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.

The Madeline Centre Incorporated (NPI 1710039540)

Field	Value
Entity Type	Organization
Organization	The Madeline Centre Incorporated
Address	18697 Forest Rd
City	Lynchburg
State	VA
ZIP	24502
Taxonomy	Mental Health Counselor
NPI Enumerated	January 18, 2007

Payer Source	Total Paid
Medicaid	$18M
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	63,870	$150	$9.5M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	19,320	$110	$2M
H2016	Comprehensive community support services, per diem	19,780	$90	$1.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	9,490	$160	$1.5M
H2012	Behavioral health day treatment, per hour	12,430	$100	$1.2M
G9012	Other specified case management service not elsewhere classified	2,540	$220	$554.6K
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…	3,910	$90	$344.3K
H0004	Behavioral health counseling and therapy, per 15 minutes	4,550	$60	$291.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	5,330	$40	$229.2K
S9480	Intensive outpatient psychiatric services, per diem	620	$240	$145.7K

Showing 1–10 of 25

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

The Madeline Centre Incorporated — 0 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2033	Multisystemic therapy for juveniles, per 15 minutes	5	80	5,390	$210	$3.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	34	150	5,420	$110	$1.9M
H2012	Behavioral health day treatment, per hour	84	360	3,770	$200	$1.8M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	25	90	4,220	$210	$1.6M
G9012	Other specified case management service not elsewhere classified	53	120	2,160	$220	$1.6M
H2016	Comprehensive community support services, per diem	13	60	7,920	$100	$1.4M
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…	86	110	1,830	$220	$1.1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	50	90	1,030	$260	$977.2K
H0004	Behavioral health counseling and therapy, per 15 minutes	45	100	3,280	$40	$455.8K
H0006	Alcohol and/or drug services; case management	71	80	510	$200	$294.1K

Showing 1–10 of 25

Nearby Providers

Other providers in the same ZIP code as The Madeline Centre Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.3M
Sponsored Residential Services Of Central Virginia, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.8M
Immanuel Residential Services LLC	VA	Home Health Agency	$0	$9.1M
Links To Life, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$8.7M
Sisters Heavenly Homes Residential Services, LLC	VA	Exclusive Provider Organization	$0	$8.5M
Anderson Mediation Services, Inc	VA	Counselor	$0	$7.5M
Shannon Sawyer Dmd, Inc.	VA	Pediatric Dentistry	$0	$7M
Strategic Therapy Associates, Inc.	VA	Community/Behavioral Health Agency	$0	$6.8M
Strategic Therapy Associates, Inc.	VA	Community/Behavioral Health Agency	$0	$6.3M
Golnaz Javey	VA	Ophthalmology Physician	$2.2M	$540

The Madeline Centre Incorporated — Billing Profile & Reimbursement Data

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The Madeline Centre Incorporated — 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