Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CUMBERLAND MOUNTAIN COMMUNITY SERVICES

NPI: 1235125055 · CEDAR BLUFF, VA 24609 · Multi-Specialty Clinic/Center · NPI assigned 09/27/2005

$100.42M
Total Medicaid Paid
499,819
Total Claims
210,980
Beneficiaries
49
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLE, MARY (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 67,140 $15.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 86,263 83,552 $28.68M
H2022 Community-based wrap-around services, per diem 9,597 3,485 $23.27M
97150 Therapeutic procedure(s), group (2 or more individuals) 6,015 5,770 $10.14M
T1017 Targeted case management, each 15 minutes 23,630 23,454 $8.12M
H2014 Skills training and development, per 15 minutes 2,064 2,002 $6.67M
H2017 Psychosocial rehabilitation services, per 15 minutes 77,015 6,141 $5.00M
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 3,178 1,318 $3.52M
T2003 Non-emergency transportation; encounter/trip 139,059 4,783 $2.00M
H2011 Crisis intervention service, per 15 minutes 2,050 1,182 $1.74M
H2019 Therapeutic behavioral services, per 15 minutes 5,471 726 $1.48M
H0006 Alcohol and/or drug services; case management 6,052 5,527 $1.35M
T2022 Case management, per month 7,663 7,315 $1.03M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,214 16,854 $865K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 8,559 668 $814K
H0046 Mental health services, not otherwise specified 6,055 1,203 $776K
90837 Psychotherapy, 53 minutes with patient 6,857 5,048 $763K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 2,288 1,542 $442K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 3,587 1,998 $435K
90847 Family psychotherapy with the patient present, 50 minutes 4,364 3,274 $378K
T2023 Targeted case management; per month 1,068 1,068 $366K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,642 4,832 $329K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes 2,101 827 $285K
90791 Psychiatric diagnostic evaluation 1,956 1,877 $263K
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 724 188 $227K
90792 Psychiatric diagnostic evaluation with medical services 1,726 1,531 $187K
A0100 Non-emergency transportation; taxi 12,982 792 $159K
80305 16,383 7,185 $144K
G0152 Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes 689 330 $100K
S9482 Family stabilization services, per 15 minutes 160 34 $98K
90853 Group psychotherapy (other than of a multiple-family group) 4,597 1,748 $94K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 7,598 3,343 $88K
H2036 Alcohol and/or other drug treatment program, per diem 130 60 $84K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 667 405 $82K
90834 Psychotherapy, 45 minutes with patient 1,008 866 $76K
Q3014 Telehealth originating site facility fee 4,266 3,431 $71K
H0032 Mental health service plan development by non-physician 1,361 795 $61K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 6,652 343 $57K
T2021 Day habilitation, waiver; per 15 minutes 341 318 $49K
90832 Psychotherapy, 30 minutes with patient 845 636 $47K
H0005 Alcohol and/or drug services; group counseling by a clinician 931 612 $29K
82075 6,387 2,723 $27K
T1012 Alcohol and/or substance abuse services, skills development 765 522 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 520 427 $9K
H0014 Alcohol and/or drug services; ambulatory detoxification 44 44 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 195 115 $5K
99215 Prolong outpt/office vis 15 12 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 43 34 $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 12 12 $300.00
81025 30 28 $160.60