Richmond Behavioral Health Authority

Richmond Behavioral Health Authority was paid $129.19M by Medicaid between Jan 2018 and Nov 2024, across 78 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 30% of everything it billed.

33Billing provider infoRICHMOND BEHAVIORAL HEALTH AUTHORITY
RICHMOND, VA 23219

33aNPI1184715328assigned 09/27/2006

33bProvider typeCounselor

28Total paid$129.19M

24GClaims988,214

24DCodes billed78

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Counselor providers in Virginia

Rank by total paid#1 of 88

Median peer was paid$177K

This provider vs. median731×

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	97,406	$14.36M
2019	163,461	$17.82M
2020	167,366	$16.32M
2021	141,578	$18.93M
2022	142,145	$20.69M
2023	152,628	$21.39M
2024incomplete	123,630	$19.67M

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)	30%	144,451	113,280	$38.96M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	16%	62,206	59,582	$20.50M
H0010	Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)	12%	64,902	3,613	$15.22M
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	6.3%	84,665	6,655	$8.20M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	3.5%	89,006	6,034	$4.55M
H0040	Assertive community treatment program, per diem	3.2%	29,232	2,353	$4.15M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	3.1%	46,780	3,460	$4.04M
H0006	Alcohol and/or drug services; case management	2.9%	20,698	15,966	$3.73M
H2019	Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes	2.8%	19,644	1,404	$3.63M
H2018	Psychosocial rehabilitation services, per diem	2.0%	3,698	638	$2.56M
T2022	Case management, per month	1.9%	20,413	17,766	$2.49M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1.8%	6,618	2,392	$2.37M

66 more codes

H0046	Mental health services, not otherwise specified	1.8%	23,411	$2.36M
99214	Doctor's office visit, returning patient (more involved)	1.6%	52,677	$2.03M
H2034	Alcohol and/or drug abuse halfway house services, per diem	1.6%	29,560	$2.01M
H2011	Crisis intervention service, per 15 minutes	1.5%	8,053	$1.96M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education	1.2%	12,143	$1.53M
90791	Psychiatric diagnostic evaluation	1.0%	22,534	$1.35M
H2036	Alcohol and/or other drug treatment program, per diem	<1%	4,294	$1.02M
99213	Doctor's office visit, returning patient (routine)	<1%	49,891	$854K
T2023	Targeted case management; per month	<1%	2,892	$833K
H0036	Community psychiatric support and treatment, per 15 minutes	<1%	7,710	$694K
90834	Psychotherapy session, about 45 minutes	<1%	20,693	$561K
S9482	Family stabilization services, per 15 minutes	<1%	3,653	$404K
90837	Psychotherapy session, about an hour	<1%	6,383	$363K
S0109	Methadone, oral, 5 mg	<1%	5,897	$295K
99490	Ccm add 20min	<1%	7,386	$271K
99409		<1%	14,721	$244K
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	<1%	5,804	$238K
99215	Doctor's office visit, returning patient (complex)	<1%	7,010	$238K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	1,029	$170K
99205	Prolong outpt/office vis	<1%	1,862	$161K
90832	Psychotherapy session, about 30 minutes	<1%	5,644	$155K
80305		<1%	16,972	$153K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	9,491	$149K
H0032	Mental health service plan development by non-physician	<1%	2,780	$149K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	11,780	$118K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	24,884	$78K
90792	Psychiatric diagnostic evaluation with medical services	<1%	1,087	$65K
T2003	Non-emergency transportation, per trip	<1%	11,052	$47K
99442		<1%	3,721	$46K
T1027	Family training and counseling for child development, per 15 minutes	<1%	251	$27K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	2,185	$26K
99443		<1%	799	$22K
96127		<1%	6,913	$21K
87635	Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe	<1%	620	$21K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	2,525	$20K
99204	Doctor's office visit, new patient (more involved)	<1%	375	$20K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	1,127	$19K
99423		<1%	755	$9K
90889		<1%	37	$7K
99422		<1%	1,426	$7K
99407		<1%	758	$4K
G0153	Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes	<1%	53	$4K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	68	$4K
H0014	Alcohol and/or drug services; ambulatory detoxification	<1%	33	$3K
96130		<1%	103	$3K
81025		<1%	327	$2K
99454		<1%	148	$2K
99408		<1%	127	$2K
99491	Ccm add 20min	<1%	269	$2K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	305	$2K
99203	Doctor's office visit, new patient (routine)	<1%	78	$2K
0011A		<1%	47	$2K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	19	$1K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	274	$1K
90716		<1%	145	$803.00
99406		<1%	327	$730.66
86580		<1%	76	$503.96
99453		<1%	248	$503.81
0012A		<1%	13	$480.00
96131		<1%	27	$364.81
90694		<1%	35	$205.98
H0016	Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting)	<1%	190	$168.06
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	50	$161.44
T1012	Alcohol and/or substance abuse services, skills development	<1%	71	$78.00
82948		<1%	39	$52.18
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)	0%	44	$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 officialLINDSTROM, JOHN (EXECUTIVE DIRECTOR)