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.

Colonial Behavioral Health (NPI 1760565915)

Field	Value
Entity Type	Organization
Organization	Colonial Behavioral Health
Address	1657 Merrimac Trail
City	Williamsburg
State	VA
ZIP	23185
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$21.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0023	Alcohol and/or drug outreach	17,490	$330	$5.8M
T1017	Targeted case management, each 15 minutes	13,660	$350	$4.7M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	7,510	$460	$3.5M
H0040	Assertive community treatment program, per diem	8,340	$190	$1.6M
T2023	Targeted case management; per month	3,680	$300	$1.1M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1,230	$890	$1.1M
H0046	Mental health services, not otherwise specified	11,750	$90	$1.1M
H2017	Psychosocial rehabilitation services, per 15 minutes	24,560	$40	$884K
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…	13,140	$50	$591.2K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,370	$60	$376K

Showing 1–10 of 29

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

Colonial Behavioral Health — 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

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	136	140	4,450	$1,150	$15.3M
H0023	Alcohol and/or drug outreach	31	50	33,630	$320	$15M
T1017	Targeted case management, each 15 minutes	36	50	23,860	$330	$9.4M
H0046	Mental health services, not otherwise specified	168	510	6,100	$190	$2.8M
H0040	Assertive community treatment program, per diem	24	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.	51	200	2,840	$320	$2.4M
H0039	Assertive community treatment, face-to-face, per 15 minutes	27	30	2,740	$530	$2M
H2017	Psychosocial rehabilitation services, per 15 minutes	30	100	15,920	$60	$1.9M
H2012	Behavioral health day treatment, per hour	348	360	3,770	$200	$1.8M
G9012	Other specified case management service not elsewhere classified	89	120	2,160	$220	$1.6M

Showing 1–10 of 29

Nearby Providers

Other providers in the same ZIP code as Colonial Behavioral Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Physician Services Inc	VA	Emergency Medicine Physician	$0	$17.3M
Michumi PLLC	VA	Emergency Medicine Physician	$0	$12.4M
Doctors' Hospital Of Williamsburg	VA	General Acute Care Hospital	$0	$12M
Connect Youth And Family Services	VA	Community/Behavioral Health Agency	$0	$6M
Elena Flagg	VA	Rheumatology Physician	$3.8M	$0
Laila Rahbar	VA	Rheumatology Physician	$3.2M	$0
James City County Board Of Supervisors	VA	Ambulance	$1.2M	$822.4K
Misty White	VA	Family Nurse Practitioner	$1.2M	$0
Zantha Marcuson	VA	MOHS-Micrographic Surgery Physician	$886K	$0
Anthony Farah	VA	Ophthalmology Physician	$653.9K	$0

Colonial Behavioral Health — Billing Profile & Reimbursement Data

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Colonial Behavioral Health — 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