Medicaid Provider Spending

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

BLUE RIDGE COUNSELING SERVICES, LLC

NPI: 1629217260 · STUART, VA 24171 · Community/Behavioral Health Agency · NPI assigned 02/04/2009

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code H0046 with only 3 total codes billed. Highly concentrated billing profile.

$2.72M
Total Medicaid Paid
21,085
Total Claims
1,450
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWILSON, SHARON (CEO)
NPI Enumeration Date02/04/2009

Related Entities

Other providers sharing the same authorized official: WILSON, SHARON

ProviderCityStateTotal Paid
COMMUNITY MEDICAL SERVICES INC COLUMBIA KY $1.35M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,040 $590K
2019 5,014 $765K
2020 5,260 $559K
2021 2,633 $210K
2022 2,499 $337K
2023 1,639 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0046 Mental health services, not otherwise specified 19,562 1,352 $2.62M
H2017 Psychosocial rehabilitation services, per 15 minutes 1,509 84 $98K
H0032 Mental health service plan development by non-physician 14 14 $2K