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.

Galax Treatment Center, LLC (NPI 1972601193)

Field	Value
Entity Type	Organization
Organization	Galax Treatment Center, LLC
Address	112 Painter St
City	Galax
State	VA
ZIP	24333
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$164.3M
Medicare	$0

Key Findings

GALAX TREATMENT CENTER, LLC has no Medicare billing on file and reports $164.3M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available data. Analysts should treat Medicaid performance as the primary driver of this provider’s scale and financial exposure, since Medicare contributes no recorded revenue.

Revenue is highly concentrated in three Medicaid codes that together account for 100.0% of the provider’s total Medicaid revenue: S0201 (49.8% of Medicaid revenue, $81.8M), H0010 (46.0% of Medicaid revenue, $75.6M), and H2036 (4.2% of Medicaid revenue, $6.8M). This concentration means nearly all reported Medicaid dollars flow from per-diem and residential/sub-acute addiction treatment services tied to those specific codes.

The code mix (S0201, H0010, H2036) identifies the facility as focused on intensive behavioral health and substance-use services: large-volume partial hospitalization (S0201), sub-acute/residential detoxification (H0010), and per-diem treatment program services (H2036). Together these codes suggest the operation centers on residential and structured day-program care rather than one-off outpatient visits.

Claim volumes and per-claim payments underline a high-throughput, per-diem economic model: S0201 shows 159.4K claims at $513 avg paid/claim, H0010 shows 193.4K claims at $391 avg paid/claim, and H2036 shows 18.2K claims at $376 avg paid/claim. Notably, H0010 has the largest claim count while S0201 generates the largest dollar share, reflecting a mix of high-volume residential services and higher-priced partial hospitalization days.

On competitive standing within Virginia, the provider ranks #1 and is in the 100th percentile for each of the three top codes: S0201 ranks #1 of 83 providers (extreme outlier), H0010 ranks #1 of 25 providers (extreme outlier), and H2036 ranks #1 of 13 providers (notably above typical). These rankings characterize GALAX TREATMENT CENTER as a dominant statewide provider for its principal Medicaid service lines, operating well above typical state volumes.

The combination of payer concentration (no Medicare revenue) and service-line concentration (top three codes = 100.0% of Medicaid revenue) creates operational and reimbursement risk: changes in Medicaid policy, per-diem rates, or state-level placement/referral patterns for addiction services could materially affect overall revenue. Analysts should consider this narrow exposure when modeling future revenue sensitivity.

The provider’s NPI was enumerated on 2006-09-20 (~20 years ago), indicating an established presence in the market. That tenure, coupled with very high rank and volumes on core codes, suggests a mature operation with entrenched capacity for residential and partial hospitalization addiction services.

For due diligence and monitoring, prioritize trend analysis and utilization for S0201, H0010, and H2036, review state Medicaid policy or rate changes that affect per-diem and residential detox reimbursement, and assess referral sources or network relationships that sustain the unusually high volumes reflected in the extreme outlier rankings.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0201	Partial hospitalization services, less than 24 hours, per diem	159,430	$510	$81.8M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	193,440	$390	$75.6M
H2036	Alcohol and/or other drug treatment program, per diem	18,180	$380	$6.8M

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

Galax Treatment Center, LLC — 3 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	30	7,090	$420	$11.5M
S0201	Partial hospitalization services, less than 24 hours, per diem	1	80	1,870	$470	$2.9M
H2036	Alcohol and/or other drug treatment program, per diem	1	10	480	$660	$2.6M

Related Providers

Other providers that share a Tax Identification Number (TIN) with Galax Treatment Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galax Treatment Center, LLC	VA	Methadone Clinic	$389.3K	$18.7M
Galax Treatment Center, Inc	VA	Methadone Clinic	$95.5K	$14.1M
Galax Treatment Center, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$8.5M

Nearby Providers

Other providers in the same ZIP code as Galax Treatment Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Felts Supports For Living, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$37.3M
Community Connection Support Services, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$33.8M
Dlp Twin County Regional Healthcare LLC	VA	General Acute Care Hospital	$0	$18.8M
Sobrius Curae LLC	VA	Substance Abuse Rehabilitation Facility	$0	$9.2M
Galax Grayson Emergency Medical Services	VA	Land Ambulance	$562.6K	$923.4K
Katherine Henning	VA	Optometrist	$110.2K	$3.5K
Jamie Carlo-demovich	VA	Anatomic Pathology & Clinical Pathology Physician	$81.3K	$4K
James Williams	VA	Optometrist	$75.5K	$0

Galax Treatment Center, LLC — Billing Profile & Reimbursement Data

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Galax Treatment Center, LLC — Billing Profile & Reimbursement Data

Sign up for Galax Treatment Center, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References