Clinic
Middle Peninsula Northern Neck Mental Health & Retardation
Middle Peninsula Northern Neck Mental Health & Retardation was paid $67.96M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 28% of everything it billed.
33Billing provider infoMIDDLE PENINSULA NORTHERN NECK MENTAL HEALTH & RETARDATION
GLOUCESTER, VA 23061
GLOUCESTER, VA 23061
33aNPI1497717615assigned 04/04/2006
28Total paid$67.96M
24GClaims337,376
24DCodes billed37
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#4 of 109
Median peer was paid$248K
This provider vs. median274×
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 | 66,874 | $10.43M | |
| 2019 | 65,578 | $10.45M | |
| 2020 | 47,964 | $9.30M | |
| 2021 | 44,803 | $9.76M | |
| 2022 | 41,851 | $10.15M | |
| 2023 | 38,598 | $9.53M | |
| 2024incomplete | 31,708 | $8.34M |
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) | 28% | 58,278 | 56,027 | $19.31M |
| H2022 | Community-based wrap-around services, per diem | 23% | 2,267 | 1,939 | $15.61M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 14% | 28,432 | 28,362 | $9.78M |
| H0046 | Mental health services, not otherwise specified | 7.8% | 55,374 | 5,781 | $5.30M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 5.6% | 45,081 | 3,864 | $3.81M |
| 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 | 4.1% | 12,900 | 1,767 | $2.77M |
| H0040 | Assertive community treatment program, per diem | 3.3% | 12,729 | 1,755 | $2.27M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.7% | 19,772 | 12,039 | $1.81M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 2.2% | 32,308 | 4,317 | $1.52M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 1.8% | 1,946 | 1,486 | $1.22M |
| T2023 | Targeted case management; per month | 1.2% | 3,264 | 3,264 | $838K |
| H2011 | Crisis intervention service, per 15 minutes | 1.1% | 978 | 580 | $727K |
25 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 4,221 | $418K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 9,202 | $349K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 4,987 | $314K |
| H2012 | Behavioral health day treatment, per hour | <1% | 2,471 | $274K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 1,739 | $262K |
| 99490 | Ccm add 20min | <1% | 4,376 | $248K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,753 | $233K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,090 | $199K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 3,866 | $183K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,326 | $164K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 7,404 | $115K |
| Q3014 | Telehealth originating site facility fee | <1% | 3,759 | $83K |
| H0032 | Mental health service plan development by non-physician | <1% | 820 | $41K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,501 | $28K |
| 80305 | <1% | 3,697 | $28K | |
| H0006 | Alcohol and/or drug services; case management | <1% | 150 | $18K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 146 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 46 | $5K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 61 | $4K |
| 99205 | Prolong outpt/office vis | <1% | 61 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 95 | $2K |
| 90889 | <1% | 16 | $1K | |
| 99443 | <1% | 117 | $583.53 | |
| T2022 | Case management, per month | <1% | 130 | $132.00 |
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 officialWINGROVE, YVONNE (CHIEF FINANCIAL OFFICER)