Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › DUMFRIES › COMMUNITY CONCEPTS, INC.

COMMUNITY CONCEPTS, INC.

NPI: 1356772339 · DUMFRIES, VA 22026 · Community/Behavioral Health Agency · NPI assigned 12/02/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H2022 with only 3 total codes billed. Highly concentrated billing profile.

$63.60M
Total Medicaid Paid
32,018
Total Claims
10,040
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, HARRISON (CGO)
NPI Enumeration Date12/02/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,486 $11.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 27,700 5,873 $62.27M
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,100 3,949 $1.22M
97139 218 218 $112K