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.

Richmond Residential Services, Inc (NPI 1730112871)

Field	Value
Entity Type	Organization
Organization	Richmond Residential Services, Inc
Address	1000 N Thompson St
City	Richmond
State	VA
ZIP	23230
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$56.6M
Medicare	$0

Key Findings

RICHMOND RESIDENTIAL SERVICES, INC reports no Medicare billing on file and $56.6M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid-focused) operation at the claims level. The absence of Medicare activity indicates the provider’s revenue and utilization profile should be evaluated within Medicaid program dynamics rather than dual-payer comparisons.

Revenue is highly concentrated in a very narrow set of Medicaid service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, with H2022 representing $41.8M (73.8%) and H0043 representing $14.8M (26.2%). This concentration suggests the organization’s financial performance is tightly linked to continued authorization and reimbursement stability for those per-diem residential services.

The billing mix—dominated by H2022 (Community-based wrap-around services, per diem) and H0043 (Supported housing, per diem)—is consistent with the provider’s taxonomy as an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Both codes are per-diem residential support services, implying the operation is primarily long-duration, residential or housing-focused care rather than episodic outpatient treatment.

H2022 activity totals 5K claims with an average paid per claim of $8318, generating $41.8M in revenue; this code ranks #64 of 136 providers in-state and is at the 53th percentile, described in the source as a typical, unremarkable volume for this code. Those counts and avg-paid figures point to substantial aggregate bed-day or per-diem billing volume, but the provider appears to sit near the state median for H2022 intensity.

H0043 activity totals 2.1K claims with an average paid per claim of $7010, generating $14.8M in revenue; this code ranks #3 of 8 providers in-state and is at the 71th percentile, also characterized as a typical, unremarkable volume for this code. Given the small in-state peer set (8 providers), the rank of #3 indicates a relatively prominent position within that narrow supported-housing cohort even while the underlying label flags the volume as not an extreme outlier.

Operationally, the per-diem average payments reported ($8318 for H2022 and $7010 for H0043) imply significant per-client daily reimbursement, which supports a business model centered on sustained residential placements and wrap-around supports rather than high-frequency short-duration services. Financial and utilization monitoring should therefore focus on census stability, length-of-stay dynamics, and authorization continuity for these per-diem benefit lines.

The provider has an established footprint: its NPI was enumerated on 2006-07-09 (≈20 years ago), indicating long-term presence in the state market; combined with the concentrated Medicaid revenue mix, this tenure suggests institutional experience delivering community-based residential intellectual/developmental disability services but also exposure to changes in a narrow set of Medicaid per-diem reimbursements.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	5,020	$8,320	$41.8M
H0043	Supported housing, per diem	2,120	$7,010	$14.8M

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

Richmond Residential Services, Inc — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	64	140	4,450	$1,150	$15.3M
H0043	Supported housing, per diem	3	10	1,690	$990	$7.3M

Nearby Providers

Other providers in the same ZIP code as Richmond Residential Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Insight Inc	VA	Behavior Analyst	$0	$93.5M
Hype Counseling Services LLC	VA	Community/Behavioral Health Agency	$0	$44.7M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$32.2M
Brothers Keeper Inc	VA	Community/Behavioral Health Agency	$0	$25.6M
Heart Havens Inc	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$19.4M
Central Virginia Healthcare Association	VA	Community/Behavioral Health Agency	$0	$17.3M
The Concordia Group, Inc.	VA	Home Health Agency	$0	$16.6M
Pinnacle Treatment Centers Va-i, LLC	VA	Methadone Clinic	$99.1K	$16.4M
Virginia Family Services	VA	Community/Behavioral Health Agency	$0	$13.6M
We Help Our Adolescents	VA	Community/Behavioral Health Agency	$0	$11.3M

Richmond Residential Services, Inc — Billing Profile & Reimbursement Data

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Richmond Residential Services, Inc — 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