Clinic
Cumberland Mountain Community Services
Cumberland Mountain Community Services was paid $100.42M by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 29% of everything it billed.
33Billing provider infoCUMBERLAND MOUNTAIN COMMUNITY SERVICES
CEDAR BLUFF, VA 24609
CEDAR BLUFF, VA 24609
33aNPI1235125055assigned 09/27/2005
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$100.42M
24GClaims499,819
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Virginia
Rank by total paid#1 of 27
Median peer was paid$349K
This provider vs. median288×
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 | 81,860 | $13.67M | |
| 2019 | 87,862 | $13.86M | |
| 2020 | 66,959 | $12.88M | |
| 2021 | 63,055 | $12.98M | |
| 2022 | 65,361 | $15.20M | |
| 2023 | 67,582 | $16.70M | |
| 2024incomplete | 67,140 | $15.13M |
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) | 29% | 86,263 | 83,552 | $28.68M |
| H2022 | Community-based wrap-around services, per diem | 23% | 9,597 | 3,485 | $23.27M |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 10% | 6,015 | 5,770 | $10.14M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 8.1% | 23,630 | 23,454 | $8.12M |
| H2014 | Skills training and development, per 15 minutes | 6.6% | 2,064 | 2,002 | $6.67M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 5.0% | 77,015 | 6,141 | $5.00M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 3.5% | 3,178 | 1,318 | $3.52M |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 2.0% | 139,059 | 4,783 | $2.00M |
| H2011 | Crisis intervention service, per 15 minutes | 1.7% | 2,050 | 1,182 | $1.74M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 1.5% | 5,471 | 726 | $1.48M |
| H0006 | Alcohol and/or drug services; case management | 1.3% | 6,052 | 5,527 | $1.35M |
| T2022 | Case management, per month | 1.0% | 7,663 | 7,315 | $1.03M |
37 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 20,214 | $865K |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 8,559 | $814K |
| H0046 | Mental health services, not otherwise specified | <1% | 6,055 | $776K |
| 90837 | Psychotherapy session, about an hour | <1% | 6,857 | $763K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 2,288 | $442K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | <1% | 3,587 | $435K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 4,364 | $378K |
| T2023 | Targeted case management; per month | <1% | 1,068 | $366K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,642 | $329K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | <1% | 2,101 | $285K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,956 | $263K |
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutes | <1% | 724 | $227K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,726 | $187K |
| A0100 | Non-emergency taxi ride to a medical appointment | <1% | 12,982 | $159K |
| 80305 | <1% | 16,383 | $144K | |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | <1% | 689 | $100K |
| S9482 | Family stabilization services, per 15 minutes | <1% | 160 | $98K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,597 | $94K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 7,598 | $88K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 130 | $84K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 667 | $82K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,008 | $76K |
| Q3014 | Telehealth originating site facility fee | <1% | 4,266 | $71K |
| H0032 | Mental health service plan development by non-physician | <1% | 1,361 | $61K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 6,652 | $57K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 341 | $49K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 845 | $47K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 931 | $29K |
| 82075 | <1% | 6,387 | $27K | |
| T1012 | Alcohol and/or substance abuse services, skills development | <1% | 765 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 520 | $9K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 44 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 195 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $395.42 |
| S0220 | Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes | <1% | 12 | $300.00 |
| 81025 | <1% | 30 | $160.60 |
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 officialCOLE, MARY (EXECUTIVE DIRECTOR)