Agency
Highlands Community Services
Highlands Community Services was paid $106.56M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 37% of everything it billed.
33Billing provider infoHIGHLANDS COMMUNITY SERVICES
ABINGDON, VA 24210
ABINGDON, VA 24210
33aNPI1396774147assigned 07/02/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$106.56M
24GClaims686,128
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#2 of 565
Median peer was paid$1.46M
This provider vs. median73×
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
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 | 115,750 | $16.01M | |
| 2019 | 126,384 | $15.91M | |
| 2020 | 111,939 | $13.70M | |
| 2021 | 94,085 | $14.73M | |
| 2022 | 87,223 | $15.56M | |
| 2023 | 82,780 | $16.39M | |
| 2024incomplete | 67,967 | $14.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 37% | 133,200 | 115,822 | $39.74M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 19% | 73,130 | 2,385 | $20.72M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 7.8% | 92,171 | 7,160 | $8.31M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 5.1% | 16,492 | 15,738 | $5.44M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 3.7% | 67,630 | 5,535 | $3.93M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 3.5% | 39,109 | 3,352 | $3.76M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.1% | 6,028 | 1,214 | $3.29M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.2% | 40,189 | 30,867 | $2.30M |
| H2011 | Crisis intervention service, per 15 minutes | 2.0% | 2,001 | 1,332 | $2.10M |
| H2012 | Behavioral health day treatment, per hour | 1.8% | 22,184 | 2,249 | $1.88M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 1.7% | 22,153 | 1,980 | $1.84M |
| H0006 | Alcohol and/or drug services; case management | 1.5% | 8,510 | 6,633 | $1.64M |
39 more codes
| 90837 | Psychotherapy session, about an hour | 1.5% | 18,370 | $1.57M |
| 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 | 1.2% | 7,607 | $1.27M |
| 90834 | Psychotherapy session, about 45 minutes | 1.0% | 17,127 | $1.10M |
| T2022 | Case management, per month | <1% | 8,371 | $981K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 18,006 | $893K |
| T2023 | Targeted case management; per month | <1% | 2,445 | $806K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 7,934 | $764K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 2,399 | $711K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 6,926 | $667K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 9,261 | $392K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | <1% | 3,369 | $334K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 17,623 | $328K |
| H0046 | Mental health services, not otherwise specified | <1% | 2,571 | $272K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 4,172 | $261K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 3,581 | $257K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | <1% | 1,671 | $188K |
| S9485 | Crisis intervention mental health services, per diem | <1% | 224 | $145K |
| Q3014 | Telehealth originating site facility fee | <1% | 6,186 | $92K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 703 | $92K |
| 99442 | <1% | 2,624 | $70K | |
| 99443 | <1% | 1,802 | $68K | |
| G0495 | Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | <1% | 567 | $52K |
| 80306 | <1% | 5,975 | $46K | |
| S9482 | Family stabilization services, per 15 minutes | <1% | 254 | $32K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | <1% | 182 | $29K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,932 | $26K |
| H0032 | Mental health service plan development by non-physician | <1% | 772 | $26K |
| S0221 | Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes | <1% | 498 | $24K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 905 | $20K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 4,163 | $20K |
| A0100 | Non-emergency taxi ride to a medical appointment | <1% | 2,104 | $19K |
| 99205 | Prolong outpt/office vis | <1% | 225 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 318 | $14K |
| 99441 | <1% | 129 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 177 | $1K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 12 | $1K |
| 80305 | <1% | 72 | $757.75 | |
| 82075 | <1% | 23 | $110.78 | |
| G0478 | Drug test(s), presumptive, any number of drug classes; any number of devices or procedures, (e.g., immunoassay) read by instrument-assisted direct optical observation (e.g., dipsticks, cups, cards, cartridges), includes sample validation when performed, per date of service | 0% | 51 | $0.00 |
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 officialSMITH, TAYLOR (ACCOUNTING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Smith Chiropractic, LLC | Ord, NE | $104K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.