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.

Valley Community Services Board (NPI 1649205212)

Field	Value
Entity Type	Organization
Organization	Valley Community Services Board
Address	85 Sangers Ln
City	Staunton
State	VA
ZIP	24401
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$59.1M
Medicare	$0

Key Findings

VALLEY COMMUNITY SERVICES BOARD is effectively a Medicaid-focused community/behavioral health agency: it reports $59.1M in lifetime Medicaid revenue and has no Medicare billing on file, making Medicaid the sole payer driving its recorded billing activity. This single-payer footprint implies operational and reimbursement exposure concentrated in state Medicaid policy and contracting.

Revenue is highly concentrated in a small set of service lines: the precomputed top three Medicaid codes (H0023, T2033, T1017) account for 58.4% of the provider’s total Medicaid revenue. Individually these codes show $12.9M (H0023, 22.2% of Medicaid revenue), $12.7M (T2033, 21.9%), and $8.3M (T1017, 14.2%), indicating a dominant share of income comes from outreach, residential waiver per-diem care, and targeted case management.

The mix of top codes signals an operational model built around residential care plus intensive community-based supports: T2033 (residential care, waiver; per diem) and T1017 (targeted case management, each 15 minutes) together point to a significant residential/waiver bed footprint and active case management caseload, while H0023 (behavioral health outreach service) indicates structured outreach and engagement programs intended to reach targeted populations. This combination is consistent with a community behavioral health agency operating both facility-based and mobile/community services.

Within the Medicaid competitive landscape T2033 is a clear area of market strength: the provider’s $12.7M in T2033 revenue ranks #5 of 43 providers in-state and sits at the 90th percentile, marking it as a major residential/waiver per-diem provider in Virginia. That ranking suggests VALLEY COMMUNITY SERVICES BOARD is one of the larger state providers for residential waiver care, which likely underpins a large portion of its program capacity and Medicaid reimbursement.

By contrast, H0023 and T1017 volumes are more typical for state peers: H0023 shows 39.7K claims and $12.9M revenue but ranks #21 of 50 providers (59th percentile) and is described as typical/unremarkable, while T1017 (24.4K claims, $8.3M) ranks #22 of 46 (53th percentile). These placements indicate the provider participates at a modest-to-moderate level in outreach and targeted case management relative to in-state competitors rather than dominating those segments.

The provider reports unusually high outpatient psychotherapy and psychiatric evaluation activity relative to peers: 90834 (16.2K claims, $1.2M) ranks in the 98th percentile and is labeled an extreme outlier, and 90791 (8.6K claims, $1.1M) ranks in the 99th percentile and is also an extreme outlier. These signals point to a significantly larger-than-typical volume of therapy sessions and initial psychiatric evaluations for a community behavioral health agency, suggesting a substantial outpatient clinical program alongside residential and outreach services.

Additional clinic-level volume reinforces robust outpatient operations: 99214 (23.7K claims, $1.5M) ranks #100 of 3523 providers in-state at the 97th percentile, and 90853 (23.1K claims, $485K) ranks in the 98th percentile (notably above typical state volume). Together these high-volume E/M and group-therapy codes corroborate the presence of a busy ambulatory clinic component that generates meaningful Medicaid revenue beyond residential and case management lines.

The provider’s NPI tenure (enumerated 2006-07-12, ~20 years ago) indicates an established regional presence; combined with $59.1M in Medicaid revenue and the concentration in a few large service lines, this suggests stable, long-running Medicaid relationships but also a material exposure to changes in state Medicaid policy or reimbursement for residential waiver, outreach, and case management services.

Medicaid: Complete Services Breakdown

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

44 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	39,680	$330	$12.9M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	51,450	$250	$12.7M
T1017	Targeted case management, each 15 minutes	24,370	$340	$8.3M
H0040	Assertive community treatment program, per diem	18,550	$210	$3.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	38,580	$100	$3.9M
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…	7,720	$220	$1.7M
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…	23,740	$60	$1.5M
H0039	Assertive community treatment, face-to-face, per 15 minutes	2,100	$720	$1.5M
H2011	Crisis intervention service, per 15 minutes	1,910	$730	$1.4M
T2023	Targeted case management; per month	4,140	$300	$1.2M

Showing 1–10 of 44

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

Valley Community Services Board — 5 of 25 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

44 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	5	40	6,080	$1,660	$27.6M
H0023	Alcohol and/or drug outreach	21	50	33,630	$320	$15M
T1017	Targeted case management, each 15 minutes	22	50	23,860	$330	$9.4M
H2014	Skills training and development, per 15 minutes	61	70	2,500	$1,380	$7M
H0046	Mental health services, not otherwise specified	359	510	6,100	$190	$2.8M
H0040	Assertive community treatment program, per diem	10	40	10,830	$200	$2.7M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	30	200	2,840	$320	$2.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	20	30	2,740	$530	$2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	20	150	5,420	$110	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	50	100	15,920	$60	$1.9M

Showing 1–10 of 44

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valley Community Services Board, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Hutchens	VA	Psychiatry Physician	$25K	$870
Alka Martin	VA	Clinical Social Worker	$2.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunny Haven Residental Services	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$12.4M
Care Advantage, Inc.	VA	Home Health Agency	$0	$11.2M
Staunton Augusta County First Aid And Rescue Squad Inc	VA	Land Ambulance	$769.7K	$1.1M
Timothy Kane	VA	Psychiatry Physician	$429.4K	$103.4K
Kevin Miller	VA	Dermatology Physician	$436.2K	$0
Paul Mcconnell	VA	Ophthalmology Physician	$369.9K	$0
Marc Shields	VA	Ophthalmology Physician	$262.2K	$210
Thomas Zumsteg	VA	Diagnostic Radiology Physician	$253.3K	$500
Jane Lynch	VA	Dermatopathology Physician	$240.2K	$0
Theodore Mckee	VA	Podiatrist	$127K	$0

Valley Community Services Board — Billing Profile & Reimbursement Data

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Valley Community Services Board — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References