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.

Sunny Haven Residental Services (NPI 1962069054)

Field	Value
Entity Type	Organization
Organization	Sunny Haven Residental Services
Address	114 Collinswood Dr
City	Staunton
State	VA
ZIP	24401
Taxonomy	Intellectual and/or Developmental Disabilities Residential Treatment Facility
NPI Enumerated	May 23, 2019

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2022	Community-based wrap-around services, per diem	3,990	$2,620	$10.4M
T2021	Day habilitation, waiver; per 15 minutes	3,300	$600	$2M

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

Sunny Haven Residental Services — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2022	Community-based wrap-around services, per diem	71	140	4,450	$1,150	$15.3M
T2021	Day habilitation, waiver; per 15 minutes	37	110	1,500	$340	$1.3M

Nearby Providers

Other providers in the same ZIP code as Sunny Haven Residental Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Community Services Board	VA	Community/Behavioral Health Agency	$0	$59.1M
Care Advantage, Inc.	VA	Home Health Agency	$0	$11.2M
Staunton Augusta County First Aid And Rescue Squad Inc	VA	Land Ambulance	$769.7K	$1.1M
Timothy Kane	VA	Psychiatry Physician	$429.4K	$103.4K
Kevin Miller	VA	Dermatology Physician	$436.2K	$0
Paul Mcconnell	VA	Ophthalmology Physician	$369.9K	$0
Marc Shields	VA	Ophthalmology Physician	$262.2K	$210
Thomas Zumsteg	VA	Diagnostic Radiology Physician	$253.3K	$500
Jane Lynch	VA	Dermatopathology Physician	$240.2K	$0
Theodore Mckee	VA	Podiatrist	$127K	$0

Sunny Haven Residental Services — Billing Profile & Reimbursement Data

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Sunny Haven Residental 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