Clinic
Planning District One Behavioral Health Services
Planning District One Behavioral Health Services was paid $28.03M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 77% of everything it billed.
33Billing provider infoPLANNING DISTRICT ONE BEHAVIORAL HEALTH SERVICES
NORTON, VA 24273
NORTON, VA 24273
33aNPI1164588570assigned 12/29/2006
33bProvider typeSubstance Use Disorder Rehabilitation Clinic/Center
28Total paid$28.03M
24GClaims92,290
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Substance Use Disorder Rehabilitation Clinic/Center providers in Virginia
Rank by total paid#5 of 22
Median peer was paid$2.19M
This provider vs. median13×
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 | 12,792 | $2.94M | |
| 2019 | 11,828 | $3.55M | |
| 2020 | 14,207 | $4.33M | |
| 2021 | 15,054 | $4.82M | |
| 2022 | 14,780 | $4.69M | |
| 2023 | 12,827 | $4.24M | |
| 2024incomplete | 10,802 | $3.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 77% | 65,717 | 62,538 | $21.53M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 18% | 16,141 | 15,762 | $4.98M |
| T2022 | Case management, per month | 3.7% | 8,301 | 7,897 | $1.03M |
| T2023 | Targeted case management; per month | 1.5% | 1,447 | 1,435 | $432K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 629 | 363 | $55K |
| 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% | 40 | 40 | $1K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 15 | 13 | $0.00 |
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 officialO'DELL, SANDRA (EXECUTIVE DIRECTOR)