Medicaid Provider Spending

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

MOUNT ROGERS COMMUNITY SERVICES

NPI: 1255365599 · WYTHEVILLE, VA 24382 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 07/11/2006

$210.43M
Total Medicaid Paid
1,050,852
Total Claims
445,814
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJONES, RENAE (REIMBURSEMENT MANAGER)
NPI Enumeration Date07/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 180,133 $30.89M
2019 168,972 $30.10M
2020 169,922 $28.88M
2021 142,528 $28.87M
2022 142,139 $32.01M
2023 135,316 $32.24M
2024 111,842 $27.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 164,885 161,713 $55.61M
H2022 Community-based wrap-around services, per diem 80,261 2,657 $24.80M
T2033 Residential care, not otherwise specified (nos), waiver; per diem 83,906 2,844 $23.61M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 126,423 11,082 $12.13M
T1017 Targeted case management, each 15 minutes 34,983 34,964 $12.11M
H0046 Mental health services, not otherwise specified 122,191 11,126 $11.19M
97150 Therapeutic procedure(s), group (2 or more individuals) 12,540 6,539 $9.99M
90837 Psychotherapy, 53 minutes with patient 72,081 48,853 $7.78M
H2018 Psychosocial rehabilitation services, per diem 9,535 1,426 $7.12M
H2019 Therapeutic behavioral services, per 15 minutes 14,403 2,356 $6.70M
H2016 Comprehensive community support services, per diem 73,087 5,960 $5.53M
H0040 Assertive community treatment program, per diem 24,431 3,688 $4.64M
H2011 Crisis intervention service, per 15 minutes 5,215 3,770 $4.02M
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 12,704 2,085 $3.00M
H0039 Assertive community treatment, face-to-face, per 15 minutes 2,755 2,503 $2.82M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 38,619 34,770 $2.59M
T2022 Case management, per month 12,823 12,444 $1.73M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 5,704 4,248 $1.49M
90791 Psychiatric diagnostic evaluation 11,366 11,067 $1.44M
H2012 Behavioral health day treatment, per hour 15,967 2,139 $1.41M
90792 Psychiatric diagnostic evaluation with medical services 8,563 8,204 $1.17M
S9482 Family stabilization services, per 15 minutes 2,789 812 $1.15M
90832 Psychotherapy, 30 minutes with patient 18,677 14,962 $1.09M
G9012 Other specified case management service not elsewhere classified 3,782 3,681 $907K
H2017 Psychosocial rehabilitation services, per 15 minutes 19,903 2,031 $839K
T2021 Day habilitation, waiver; per 15 minutes 3,856 2,182 $718K
H0006 Alcohol and/or drug services; case management 2,837 2,699 $660K
90847 Family psychotherapy with the patient present, 50 minutes 6,682 5,001 $615K
90834 Psychotherapy, 45 minutes with patient 7,677 6,678 $604K
T2023 Targeted case management; per month 1,802 1,792 $565K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,004 3,856 $302K
H2033 Multisystemic therapy for juveniles, per 15 minutes 323 225 $299K
H0024 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) 3,899 936 $232K
90853 Group psychotherapy (other than of a multiple-family group) 8,505 3,676 $194K
T1027 Family training and counseling for child development, per 15 minutes 1,962 750 $190K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 1,202 1,040 $171K
99490 Ccm add 20min 3,041 2,816 $169K
H0032 Mental health service plan development by non-physician 2,256 1,879 $168K
H0005 Alcohol and/or drug services; group counseling by a clinician 5,387 2,539 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,271 4,024 $138K
90889 612 574 $105K
T1012 Alcohol and/or substance abuse services, skills development 2,072 732 $92K
H0004 Behavioral health counseling and therapy, per 15 minutes 824 570 $39K
90846 Family psychotherapy without the patient present, 50 minutes 341 294 $33K
80305 3,440 2,334 $33K
Q3014 Telehealth originating site facility fee 2,271 1,959 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2,875 2,363 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 239 229 $10K
99509 Home visit for assistance with activities of daily living and personal care 177 147 $5K
97151 23 15 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 236 227 $3K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 38 37 $3K
99443 290 237 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 58 55 $3K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 59 24 $1K