Medicaid Provider Spending

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

VALLEY COMMUNITY SERVICES BOARD

NPI: 1649205212 · STAUNTON, VA 24401 · Case Management Agency · NPI assigned 07/12/2006

$59.14M
Total Medicaid Paid
390,461
Total Claims
179,542
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOYLE, MELISSA (CREDENTIALING SPECIALIST)
NPI Enumeration Date07/12/2006

Related Entities

Other providers sharing the same authorized official: DOYLE, MELISSA

ProviderCityStateTotal Paid
PROGRESSIVE DIABETES CARE, PLLC FAYETTEVILLE NC $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 45,490 $8.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 39,681 37,338 $12.89M
T2033 Residential care, not otherwise specified (nos), waiver; per diem 51,451 1,749 $12.73M
T1017 Targeted case management, each 15 minutes 24,367 23,994 $8.26M
H0040 Assertive community treatment program, per diem 18,553 1,706 $3.90M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 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 7,723 1,157 $1.70M
H0039 Assertive community treatment, face-to-face, per 15 minutes 2,095 1,515 $1.51M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23,744 17,125 $1.51M
H2011 Crisis intervention service, per 15 minutes 1,914 1,272 $1.39M
T2023 Targeted case management; per month 4,136 4,057 $1.24M
90834 Psychotherapy, 45 minutes with patient 16,197 8,500 $1.21M
90791 Psychiatric diagnostic evaluation 8,631 7,851 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,553 16,530 $815K
H2017 Psychosocial rehabilitation services, per 15 minutes 15,060 1,312 $774K
97150 Therapeutic procedure(s), group (2 or more individuals) 12,722 830 $765K
T2022 Case management, per month 5,903 5,325 $738K
G9012 Other specified case management service not elsewhere classified 3,480 3,067 $726K
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 2,998 2,056 $696K
90853 Group psychotherapy (other than of a multiple-family group) 23,094 5,984 $490K
90832 Psychotherapy, 30 minutes with patient 7,371 4,138 $403K
90837 Psychotherapy, 53 minutes with patient 2,963 1,720 $388K
H0006 Alcohol and/or drug services; case management 1,485 1,305 $321K
H0024 Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) 2,900 1,007 $219K
H0046 Mental health services, not otherwise specified 2,002 443 $207K
T2021 Day habilitation, waiver; per 15 minutes 4,587 537 $202K
90847 Family psychotherapy with the patient present, 50 minutes 2,320 1,678 $190K
99442 6,424 4,601 $153K
99215 Prolong outpt/office vis 1,299 1,174 $128K
80305 11,442 7,286 $123K
99443 3,544 2,242 $120K
T2003 Non-emergency transportation; encounter/trip 11,854 457 $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 718 409 $65K
90792 Psychiatric diagnostic evaluation with medical services 734 658 $54K
H2014 Skills training and development, per 15 minutes 619 86 $50K
G0153 Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes 459 162 $49K
H0032 Mental health service plan development by non-physician 709 526 $33K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,730 3,339 $31K
T1027 Family training and counseling for child development, per 15 minutes 414 227 $30K
90846 Family psychotherapy without the patient present, 50 minutes 159 113 $13K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 75 48 $11K
36415 Collection of venous blood by venipuncture 3,166 2,604 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 245 222 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 263 187 $2K
Q3014 Telehealth originating site facility fee 95 86 $932.00