revenue is highly concentrated in a small set of service lines: the top three Medicaid codes (H2022, H0023, 97150) together account for 75.2% of the provider's total Medicaid revenue. Individually those top codes are H2022 $25.2M revenue (34.0% of this provider's total Medicaid revenue), H0023 $22.7M revenue (30.6% of this provider's total Medicaid revenue), and 97150 $7.8M revenue (10.6% of this provider's total Medicaid revenue), showing reliance on wrap‑around per diem, outreach, and group therapeutic supervision as primary revenue drivers.

    The mix of high‑revenue codes maps to a community behavioral health operating model: dominant payments for H2022 (community‑based wrap‑around services) and H0023 (behavioral health outreach) plus substantial revenue in 97150 (supervised group therapeutic procedures) suggest the organization delivers outreach and wraparound supports, group‑based therapeutic programming, and structured rehabilitative services. Additional codes such as T1017, H2017, T2021, and H2024 reinforce a portfolio of case management, psychosocial rehabilitation, day habilitation, and supported employment.

    Competitive standing across key codes is mixed within Virginia. H0023 and 97150 both sit above typical state volumes (76th and 77th percentiles respectively), indicating stronger‑than‑typical market presence for behavioral outreach and group supervision, while H2022 ranks at the 42nd percentile and is a middling performer for wrap‑around per diem services relative to in‑state peers. Overall, the provider is a meaningful regional participant in outreach and group rehabilitation but not a statewide dominant for all top service lines.

    There are notable statistical outliers in ancillary services: non‑emergency transportation T2003 is labeled an "extreme outlier," ranking #18 of 855 providers in‑state at the 98th percentile despite representing $1.2M revenue (1.7% of this provider's total Medicaid revenue). This unusually high transportation volume relative to peers suggests an operational emphasis on patient transport capacity or a service area with greater transport needs that materially differentiates the provider from most other Medicaid billing entities.

    Clinical evaluation and outpatient intensity appear substantial: high‑level E/M codes register well above typical state volumes (99215 at the 98th percentile, 99214 at the 92nd, and 99213 at the 93rd), and psychiatric evaluation 90791 sits at the 95th percentile. While these E/M lines each contribute smaller shares of total revenue (for example 99215 $757.9K revenue (1.0%)), their very high percentiles indicate a heavy outpatient clinical evaluation caseload in addition to community services and may reflect significant clinician‑led assessment and management activity.

    The provider operates a broad rehabilitative and supportive portfolio beyond outreach and wraparound: meaningful revenues in 97150 ($7.8M, 10.6%), H2017 ($2.2M, 2.9%), H0046 ($1.8M, 2.5%), T1017 ($5.8M, 7.8%), and T2021 ($1.8M, 2.4%) point to sustained billing for group therapy, psychosocial rehabilitation, non‑physician mental health services, targeted case management, and day habilitation. These lines together indicate integrated service delivery across therapeutic, case management, and habilitative functions consistent with a comprehensive community behavioral health agency.

    CROSSROADS SERVICES BOARD is long‑tenured in national enrollment data, with an NPI enumeration date of 2006‑07‑08 (~20 years ago). That duration combined with $74.2M in Medicaid revenue and the concentrated, repeatable code mix indicates a sustained Medicaid presence and established operational footprint in Virginia's community behavioral health market.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2022Community-based wrap-around services, per diem3,050$8,270$25.2M
    H0023Alcohol and/or drug outreach67,800$340$22.7M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.8,020$980$7.8M
    T1017Targeted case management, each 15 minutes16,800$350$5.8M
    H2017Psychosocial rehabilitation services, per 15 minutes24,260$90$2.2M
    H0046Mental health services, not otherwise specified17,460$110$1.8M
    T2021Day habilitation, waiver; per 15 minutes4,450$410$1.8M
    T2003Non-emergency transportation; encounter/trip111,800$10$1.2M
    99215The 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…9,130$80$757.9K
    T2023Targeted case management; per month2,190$310$676.4K

    Showing 1–10 of 26

    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

    26 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2022Community-based wrap-around services, per diem791404,450$1,150$15.3M
    H0023Alcohol and/or drug outreach135033,630$320$15M
    T1017Targeted case management, each 15 minutes305023,860$330$9.4M
    H0046Mental health services, not otherwise specified1195106,100$190$2.8M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.482002,840$320$2.4M
    H2017Psychosocial rehabilitation services, per 15 minutes3110015,920$60$1.9M
    H2024Supported employment, per diem10102,570$350$1.5M
    T2021Day habilitation, waiver; per 15 minutes271101,500$340$1.3M
    T2023Targeted case management; per month28403,000$300$1.3M
    H2011Crisis intervention service, per 15 minutes46230360$1,290$1.1M

    Showing 1–10 of 26

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southside Community Hospital, Inc.VAGeneral Acute Care Hospital$0$26.7M
    Home Recovery Of Virginia, LLCVAHome Health Agency$0$19M
    Prince Edward PediatricsVAPediatrics Physician$0$7.4M
    Jonathan MarstonVAFamily Medicine Physician$348.5K$0
    David PruittVAFamily Medicine Physician$194.4K$3.2K
    Erica CarterVAFamily Medicine Physician$181.6K$0
    Carrie Wilkes-hoffmeisterVANurse Practitioner$149.9K$0
    Sunil RajanVAPulmonary Disease Physician$138.2K$0
    Firas KaddahaVACardiovascular Disease Physician$115.2K$0
    Bikram BalVAGastroenterology Physician$114.5K$0

    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
    Crossroads Services Board — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia