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.

St. Joseph's Villa (NPI 1962466706)

Field	Value
Entity Type	Organization
Organization	St. Joseph's Villa
Address	8000 Brook Road
City	Richmond
State	VA
ZIP	23227
Taxonomy	Mental Health Counselor
NPI Enumerated	April 17, 2006

Payer Source	Total Paid
Medicaid	$15.2M
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
H2033	Multisystemic therapy for juveniles, per 15 minutes	27,780	$140	$3.9M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	30,740	$110	$3.3M
H0046	Mental health services, not otherwise specified	12,750	$170	$2.1M
H2012	Behavioral health day treatment, per hour	15,410	$140	$2.1M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	10,540	$120	$1.2M
H2019	Therapeutic behavioral services, per 15 minutes	1,020	$870	$882.5K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	8,150	$100	$782.7K
H2018	Psychosocial rehabilitation services, per diem	960	$570	$547.4K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3,380	$80	$284K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,400	$10	$8.4K

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

St. Joseph's Villa — 0 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
H2033	Multisystemic therapy for juveniles, per 15 minutes	17	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	158	510	6,100	$190	$2.8M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	12	200	2,840	$320	$2.4M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	46	150	5,420	$110	$1.9M
H2012	Behavioral health day treatment, per hour	65	360	3,770	$200	$1.8M
H2019	Therapeutic behavioral services, per 15 minutes	65	120	1,100	$610	$1.7M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	29	90	4,220	$210	$1.6M
H2018	Psychosocial rehabilitation services, per diem	17	40	940	$720	$1M
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	24	90	1,030	$260	$977.2K
97156	The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…	47	50	320	$160	$164.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as St. Joseph's Villa, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dominion Waiver Services	VA	Community/Behavioral Health Agency	$0	$49.2M
Dominion Day Treatment LLC.	VA	Community/Behavioral Health Agency	$0	$26M
Soar 365	VA	Developmentally Disabled Services Day Training Agency	$0	$16.9M
Bon Secours Medical Group Richmond Primary Care LLC	VA	Family Medicine Physician	$0	$15.1M
Bon Secours Medical Group Richmond Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$12.9M
Bon Secours Medical Group Hampton Roads Specialty Care LLC	VA	Cardiovascular Disease Physician	$0	$9.8M
Harryco	VA	Mental Health Counselor	$0	$8.8M
Dominion Aba	VA	Community/Behavioral Health Agency	$0	$7.4M
Family And Adolescent Services, LLC	VA	Community/Behavioral Health Agency	$0	$6.1M

St. Joseph's Villa — Billing Profile & Reimbursement Data

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St. Joseph's Villa — 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