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.

Piedmont Regional Community Services Board (NPI 1699754010)

Field	Value
Entity Type	Organization
Organization	Piedmont Regional Community Services Board
Address	24 Clay St
City	Martinsville
State	VA
ZIP	24112
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicaid	$93.9M
Medicare	$0

Key Findings

This entity is effectively a single-payer Medicaid operation: there is no Medicare billing on file and reported lifetime Medicaid revenue is $93.9M. The absence of Medicare activity indicates the provider’s billing footprint and reimbursement risks are concentrated entirely in the Medicaid channel.

Medicaid revenue is highly concentrated in a small set of services: the top three Medicaid codes (H0023, H2022, T1017) account for 70.5% of total Medicaid revenue, with H0023 at 35.1%, H2022 at 23.1%, and T1017 at 12.3%. This concentration means a large share of dollars depend on outreach, wrap-around per-diem, and targeted case-management lines.

The code mix signals a community behavioral-health operating model focused on outreach, intensive per-diem wrap-around and case management. High-revenue codes include H0023 (behavioral health outreach), H2022 (community-based wrap-around, per diem), and T1017 (targeted case management), and the broader mix also includes psychosocial rehabilitation (H2017), partial hospitalization (H0035), assertive community treatment (H0040/H0039), and substance-use treatment codes (H0015, H0006), consistent with a community/behavioral health agency offering both engagement/outreach and ongoing community-based treatment.

Competitive standing across top Medicaid codes is mixed by in-state rank: H0023 reports $32.7M (35.1% of Medicaid revenue) and ranks #7 of 50 (88th percentile) but is labeled a typical, unremarkable volume; H2022 reports $21.5M (23.1%) and ranks #85 of 136 (38th percentile) with typical, unremarkable volume; T1017 reports $11.5M (12.3%) and ranks #16 of 46 (67th percentile) with typical, unremarkable volume. In short, the provider is a high-revenue performer on some outreach and engagement measures but only a mid-tier or modest participant for the expensive per-diem wrap-around relative to many in-state peers.

Several psychotherapy and diagnostic codes are reported at notably above-typical state volume, indicating strong clinical throughput: 90837 appears as 16.9K claims and $2M revenue (97th percentile, notably above typical state volume), 90834 appears as 12.3K claims and $1M revenue (97th percentile, notably above typical state volume), and 90791 appears as 5.3K claims and $703.6K revenue (97th percentile, notably above typical state volume). These patterns point to a sizable outpatient psychotherapy and evaluation practice embedded within the overall community-behavioral service mix.

Payment intensity is uneven across services: average paid per claim for H2022 is $7830 (per-diem wrap-around) and H0023 averages $339 per claim, while core psychotherapy sessions (90837, 90834) and many case-management codes have substantially lower average paid/claim amounts. The presence of high average-paid per-diem services alongside large-volume lower-unit services implies revenue sensitivity to utilization patterns and authorization/payment rules for the expensive per-diem programs.

Telehealth and group modalities are clearly part of the delivery mix: Q3014 (telehealth originating site facility fee) shows 9.1K claims and $201.1K revenue and ranks #5 of 87 (95th percentile, typical, unremarkable volume), while 90853 (group psychotherapy) shows 7.6K claims and $183.2K revenue and ranks #28 of 170 (84th percentile, typical, unremarkable volume). These entries suggest the provider leverages both telehealth originating-site billing and group therapy as material but not dominant components of clinic operations.

The provider has an established NPI record, enumerated on 2006-01-13 (~20 years ago), indicating long-tenured presence in the market; combined with the concentrated Medicaid revenue base and the mix of outreach, case management, and psychotherapy services, this profile is consistent with a mature regional community/behavioral health agency reliant on Medicaid-funded community treatment programs.

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	96,490	$340	$32.7M
H2022	Community-based wrap-around services, per diem	2,740	$7,830	$21.5M
T1017	Targeted case management, each 15 minutes	33,520	$340	$11.5M
H2017	Psychosocial rehabilitation services, per 15 minutes	82,220	$50	$4.4M
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…	12,070	$230	$2.8M
H2014	Skills training and development, per 15 minutes	980	$2,570	$2.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	23,740	$90	$2.1M
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…	16,930	$120	$2M
H0040	Assertive community treatment program, per diem	9,800	$180	$1.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	7,240	$230	$1.7M

Showing 1–10 of 46

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

Piedmont Regional Community Services Board — 6 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	85	140	4,450	$1,150	$15.3M
H0023	Alcohol and/or drug outreach	7	50	33,630	$320	$15M
T1017	Targeted case management, each 15 minutes	16	50	23,860	$330	$9.4M
H2014	Skills training and development, per 15 minutes	54	70	2,500	$1,380	$7M
H0046	Mental health services, not otherwise specified	329	510	6,100	$190	$2.8M
H0040	Assertive community treatment program, per diem	23	40	10,830	$200	$2.7M
H0039	Assertive community treatment, face-to-face, per 15 minutes	4	30	2,740	$530	$2M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	27	150	5,420	$110	$1.9M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	100	15,920	$60	$1.9M
S9482	Family stabilization services, per 15 minutes	134	180	650	$1,070	$1.7M

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dena Wampler	TN	Psychiatric/Mental Health Nurse Practitioner	$14.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Heights Community Support, LLC	VA	Community/Behavioral Health Agency	$0	$24M
Danville Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$21M
Resilient Health And Community Support Services, LLC	VA	Community/Behavioral Health Agency	$0	$17.8M
Life Stages Inc.	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M
Trinity Support Services	VA	Community/Behavioral Health Agency	$0	$13.6M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.1M
Spero Health Of Virginia, LLC	VA	Addiction Medicine (Family Medicine) Physician	$0	$9.8M
Acme Therapies Co	VA	Speech-Language Pathologist	$0	$9.1M
A Nurse's Touch	VA	In Home Supportive Care Agency	$0	$8.1M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$7.2M

Piedmont Regional Community Services Board — Billing Profile & Reimbursement Data

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Piedmont Regional 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