Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rappahannock-Rapidan Community Services Board

Rappahannock-Rapidan Community Services Board was paid $53.36M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 42% of everything it billed.

33Billing provider infoRAPPAHANNOCK-RAPIDAN COMMUNITY SERVICES BOARD
WARRENTON, VA 20186
33aNPI1568424364assigned 04/05/2006
28Total paid$53.36M
24GClaims201,951
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Virginia

Rank by total paid#8 of 565
Median peer was paid$1.46M
This provider vs. median36×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201829,340$6.35M
201934,622$7.60M
202032,004$7.13M
202125,836$6.65M
202227,299$7.92M
202327,696$8.98M
2024incomplete25,154$8.73M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2022 Community-based wrap-around services, per diem 42% 68,912 2,286 $22.50M
97150 Therapeutic procedure(s), group (2 or more individuals) 15% 6,435 6,084 $7.77M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 14% 22,046 21,982 $7.60M
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 9.8% 17,222 15,563 $5.23M
H0010 Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) 7.1% 7,065 653 $3.81M
T2023 Targeted case management; per month 3.0% 5,284 5,154 $1.61M
H0046 Mental health services, not otherwise specified 2.1% 13,658 618 $1.15M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.7% 15,562 9,648 $926K
T2021 Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes 1.2% 1,499 1,395 $619K
T2022 Case management, per month 1.1% 4,909 4,413 $611K
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes <1% 10,365 945 $432K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 2,405 1,330 $253K
17 more codes
99213 Doctor's office visit, returning patient (routine) <1% 8,420 $249K
90791 Psychiatric diagnostic evaluation <1% 1,264 $160K
90853 Group psychotherapy (other than of a multiple-family group) <1% 8,120 $130K
90832 Psychotherapy session, about 30 minutes <1% 1,863 $90K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes <1% 402 $57K
H2011 Crisis intervention service, per 15 minutes <1% 163 $47K
H0036 Community psychiatric support and treatment, per 15 minutes <1% 394 $35K
99214 Doctor's office visit, returning patient (more involved) <1% 619 $34K
H2036 Alcohol and/or other drug treatment program, per diem <1% 29 $19K
80305 <1% 2,961 $13K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 747 $9K
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% 220 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 619 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 371 $4K
99442 <1% 345 $3K
H0032 Mental health service plan development by non-physician <1% 25 $1K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 27 $377.27

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 officialLAGRAFFE, JAMES (EXECUTIVE DIRECTOR)
Same official

Other billing entities under LAGRAFFE, JAMES

Full network →
ProviderLocationPaid
Rappahannock Rapidan CSBCulpeper, VA$544K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.