Clinic
Blue Ridge Behavioral Healthcare
Blue Ridge Behavioral Healthcare was paid $75.66M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 26% of everything it billed.
33Billing provider infoBLUE RIDGE BEHAVIORAL HEALTHCARE
ROANOKE, VA 24016
ROANOKE, VA 24016
33aNPI1437137734assigned 01/06/2006
28Total paid$75.66M
24GClaims324,341
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Virginia
Rank by total paid#3 of 109
Median peer was paid$248K
This provider vs. median306×
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 | 45,876 | $10.73M | |
| 2019 | 57,671 | $11.82M | |
| 2020 | 57,566 | $11.67M | |
| 2021 | 43,483 | $10.21M | |
| 2022 | 42,742 | $10.91M | |
| 2023 | 40,961 | $10.91M | |
| 2024incomplete | 36,042 | $9.41M |
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) | 26% | 60,182 | 58,870 | $19.62M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 17% | 36,877 | 36,841 | $12.64M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 16% | 1,652 | 1,526 | $12.10M |
| 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 | 9.7% | 31,075 | 5,052 | $7.36M |
| H0010 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | 4.2% | 7,087 | 999 | $3.18M |
| T2023 | Targeted case management; per month | 3.6% | 8,979 | 8,967 | $2.73M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 2.9% | 6,561 | 1,673 | $2.23M |
| H0046 | Mental health services, not otherwise specified | 2.9% | 19,190 | 2,787 | $2.20M |
| H2011 | Crisis intervention service, per 15 minutes | 2.3% | 2,542 | 2,121 | $1.72M |
| H0040 | Assertive community treatment program, per diem | 1.9% | 8,024 | 1,475 | $1.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 33,097 | 30,459 | $1.22M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 10,647 | 10,342 | $1.22M |
32 more codes
| H0036 | Community psychiatric support and treatment, per 15 minutes | 1.6% | 4,050 | $1.18M |
| 90834 | Psychotherapy session, about 45 minutes | 1.4% | 14,312 | $1.09M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 1.3% | 1,212 | $1.00M |
| H0006 | Alcohol and/or drug services; case management | 1.1% | 3,725 | $867K |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | <1% | 1,686 | $751K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 5,786 | $653K |
| 90837 | Psychotherapy session, about an hour | <1% | 4,759 | $550K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 7,221 | $424K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,689 | $257K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 9,628 | $201K |
| Q3014 | Telehealth originating site facility fee | <1% | 9,480 | $175K |
| 80305 | <1% | 13,482 | $146K | |
| 90889 | <1% | 684 | $137K | |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 159 | $134K |
| 99490 | Ccm add 20min | <1% | 1,867 | $99K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 246 | $80K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 9,619 | $70K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 788 | $50K |
| H0032 | Mental health service plan development by non-physician | <1% | 751 | $47K |
| 90785 | <1% | 3,003 | $37K | |
| 99205 | Prolong outpt/office vis | <1% | 318 | $33K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 361 | $10K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 46 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 86 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 183 | $6K |
| 82075 | <1% | 1,548 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 82 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 182 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 160 | $1K |
| 80061 | Lipid panel | <1% | 97 | $750.32 |
| 82948 | <1% | 107 | $202.72 | |
| 36416 | <1% | 111 | $30.76 |
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 officialVAUGHT, CYNTHIA (REIMBURSEMENT MANAGER)