Agency
Valley Community Services Board
Valley Community Services Board was paid $59.14M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 22% of everything it billed.
33Billing provider infoVALLEY COMMUNITY SERVICES BOARD
STAUNTON, VA 24401
STAUNTON, VA 24401
33aNPI1649205212assigned 07/12/2006
33bProvider typeCase Management Agency
28Total paid$59.14M
24GClaims390,461
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Virginia
Rank by total paid#2 of 128
Median peer was paid$331K
This provider vs. median178×
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 | 68,737 | $8.26M | |
| 2019 | 75,040 | $8.86M | |
| 2020 | 50,459 | $7.78M | |
| 2021 | 47,831 | $8.13M | |
| 2022 | 49,130 | $8.52M | |
| 2023 | 53,774 | $9.10M | |
| 2024incomplete | 45,490 | $8.48M |
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) | 22% | 39,681 | 37,338 | $12.89M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 22% | 51,451 | 1,749 | $12.73M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 14% | 24,367 | 23,994 | $8.26M |
| H0040 | Assertive community treatment program, per diem | 6.6% | 18,553 | 1,706 | $3.90M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 6.5% | 38,582 | 2,919 | $3.85M |
| 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 | 2.9% | 7,723 | 1,157 | $1.70M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 2.6% | 2,095 | 1,515 | $1.51M |
| 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 | 2.6% | 23,744 | 17,125 | $1.51M |
| H2011 | Crisis intervention service, per 15 minutes | 2.4% | 1,914 | 1,272 | $1.39M |
| T2023 | Targeted case management; per month | 2.1% | 4,136 | 4,057 | $1.24M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.0% | 16,197 | 8,500 | $1.21M |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.8% | 8,631 | 7,851 | $1.06M |
32 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 19,553 | $815K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | 1.3% | 15,060 | $774K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 1.3% | 12,722 | $765K |
| T2022 | Case management, per month | 1.2% | 5,903 | $738K |
| G9012 | Other specified case management service not elsewhere classified | 1.2% | 3,480 | $726K |
| H0036 | Community psychiatric support and treatment, per 15 minutes | 1.2% | 2,998 | $696K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 23,094 | $490K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 7,371 | $403K |
| 90837 | Psychotherapy session, about an hour | <1% | 2,963 | $388K |
| H0006 | Alcohol and/or drug services; case management | <1% | 1,485 | $321K |
| H0024 | Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) | <1% | 2,900 | $219K |
| H0046 | Mental health services, not otherwise specified | <1% | 2,002 | $207K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 4,587 | $202K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,320 | $190K |
| 99442 | <1% | 6,424 | $153K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,299 | $128K |
| 80305 | <1% | 11,442 | $123K | |
| 99443 | <1% | 3,544 | $120K | |
| T2003 | Non-emergency transportation, per trip | <1% | 11,854 | $74K |
| G0495 | Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | <1% | 718 | $65K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 734 | $54K |
| H2014 | Skills training and development, per 15 minutes | <1% | 619 | $50K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | <1% | 459 | $49K |
| H0032 | Mental health service plan development by non-physician | <1% | 709 | $33K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,730 | $31K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 414 | $30K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 159 | $13K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 75 | $11K |
| 36415 | Collection of venous blood by venipuncture | <1% | 3,166 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 245 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 263 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 95 | $932.00 |
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 officialDOYLE, MELISSA (CREDENTIALING SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Progressive Diabetes Care, PLLC | Fayetteville, NC | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.