Behavioral
Southwest Regional Counseling Service INC
Southwest Regional Counseling Service INC was paid $3.26M by Medicaid between Jul 2019 and Dec 2024, across 18 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 53% of everything it billed.
33Billing provider infoSOUTHWEST REGIONAL COUNSELING SERVICE INC
LEBANON, VA 24266
LEBANON, VA 24266
33aNPI1063078855assigned 05/16/2019
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$3.26M
24GClaims35,917
24DCodes billed18
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Addiction (Substance Use Disorder) Counselor providers in Virginia
Rank by total paid#13 of 65
Median peer was paid$185K
This provider vs. median18×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 2,985 | $272K | |
| 2020 | 7,017 | $651K | |
| 2021 | 6,525 | $691K | |
| 2022 | 5,703 | $604K | |
| 2023 | 8,089 | $594K | |
| 2024incomplete | 5,598 | $447K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 53% | 7,634 | 7,010 | $1.71M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 35% | 16,484 | 9,653 | $1.14M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 3.2% | 2,136 | 1,738 | $105K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.0% | 2,494 | 2,180 | $97K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.3% | 2,964 | 2,160 | $76K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.9% | 685 | 381 | $64K |
| 80305 | <1% | 2,621 | 1,997 | $25K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 116 | 101 | $14K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 68 | 52 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 135 | 107 | $6K |
| Q3014 | Telehealth originating site facility fee | <1% | 278 | 179 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 28 | 26 | $3K |
6 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLIPFORD, JOSHUA (MANAGER)