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    OpenPayerNPI Medicare & MedicaidRegion Ten Community Community Services Board
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    Region Ten Community Community Services Board — Billing Profile & Reimbursement Data

    NPI 1942270699 · Charlottesville, VA · Community/Behavioral Health Agency

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    Region Ten Community Community Services Board is a community/behavioral health agency provider located in Charlottesville, Virginia. This profile covers 0 Medicare and 41 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationRegion Ten Community Community Services Board
    Address500 Old Lynchburg Rd
    CityCharlottesville
    StateVA
    ZIP22903
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJanuary 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$116.8M
    Medicare$0

    Key Findings

    This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and its lifetime Medicaid revenue totals $116.8M. The NPI was enumerated on 2006-01-25 (~20 years ago), indicating an established presence in the market and sustained Medicaid activity over a long tenure.

    Revenue is highly concentrated in a small set of service lines: the precomputed top 3 Medicaid codes account for 56.9% of the provider's total Medicaid revenue, led by H2022 ($27.7M, 23.9%), H0023 ($26.2M, 22.6%) and H0035 ($12.1M, 10.5%). This concentration suggests the organization derives the majority of its income from a few high-volume behavioral health programs rather than a broad mix of low-revenue services.

    The code mix points to a community-focused behavioral health model: large revenues for H2022 (community-based wrap-around services), H0023 (behavioral health outreach), and H0035 (partial hospitalization) indicate operations built around per-diem wrap-around supports, intensive outreach, and structured partial hospitalization programs rather than fee-for-service medical specialties. Complementary case management and psychosocial rehabilitation codes such as T1017 and H2017 further imply integrated care coordination and rehabilitative service lines.

    Region Ten demonstrates dominance in several in-state Medicaid lines. H2022 ranks #3 of 136 providers in-state (99th percentile; extreme outlier), H0035 ranks #4 of 145 providers (98th percentile; notably above typical state volume), and 90837 ranks #8 of 1337 providers (99th percentile; extreme outlier), which together indicate the provider is a major, sometimes outlier, regional supplier for wrap-around, partial hospitalization, and long psychotherapy sessions.

    Beyond its headline outliers, the provider also posts several codes with volumes that are described as notably above typical state levels: H0039 ranks #2 of 31 providers (97th percentile; notably above typical state volume), H0046 ranks #23 of 509 providers (96th percentile; notably above typical state volume), and 90791 ranks #21 of 612 providers (97th percentile; notably above typical state volume). These rankings show that in addition to per-diem programs, the organization is a leading in-state supplier of assertive community treatment components and psychiatric evaluations.

    Many other Medicaid lines are within typical state participation ranges, indicating the provider mixes high-volume specialty programs with more standard behavioral health services. Examples include H0023 (78.9K claims, $26.2M revenue; ranks #11 of 50, 80th percentile; typical, unremarkable volume), T1017 (31.1K claims, $10.7M revenue; ranks #17 of 46, 64th percentile; typical, unremarkable volume), and H0040 (17.9K claims, $3.2M revenue; ranks #11 of 38, 73th percentile; typical, unremarkable volume).

    There is both financial opportunity and concentration risk in the provider's Medicaid mix: a heavy dependence on per-diem and programmatic codes (H2022, H0023, H0035) that together form 56.9% of Medicaid revenue leaves the organization exposed to changes in policy, program eligibility, or utilization patterns for those specific services. At the same time, high average paid/claim lines such as 97150 ($4.9M revenue, $1315 avg paid/claim) provide structural revenue upside tied to group therapeutic or program-based billing.

    Operationally, the combination of long-standing enrollment (NPI enumerated 2006-01-25 ~20 years ago), extreme outlier status on several core behavioral health codes, and $116.8M in Medicaid revenue positions Region Ten as an established, high-volume community/behavioral health agency in Virginia. Analysts should treat it as a major in-state provider for wrap-around, outreach, and partial hospitalization services while recognizing its almost exclusive reliance on Medicaid as the revenue source.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2022Community-based wrap-around services, per diem98,670$280$27.7M
    H0023Alcohol and/or drug outreach78,890$330$26.2M
    H0035Mental health partial hospitalization, treatment, less than 24 hours121,370$100$12.1M
    T1017Targeted case management, each 15 minutes31,140$350$10.7M
    H0046Mental health services, not otherwise specified71,630$100$7.3M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.3,690$1,320$4.9M
    H2017Psychosocial rehabilitation services, per 15 minutes90,480$50$4.8M
    H0040Assertive community treatment program, per diem17,860$180$3.2M
    H0039Assertive community treatment, face-to-face, per 15 minutes11,900$270$3.2M
    90837In 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…35,210$90$3.1M

    Showing 1–10 of 41

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Virginia median

    41 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2022Community-based wrap-around services, per diem31404,450$1,150$15.3M
    H0023Alcohol and/or drug outreach115033,630$320$15M
    H0010Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)17307,090$420$11.5M
    T1017Targeted case management, each 15 minutes175023,860$330$9.4M
    H0046Mental health services, not otherwise specified235106,100$190$2.8M
    H0040Assertive community treatment program, per diem114010,830$200$2.7M
    97150In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.862002,840$320$2.4M
    H0039Assertive community treatment, face-to-face, per 15 minutes2302,740$530$2M
    H0035Mental health partial hospitalization, treatment, less than 24 hours41505,420$110$1.9M
    H2017Psychosocial rehabilitation services, per 15 minutes310015,920$60$1.9M

    Showing 1–10 of 41

    Nearby Providers

    Other providers in the same ZIP code as Region Ten Community Community Services Board, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rector & Visitors Of The University Of VirginiaVAHome Infusion Agency$0$10.3M
    City Of CharlottesvilleVAAmbulance$349.8K$1.4M
    Nader MoinfarVAOphthalmology Physician$1.4M$0
    Joon Suk HwangVAPodiatrist$368K$880
    Andrew PittnerVAOphthalmology Physician$353.8K$0
    Matthew HollandVAPain Medicine (Anesthesiology) Physician$299.7K$0
    Albert JunVAOphthalmology Physician$245.8K$0
    Lindsay FriesenVAInternal Medicine Physician$204.8K$0
    Justin SmithVANeurological Surgery Physician$195.2K$0
    Chun-po YenVANeurological Surgery Physician$191.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Virginia Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Region Ten Community Community Services Board — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia