Behavioral
Eastern Shore Community MH MR Sas Services Board
Eastern Shore Community MH MR Sas Services Board was paid $29.41M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 25% of everything it billed.
33Billing provider infoEASTERN SHORE COMMUNITY MH MR SAS SERVICES BOARD
PARKSLEY, VA 23421
PARKSLEY, VA 23421
33aNPI1154411510assigned 10/13/2006
33bProvider typeProfessional Counselor
28Total paid$29.41M
24GClaims207,757
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Virginia
Rank by total paid#1 of 364
Median peer was paid$52K
This provider vs. median565×
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 | 44,600 | $4.99M | |
| 2019 | 39,495 | $5.24M | |
| 2020 | 29,988 | $4.86M | |
| 2021 | 26,470 | $4.71M | |
| 2022 | 23,982 | $3.53M | |
| 2023 | 26,105 | $3.14M | |
| 2024incomplete | 17,117 | $2.93M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 25% | 1,166 | 1,040 | $7.24M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 22% | 21,829 | 18,986 | $6.48M |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 19% | 29,538 | 4,185 | $5.56M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 13% | 11,598 | 11,530 | $3.92M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 6.3% | 45,144 | 3,274 | $1.85M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.3% | 16,197 | 9,466 | $1.27M |
| H0006 | Alcohol and/or drug services; case management | 1.7% | 3,060 | 2,464 | $500K |
| 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 | 1.3% | 7,140 | 5,894 | $386K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.2% | 3,863 | 3,044 | $367K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | 1.2% | 24,846 | 2,724 | $363K |
| 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% | 7,760 | 6,544 | $236K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 1,588 | 610 | $216K |
15 more codes
| H0046 | Mental health services, not otherwise specified | <1% | 1,918 | $171K |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 236 | $144K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,173 | $124K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,102 | $123K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 580 | $98K |
| T2003 | Non-emergency transportation, per trip | <1% | 7,032 | $96K |
| A0100 | Non-emergency taxi ride to a medical appointment | <1% | 3,807 | $64K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 590 | $57K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 3,427 | $48K |
| 80305 | <1% | 5,122 | $35K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 562 | $25K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,434 | $19K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 403 | $9K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 571 | $4K |
| H0032 | Mental health service plan development by non-physician | <1% | 71 | $2K |
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 officialCANNON, JAMES (EXECUTIVE DIRECTOR)