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.

Milestone, LLC (NPI 1821455932)

Field	Value
Entity Type	Organization
Organization	Milestone, LLC
Address	4520 Barkingdale Dr
City	Virginia Beach
State	VA
ZIP	23462
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 20, 2016

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0046	Mental health services, not otherwise specified	23,210	$350	$8.2M
H2012	Behavioral health day treatment, per hour	11,060	$210	$2.3M
H2015	Comprehensive community support services, per 15 minutes	5,580	$60	$318.1K
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…	2,870	$100	$298.5K
H2019	Therapeutic behavioral services, per 15 minutes	330	$640	$211.2K
T1017	Targeted case management, each 15 minutes	4,660	$40	$176.9K
H2011	Crisis intervention service, per 15 minutes	1,630	$100	$162.9K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	60	$70	$4.7K
H0038	Self‑help/peer services, per 15 minutes	70	$50	$3.6K

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

Milestone, LLC — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1017	Targeted case management, each 15 minutes	42	50	23,860	$330	$9.4M
H0046	Mental health services, not otherwise specified	84	510	6,100	$190	$2.8M
H2012	Behavioral health day treatment, per hour	90	360	3,770	$200	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	91	120	1,100	$610	$1.7M
H2011	Crisis intervention service, per 15 minutes	33	230	360	$1,290	$1.1M
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…	308	1,340	710	$90	$245K
H2015	Comprehensive community support services, per 15 minutes	1	10	3,970	$60	$188.7K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	22	40	70	$70	$57.1K
H0038	Self‑help/peer services, per 15 minutes	4	10	480	$10	$28.3K

Nearby Providers

Other providers in the same ZIP code as Milestone, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Of Virginia Beach Humans Services	VA	Developmentally Disabled Services Day Training Agency	$0	$32M
Bhg Xlii, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$283K	$27M
A&c Alternative Care Support Inc	VA	In Home Supportive Care Agency	$0	$27.2M
Maxim Healthcare Services, Inc.	VA	Home Health Agency	$0	$26.3M
Volunteers Of America Chesapeake, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.6M
Community Direct Services, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$23.8M
Community Direct Services, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.7M
Ac Support Systems, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.2M
Individuals First, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.2M
Care Advantage, Inc.	VA	Home Health Agency	$0	$12M

Milestone, LLC — Billing Profile & Reimbursement Data

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Milestone, LLC — 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