Behavioral
Prime Mental Care
Prime Mental Care was paid $1.68M by Medicaid between Nov 2022 and Dec 2024, across 1 billing code. Its largest line is H0046, Mental health services, not otherwise specified — 100% of everything it billed.
33Billing provider infoPRIME MENTAL CARE
DANVILLE, VA 24540
DANVILLE, VA 24540
33aNPI1356007215assigned 11/15/2021
33bProvider typeBehavioral Analyst
28Total paid$1.68M
24GClaims9,685
24DCodes billed1
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Behavioral Analyst providers in Virginia
Rank by total paid#22 of 76
Median peer was paid$308K
This provider vs. median5.5×
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 1 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 | |
|---|---|---|---|
| 2022 | 418 | $77K | |
| 2023 | 4,536 | $763K | |
| 2024incomplete | 4,731 | $844K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0046 | Mental health services, not otherwise specified | 100% | 9,685 | 678 | $1.68M |
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 officialINGRAM, NICHOLAS (CEO)