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.

Virginia Family Services (NPI 1861816373)

Field	Value
Entity Type	Organization
Organization	Virginia Family Services
Address	4912 W Marshall St Ste C
City	Richmond
State	VA
ZIP	23230
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 5, 2014

Payer Source	Total Paid
Medicaid	$13.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0046	Mental health services, not otherwise specified	28,220	$210	$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…	22,110	$230	$5.1M
H2012	Behavioral health day treatment, per hour	11,290	$180	$2M
H0006	Alcohol and/or drug services; case management	880	$220	$190.5K
S0201	Partial hospitalization services, less than 24 hours, per diem	230	$490	$112.5K
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…	920	$90	$81K
H2019	Therapeutic behavioral services, per 15 minutes	50	$520	$26.5K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	450	$20	$8K
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…	120	$60	$7K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$70	$2.3K

Showing 1–10 of 12

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

Virginia Family Services — 1 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	69	80	1,870	$470	$2.9M
H0046	Mental health services, not otherwise specified	69	510	6,100	$190	$2.8M
H2012	Behavioral health day treatment, per hour	89	360	3,770	$200	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	116	120	1,100	$610	$1.7M
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…	5	110	1,830	$220	$1.1M
H0006	Alcohol and/or drug services; case management	35	80	510	$200	$294.1K
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…	598	1,340	710	$90	$245K
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…	452	660	310	$60	$110.9K
99408	The provider spends 15 to 30 minutes screening a patient for abuse of alcohol or another non–tobacco substance. The provider then performs a brief intervention at the same session.	12	30	270	$10	$88.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	144	170	770	$20	$87.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Virginia Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Insight Inc	VA	Behavior Analyst	$0	$93.5M
Richmond Residential Services, Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$56.6M
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
We Help Our Adolescents	VA	Community/Behavioral Health Agency	$0	$11.3M

Virginia Family Services — Billing Profile & Reimbursement Data

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Virginia Family Services — 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