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.

Addiction Recovery Center Of Virginia (NPI 1811407042)

Field	Value
Entity Type	Organization
Organization	Addiction Recovery Center Of Virginia
Address	5000 New Point Rd Ste 3201
City	Williamsburg
State	VA
ZIP	23188
Taxonomy	Clinic/Center
NPI Enumerated	October 2, 2017

Payer Source	Total Paid
Medicaid	$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.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9012	Other specified case management service not elsewhere classified	9,450	$240	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	18,820	$90	$1.7M
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…	20,360	$80	$1.6M
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	20,980	$10	$251.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1,750	$60	$111.7K
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…	210	$180	$38.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	100	$130	$13.5K
Q3014	Telehealth originating site facility fee	400	$20	$6.8K
H0014	Alcohol and/or drug services; ambulatory detoxification	50	$130	$6.4K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	330	$10	$3.9K

Showing 1–10 of 15

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

Addiction Recovery Center Of Virginia — 1 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	27	120	2,160	$220	$1.6M
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…	92	110	1,830	$220	$1.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	23	100	3,280	$40	$455.8K
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…	114	3,520	370	$70	$280.7K
H0014	Alcohol and/or drug services; ambulatory detoxification	43	50	410	$130	$117.7K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	53	250	350	$50	$91.3K
H0005	Alcohol and/or drug services; group counseling by a clinician	72	80	760	$20	$86.5K
90838	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	18	20	110	$90	$55.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	18	230	780	$10	$55.3K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	27	40	180	$60	$43K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Addiction Recovery Center Of Virginia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Hospitals	VA	General Acute Care Hospital	$0	$21.9M
Velocity Urgent Care, LLC	VA	Urgent Care Clinic/Center	$0	$20.9M
Evolution Recovery Services LLC	VA	Addiction (Substance Use Disorder) Counselor	$0	$5.6M
Bo Zhao	VA	Hematology & Oncology Physician	$2.6M	$0
John Paschold	VA	Specialist	$1.6M	$0
Surgical Suites Of Coastal Virginia, LLC	VA	Ambulatory Surgical Clinic/Center	$1.3M	$8.7K
Sonia Hepburn	VA	Hematology & Oncology Physician	$1.2M	$0
Audra Albert	VA	Family Nurse Practitioner	$639.8K	$0
Aleisha Johnson	VA	Diagnostic Radiology Physician	$626.6K	$0
Pranav Parikh	VA	Internal Medicine Physician	$579K	$0

Addiction Recovery Center Of Virginia — Billing Profile & Reimbursement Data

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Addiction Recovery Center Of Virginia — 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