Agency
Core Concepts, LLC
Core Concepts, LLC was paid $4.40M by Medicaid between Apr 2020 and Nov 2024, across 2 billing codes. Its largest line is H0046, Mental health services, not otherwise specified — 100% of everything it billed.
33Billing provider infoCORE CONCEPTS, LLC
ROCKY MOUNT, VA 24151
ROCKY MOUNT, VA 24151
33aNPI1265084321assigned 07/09/2019
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$4.40M
24GClaims28,079
24DCodes billed2
24AFirst – last monthApr 2020 – Nov 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#152 of 565
Median peer was paid$1.46M
This provider vs. median3.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code H0046 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2020 | 4,274 | $544K | |
| 2021 | 3,538 | $485K | |
| 2022 | 5,762 | $885K | |
| 2023 | 9,897 | $1.61M | |
| 2024incomplete | 4,608 | $874K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0046 | Mental health services, not otherwise specified | 100% | 28,045 | 1,910 | $4.40M |
| H0032 | Mental health service plan development by non-physician | <1% | 34 | 27 | $2K |
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 officialFASICK, BARBARA (PRESIDENT)