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.

Sellati & Co., Inc. (NPI 1982848388)

Field	Value
Entity Type	Organization
Organization	Sellati & Co., Inc.
Address	4926 W Broad St
City	Richmond
State	VA
ZIP	23230
Taxonomy	Methadone Clinic
NPI Enumerated	April 29, 2009

Payer Source	Total Paid
Medicaid	$7.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	445,120	$10	$5.8M
G9012	Other specified case management service not elsewhere classified	3,400	$200	$670K
S0109	Methadone, oral, 5 mg	165,510	$1	$662K
H0004	Behavioral health counseling and therapy, per 15 minutes	8,700	$30	$278.4K
H0005	Alcohol and/or drug services; group counseling by a clinician	4,810	$30	$120.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	6,020	$10	$48.2K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	3,160	$1	$12.6K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	880	$10	$7.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	230	$20	$5.1K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	5,040	$1	$5K

Showing 1–10 of 13

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

Sellati & Co., Inc. — 1 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	13	50	274,670	$10	$2.8M
S0109	Methadone, oral, 5 mg	25	50	177,970	$10	$1.7M
G9012	Other specified case management service not elsewhere classified	47	120	2,160	$220	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	36	100	3,280	$40	$455.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,650	4,010	290	$50	$199.8K
H0014	Alcohol and/or drug services; ambulatory detoxification	46	50	410	$130	$117.7K
H0005	Alcohol and/or drug services; group counseling by a clinician	16	80	760	$20	$86.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	385	980	140	$70	$70.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	15	440	170	$30	$67.4K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	112	230	780	$10	$55.3K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Sellati & Co., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Insight Inc	VA	Behavior Analyst	$0	$93.5M
Richmond Residential Services, Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$56.6M
Hype Counseling Services LLC	VA	Community/Behavioral Health Agency	$0	$44.7M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$32.2M
Brothers Keeper Inc	VA	Community/Behavioral Health Agency	$0	$25.6M
Heart Havens Inc	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$19.4M
Central Virginia Healthcare Association	VA	Community/Behavioral Health Agency	$0	$17.3M
The Concordia Group, Inc.	VA	Home Health Agency	$0	$16.6M
Pinnacle Treatment Centers Va-i, LLC	VA	Methadone Clinic	$99.1K	$16.4M
Virginia Family Services	VA	Community/Behavioral Health Agency	$0	$13.6M

Sellati & Co., Inc. — Billing Profile & Reimbursement Data

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Sellati & Co., Inc. — 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