Medicaid Provider Spending

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

ABOVE AND BEYOND MENTAL HEALTH SERVICES

NPI: 1245754480 · DANVILLE, VA 24540 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/31/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H0046 with only 2 total codes billed. Highly concentrated billing profile.

$2.76M
Total Medicaid Paid
16,249
Total Claims
1,208
Beneficiaries
2
Codes Billed
2020-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGWYNN, EDNA (CEO)
NPI Enumeration Date07/31/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 4,451 $681K
2021 3,992 $640K
2022 2,751 $482K
2023 2,738 $474K
2024 2,317 $488K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0046 Mental health services, not otherwise specified 16,128 1,195 $2.71M
S0201 Partial hospitalization services, less than 24 hours, per diem 121 13 $59K