Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE BEHAVIORAL HEALTHCARE

NPI: 1437137734 · ROANOKE, VA 24016 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 01/06/2006

$75.66M
Total Medicaid Paid
324,341
Total Claims
225,115
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVAUGHT, CYNTHIA (REIMBURSEMENT MANAGER)
NPI Enumeration Date01/06/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 36,042 $9.41M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 60,182 58,870 $19.62M
T1017 Targeted case management, each 15 minutes 36,877 36,841 $12.64M
T2033 Residential care, not otherwise specified (nos), waiver; per diem 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 31,075 5,052 $7.36M
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 7,087 999 $3.18M
T2023 Targeted case management; per month 8,979 8,967 $2.73M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 6,561 1,673 $2.23M
H0046 Mental health services, not otherwise specified 19,190 2,787 $2.20M
H2011 Crisis intervention service, per 15 minutes 2,542 2,121 $1.72M
H0040 Assertive community treatment program, per diem 8,024 1,475 $1.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,097 30,459 $1.22M
90791 Psychiatric diagnostic evaluation 10,647 10,342 $1.22M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 4,050 3,110 $1.18M
90834 Psychotherapy, 45 minutes with patient 14,312 8,346 $1.09M
H0039 Assertive community treatment, face-to-face, per 15 minutes 1,212 1,104 $1.00M
H0006 Alcohol and/or drug services; case management 3,725 3,618 $867K
S0201 Partial hospitalization services, less than 24 hours, per diem 1,686 259 $751K
H2017 Psychosocial rehabilitation services, per 15 minutes 5,786 1,049 $653K
90837 Psychotherapy, 53 minutes with patient 4,759 2,725 $550K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,221 6,508 $424K
99215 Prolong outpt/office vis 2,689 2,542 $257K
90853 Group psychotherapy (other than of a multiple-family group) 9,628 3,954 $201K
Q3014 Telehealth originating site facility fee 9,480 8,796 $175K
80305 13,482 6,831 $146K
90889 684 675 $137K
H2018 Psychosocial rehabilitation services, per diem 159 28 $134K
99490 Ccm add 20min 1,867 1,863 $99K
H2019 Therapeutic behavioral services, per 15 minutes 246 37 $80K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 9,619 7,216 $70K
90832 Psychotherapy, 30 minutes with patient 788 667 $50K
H0032 Mental health service plan development by non-physician 751 432 $47K
90785 3,003 1,747 $37K
99205 Prolong outpt/office vis 318 299 $33K
H0005 Alcohol and/or drug services; group counseling by a clinician 361 145 $10K
H2036 Alcohol and/or other drug treatment program, per diem 46 12 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 86 78 $8K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 183 169 $6K
82075 1,548 1,094 $5K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 82 80 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 182 164 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 160 149 $1K
80061 Lipid panel 97 94 $750.32
82948 107 105 $202.72
36416 111 107 $30.76