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.

Hampton Newport News Community Services Board (NPI 1659424448)

Field	Value
Entity Type	Organization
Organization	Hampton Newport News Community Services Board
Address	300 Medical Drive
City	Hampton
State	VA
ZIP	23666
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$123.8M
Medicare	$0

Key Findings

HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD is effectively a Medicaid-only billing entity: there is no Medicare revenue on file while total Medicaid revenue is $123.8M. The provider has a long-tenured NPI (enumerated 2007-01-18, ~19 years ago), indicating nearly two decades of active billing under this identifier.

Revenue is highly concentrated: the top 3 Medicaid codes account for 65.9% of this provider's total Medicaid revenue, driven by H0023 ($34.8M, 28.3%), H2022 ($23.5M, 19.1%), and T1017 ($22.9M, 18.6%). This concentration means a small set of community-behavioral service lines produces the bulk of margin and utilization exposure for payers.

The code mix signals a comprehensive community behavioral health operation with strengths in outreach, case management, and per-diem wrap-around care: H0023 (behavioral health outreach), T1017 (targeted case management), and H2022 (community-based wrap-around per diem) are the top revenue drivers. Significant activity in H0035 (partial hospitalization), H0040/H0039 (assertive community treatment program and face-to-face time), and various psychotherapy codes suggests the organization operates across engagement, intensive outpatient, and community-based support levels.

Against in-state peers the organization is a dominant provider for several specialized services: T1017 ranks #3 of 46 providers in-state (96th percentile, noted as "notably above typical state volume"), 97150 ranks #2 of 201 providers (100th percentile, labeled an "extreme outlier"), and H2011 ranks #3 of 228 providers (99th percentile, labeled an "extreme outlier"). These ranks indicate the provider is a major statewide resource for targeted case management, group therapeutic procedures, and crisis intervention services.

Several codes reflect very high-volume, low-unit-payment substance-use operations: H0020 shows 230.5K claims at $8 avg paid/claim ($1.8M total), S0109 shows 26.6K claims at $7 avg paid/claim ($186K), and 80305 shows 29.2K claims at $9 avg paid/claim ($263.2K). Together these suggest substantial throughput for methadone dosing and drug screening operations rather than revenue concentration from high unit rates.

Outpatient medical and psychotherapy activity is also significant: 99214 (40.9K claims, $59 avg, $2.4M; 99th percentile) and 99213 (36.8K claims, $40 avg, $1.5M; 98th percentile) sit very high in-state, while psychotherapy codes such as 90837 (19.5K claims, $85 avg, $1.7M; 98th percentile) and 90834 further demonstrate heavy volume of clinician-delivered behavioral health visits. This mix indicates the provider integrates routine E/M and psychotherapy within its community services footprint.

Partial hospitalization and per-diem programs form measurable lines of business: H0035 (mental health partial hospitalization) accounts for $10.4M (8.4% of Medicaid revenue) with 108.1K claims and ranks #5 of 145 providers (97th percentile, "notably above typical"), while H2022 (community-based wrap-around per diem) contributes $23.5M (19.1%). These figures point to sustained capacity for intensive-day and per-diem wrap-around programming in the community behavioral health continuum.

For payers and network planners, these patterns identify HAMPTON NEWPORT NEWS CSB as a large, specialized Medicaid behavioral health provider in Virginia with concentrated exposure in outreach, case management, group therapy, crisis intervention, partial hospitalization, and substance-use dosing/testing. Given the top-code concentration (65.9%) and multiple extreme/near-extreme percentile rankings across behavioral health service codes, payers should consider this entity a major Medicaid partner whose utilization profile merits targeted contract design, capacity planning, and program-level monitoring.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	104,510	$330	$34.8M
H2022	Community-based wrap-around services, per diem	19,170	$1,230	$23.5M
T1017	Targeted case management, each 15 minutes	66,570	$340	$22.9M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	108,090	$100	$10.4M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	70,420	$80	$5.5M
H0040	Assertive community treatment program, per diem	22,510	$170	$3.8M
H0039	Assertive community treatment, face-to-face, per 15 minutes	5,280	$670	$3.5M
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…	40,920	$60	$2.4M
H2017	Psychosocial rehabilitation services, per 15 minutes	31,340	$70	$2.1M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	230,500	$10	$1.8M

Showing 1–10 of 38

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

Hampton Newport News Community Services Board — 8 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

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	22	140	4,450	$1,150	$15.3M
H0023	Alcohol and/or drug outreach	6	50	33,630	$320	$15M
T1017	Targeted case management, each 15 minutes	3	50	23,860	$330	$9.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	27	50	274,670	$10	$2.8M
H0040	Assertive community treatment program, per diem	6	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.	2	200	2,840	$320	$2.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	10	30	2,740	$530	$2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	5	150	5,420	$110	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	25	100	15,920	$60	$1.9M
S0109	Methadone, oral, 5 mg	40	50	177,970	$10	$1.7M

Showing 1–10 of 38

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Hospitals	VA	General Acute Care Hospital	$0	$78.5M
Serenity C & C Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$74.2M
Agape Counseling & Therapeutic Services, Inc	VA	Community/Behavioral Health Agency	$0	$18.5M
Alliance Behavioral Counseling	VA	Community/Behavioral Health Agency	$0	$16.9M
Hampton Mental Health Associates, Inc	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
United And Empowered Care, Inc	VA	Developmentally Disabled Services Day Training Agency	$0	$11.8M
Better Life Services, Inc.	VA	Community/Behavioral Health Agency	$0	$9.2M
Creating Scholars Through Therapy, LLC	VA	Community/Behavioral Health Agency	$0	$7.6M
Key Elements Care, LLC	VA	In Home Supportive Care Agency	$0	$6.8M
Ullc,inc.	VA	Developmentally Disabled Services Day Training Agency	$0	$6.1M

Hampton Newport News Community Services Board — Billing Profile & Reimbursement Data

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Hampton Newport News 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

Nearby Providers

Frequently Asked Questions

References