Behavioral
Hopkins Medical Association LLC
Hopkins Medical Association LLC was paid $13.12M by Medicaid between Jun 2020 and Dec 2024, across 30 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 25% of everything it billed.
33Billing provider infoHOPKINS MEDICAL ASSOCIATION LLC
RICHLANDS, VA 24641
RICHLANDS, VA 24641
33aNPI1679111504assigned 12/10/2019
33bProvider typeProfessional Counselor
28Total paid$13.12M
24GClaims199,964
24DCodes billed30
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Professional Counselor providers in Virginia
Rank by total paid#3 of 364
Median peer was paid$52K
This provider vs. median252×
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 | |
|---|---|---|---|
| 2020 | 8,307 | $380K | |
| 2021 | 24,313 | $1.44M | |
| 2022 | 50,041 | $3.16M | |
| 2023 | 62,582 | $4.31M | |
| 2024incomplete | 54,721 | $3.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 25% | 16,959 | 14,766 | $3.31M |
| 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 | 24% | 41,684 | 24,732 | $3.16M |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed | 16% | 17,638 | 11,198 | $2.13M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 26,881 | 16,344 | $1.30M |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 8.7% | 24,055 | 14,756 | $1.14M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.3% | 11,720 | 9,039 | $567K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 3.7% | 24,716 | 15,235 | $484K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | 2.6% | 3,765 | 2,694 | $336K |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed | 1.4% | 1,191 | 811 | $180K |
| 99406 | <1% | 11,629 | 7,426 | $87K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 911 | 752 | $86K |
| 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% | 915 | 735 | $72K |
18 more codes
| 80305 | <1% | 6,847 | $62K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,045 | $59K |
| 99408 | <1% | 2,065 | $38K | |
| Q3014 | Telehealth originating site facility fee | <1% | 1,413 | $30K |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | <1% | 953 | $26K |
| H0031 | Mental health assessment, by non-physician | <1% | 205 | $21K |
| 81025 | <1% | 2,132 | $12K | |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | <1% | 81 | $9K |
| 96127 | <1% | 1,899 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 144 | $4K |
| 36415 | Collection of venous blood by venipuncture | <1% | 498 | $3K |
| 99407 | <1% | 134 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 27 | $2K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 143 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 87 | $1K |
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 39 | $273.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $181.52 |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 0% | 174 | $0.00 |
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 officialHOPKINS, ANGIE (OWNER)