Individuals First, INC.

Individuals First, INC. was paid $13.20M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 100% of everything it billed.

33Billing provider infoINDIVIDUALS FIRST, INC.
VIRGINIA BEACH, VA 23462

33aNPI1225041478assigned 08/15/2006

33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

28Total paid$13.20M

24GClaims4,464

24DCodes billed2

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Virginia

Rank by total paid#26 of 75

Median peer was paid$6.10M

This provider vs. median2.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H2022 with only 2 total codes billed. Highly concentrated billing profile.

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	650	$1.49M
2019	664	$1.50M
2020	643	$1.57M
2021	638	$1.69M
2022	626	$2.12M
2023	619	$2.34M
2024incomplete	624	$2.49M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2022	Community-based wrap-around services, per diem	100%	4,452	1,481	$13.20M
N2022		0%	12	12	$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 officialMACCRACKEN, JENNIFER (PROGRAM DIRECTOR)