NP / PA
Transformation Health Services LLC
Transformation Health Services LLC was paid $1.60M by Medicaid between Aug 2019 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 66% of everything it billed.
33Billing provider infoTRANSFORMATION HEALTH SERVICES LLC
VIRGINIA BEACH, VA 23452
VIRGINIA BEACH, VA 23452
33aNPI1508373812assigned 01/08/2018
33bProvider typePsychiatric/Mental Health Nurse Practitioner
28Total paid$1.60M
24GClaims21,703
24DCodes billed9
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Virginia
Rank by total paid#2 of 100
Median peer was paid$30K
This provider vs. median53×
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 | |
|---|---|---|---|
| 2019 | 240 | $7K | |
| 2020 | 2,444 | $127K | |
| 2021 | 5,152 | $319K | |
| 2022 | 4,616 | $363K | |
| 2023 | 5,470 | $458K | |
| 2024incomplete | 3,781 | $328K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 66% | 14,310 | 12,496 | $1.06M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 19% | 3,340 | 1,466 | $306K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 11% | 3,446 | 2,955 | $176K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 273 | 252 | $23K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 134 | 121 | $21K |
| 99205 | Prolong outpt/office vis | <1% | 90 | 86 | $11K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 79 | 40 | $5K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 18 | 18 | $2K |
| 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% | 13 | 13 | $868.01 |
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 officialPASCAL-RODRIGUEZ, MARCELLI (PSYCHIATRIC NURSE PRACTITIONER)