Community Concepts, INC.

Community Concepts, INC. was paid $63.60M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 98% of everything it billed.

33Billing provider infoCOMMUNITY CONCEPTS, INC.
DUMFRIES, VA 22026

33aNPI1356772339assigned 12/02/2013

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$63.60M

24GClaims32,018

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Virginia

Rank by total paid#4 of 565

Median peer was paid$1.46M

This provider vs. median43×

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 Concentration98% of spending on code H2022 with only 3 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
2018	5,095	$7.60M
2019	5,007	$7.66M
2020	4,466	$7.25M
2021	4,333	$8.05M
2022	3,841	$9.44M
2023	4,790	$11.91M
2024incomplete	4,486	$11.70M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2022	Community-based wrap-around services, per diem	98%	27,700	5,873	$62.27M
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.9%	4,100	3,949	$1.22M
97139		<1%	218	218	$112K

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 officialTHOMAS, HARRISON (CGO)