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.

Behavior Health & Wellness Center, LLC (NPI 1962736595)

Field	Value
Entity Type	Organization
Organization	Behavior Health & Wellness Center, LLC
Address	11824 Fishing Point Dr Ste B
City	Newport News
State	VA
ZIP	23606
Taxonomy	Behavior Analyst
NPI Enumerated	September 29, 2009

Payer Source	Total Paid
Medicaid	$15.8M
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	39,190	$140	$5.6M
H0046	Mental health services, not otherwise specified	40,460	$120	$4.8M
H2019	Therapeutic behavioral services, per 15 minutes	24,610	$140	$3.5M
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…	5,160	$160	$814.6K
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…	1,840	$280	$518.9K
H0032	Mental health service plan development by non-physician	2,390	$100	$229.6K
H0031	Mental health assessment, by non-physician	950	$130	$126.6K
S5111	Home care training, family; per session	1,910	$60	$107K
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…	360	$70	$25.6K
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…	190	$110	$19.9K

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

Behavior Health & Wellness Center, LLC — 2 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
H2014	Skills training and development, per 15 minutes	69	70	2,500	$1,380	$7M
H2033	Multisystemic therapy for juveniles, per 15 minutes	11	80	5,390	$210	$3.8M
H0046	Mental health services, not otherwise specified	46	510	6,100	$190	$2.8M
H2019	Therapeutic behavioral services, per 15 minutes	1	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…	42	90	4,220	$210	$1.6M
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…	38	90	1,030	$260	$977.2K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	32	40	350	$290	$278K
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…	850	1,340	710	$90	$245K
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…	29	50	320	$160	$164.1K
S5111	Home care training, family; per session	1	10	1,910	$60	$106.9K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Behavior Health & Wellness Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospitals Medical Group Inc	OH	Multi-Specialty Clinic/Center	$0	$107.5M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
Magella Medical Associates Billing, Inc.	TX	Neonatal-Perinatal Medicine Physician	$0	$69.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Acclaim Physician Group, Inc	TX	Internal Medicine Physician	$0	$30.9M
Partners Physician Group	OH	Surgery Physician	$0	$28.5M
Obstetrix Medical Group Of Texas Billing, Inc.	TX	Maternal & Fetal Medicine Physician	$0	$25.7M
Ira Schachar	CA	Retina Specialist (Ophthalmology) Physician	$3.9M	$4.1M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K

Nearby Providers

Other providers in the same ZIP code as Behavior Health & Wellness Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$25.9M
Maxim Healthcare Services, Inc.	VA	Home Health Agency	$0	$20M
Care Advantage, Inc	VA	Home Health Agency	$0	$17.4M
Personal Touch Home Care Of Va, Inc	VA	Home Health Agency	$0	$14.6M
Odyssey Community Services Inc	VA	Community/Behavioral Health Agency	$0	$14.4M
Hope In-home Care LLC	VA	Home Health Agency	$0	$10.2M
1life1love, Inc.	VA	Community/Behavioral Health Agency	$0	$9.2M
Beyond Disabilities, LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$7.9M
Childrens Medical Group Inc	VA	Pediatrics Physician	$0	$7.1M
Family Centered Resources	VA	Home Health Agency	$0	$6.8M

Behavior Health & Wellness Center, LLC — Billing Profile & Reimbursement Data

Sign up for Behavior Health & Wellness Center, LLC — Billing Profile & Reimbursement Data policy alerts

Behavior Health & Wellness Center, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References