Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Mount Rogers Community Services

Mount Rogers Community Services was paid $210.43M by Medicaid between Jan 2018 and Nov 2024, across 55 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 26% of everything it billed.

33Billing provider infoMOUNT ROGERS COMMUNITY SERVICES
WYTHEVILLE, VA 24382
33aNPI1255365599assigned 07/11/2006
28Total paid$210.43M
24GClaims1,050,852
24DCodes billed55
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Virginia

Rank by total paid#1 of 109
Median peer was paid$248K
This provider vs. median850×

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

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018180,133$30.89M
2019168,972$30.10M
2020169,922$28.88M
2021142,528$28.87M
2022142,139$32.01M
2023135,316$32.24M
2024incomplete111,842$27.43M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 26% 164,885 161,713 $55.61M
H2022 Community-based wrap-around services, per diem 12% 80,261 2,657 $24.80M
T2033 Residential care, not otherwise specified (nos), waiver; per diem 11% 83,906 2,844 $23.61M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 5.8% 126,423 11,082 $12.13M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 5.8% 34,983 34,964 $12.11M
H0046 Mental health services, not otherwise specified 5.3% 122,191 11,126 $11.19M
97150 Therapeutic procedure(s), group (2 or more individuals) 4.7% 12,540 6,539 $9.99M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 3.7% 72,081 48,853 $7.78M
H2018 Psychosocial rehabilitation services, per diem 3.4% 9,535 1,426 $7.12M
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 3.2% 14,403 2,356 $6.70M
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 2.6% 73,087 5,960 $5.53M
H0040 Assertive community treatment program, per diem 2.2% 24,431 3,688 $4.64M
43 more codes
H2011 Crisis intervention service, per 15 minutes 1.9% 5,215 $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 1.4% 12,704 $3.00M
H0039 Assertive community treatment, face-to-face, per 15 minutes 1.3% 2,755 $2.82M
99214 Doctor's office visit, returning patient (more involved) 1.2% 38,619 $2.59M
T2022 Case management, per month <1% 12,823 $1.73M
H0036 Community psychiatric support and treatment, per 15 minutes <1% 5,704 $1.49M
90791 Psychiatric diagnostic evaluation <1% 11,366 $1.44M
H2012 Behavioral health day treatment, per hour <1% 15,967 $1.41M
90792 Psychiatric diagnostic evaluation with medical services <1% 8,563 $1.17M
S9482 Family stabilization services, per 15 minutes <1% 2,789 $1.15M
90832 Psychotherapy session, about 30 minutes <1% 18,677 $1.09M
G9012 Other specified case management service not elsewhere classified <1% 3,782 $907K
H2017 Psychosocial rehabilitation, billed per 15 minutes <1% 19,903 $839K
T2021 Day program for adults with developmental disabilities, per 15 minutes <1% 3,856 $718K
H0006 Alcohol and/or drug services; case management <1% 2,837 $660K
90847 Family psychotherapy with the patient present, 50 minutes <1% 6,682 $615K
90834 Psychotherapy session, about 45 minutes <1% 7,677 $604K
T2023 Targeted case management; per month <1% 1,802 $565K
99213 Doctor's office visit, returning patient (routine) <1% 6,004 $302K
H2033 Multisystemic therapy for juveniles, per 15 minutes <1% 323 $299K
H0024 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) <1% 3,899 $232K
90853 Group psychotherapy (other than of a multiple-family group) <1% 8,505 $194K
T1027 Family training and counseling for child development, per 15 minutes <1% 1,962 $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% 1,202 $171K
99490 Ccm add 20min <1% 3,041 $169K
H0032 Mental health service plan development by non-physician <1% 2,256 $168K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 5,387 $147K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,271 $138K
90889 <1% 612 $105K
T1012 Alcohol and/or substance abuse services, skills development <1% 2,072 $92K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 824 $39K
90846 Family psychotherapy without the patient present, 50 minutes <1% 341 $33K
80305 <1% 3,440 $33K
Q3014 Telehealth originating site facility fee <1% 2,271 $30K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 2,875 $24K
99204 Doctor's office visit, new patient (more involved) <1% 239 $10K
99509 Home visit for assistance with activities of daily living and personal care <1% 177 $5K
97151 <1% 23 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 236 $3K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 38 $3K
99443 <1% 290 $3K
99203 Doctor's office visit, new patient (routine) <1% 58 $3K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 59 $1K

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 officialJONES, RENAE (REIMBURSEMENT MANAGER)