Agency
City of Portsmouth
City of Portsmouth was paid $14.51M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 46% of everything it billed.
33Billing provider infoCITY OF PORTSMOUTH
PORTSMOUTH, VA 23704
PORTSMOUTH, VA 23704
33aNPI1093891699assigned 10/27/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$14.51M
24GClaims419,598
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#45 of 565
Median peer was paid$1.46M
This provider vs. median9.9×
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 | |
|---|---|---|---|
| 2018 | 47,871 | $2.40M | |
| 2019 | 89,488 | $2.61M | |
| 2020 | 46,460 | $1.96M | |
| 2021 | 38,740 | $1.68M | |
| 2022 | 55,851 | $1.75M | |
| 2023 | 71,308 | $2.10M | |
| 2024incomplete | 69,880 | $2.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 46% | 20,958 | 20,254 | $6.61M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 12% | 5,420 | 5,256 | $1.68M |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 10.0% | 21,338 | 1,370 | $1.45M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 9.6% | 160,659 | 8,227 | $1.39M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 5.9% | 19,370 | 1,658 | $851K |
| S0109 | Methadone, oral, 5 mg | 4.3% | 157,731 | 8,199 | $623K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.0% | 5,520 | 3,848 | $430K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 2.2% | 4,576 | 3,660 | $315K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 8,258 | 7,312 | $200K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.3% | 1,725 | 1,537 | $186K |
| T2022 | Case management, per month | 1.2% | 1,643 | 1,380 | $174K |
| H2011 | Crisis intervention service, per 15 minutes | 1.1% | 775 | 549 | $158K |
15 more codes
| H0036 | Community psychiatric support and treatment, per 15 minutes | 1.1% | 934 | $153K |
| H0006 | Alcohol and/or drug services; case management | <1% | 487 | $99K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 559 | $49K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,227 | $44K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 535 | $25K |
| 80305 | <1% | 1,825 | $19K | |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | <1% | 338 | $15K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 238 | $14K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,079 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $5K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 54 | $5K |
| H0032 | Mental health service plan development by non-physician | <1% | 43 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 183 | $1K |
| T1012 | Alcohol and/or substance abuse services, skills development | <1% | 64 | $520.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $61.74 |
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 officialBREATHWAITE, MILDRED (DIRECTOR/PROGRAM SPONSOR)