Piedmont Regional Community Services Board

Piedmont Regional Community Services Board was paid $93.85M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 35% of everything it billed.

33Billing provider infoPIEDMONT REGIONAL COMMUNITY SERVICES BOARD
MARTINSVILLE, VA 24112

33aNPI1699754010assigned 01/13/2006

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$93.85M

24GClaims442,902

24DCodes billed46

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Virginia

Rank by total paid#2 of 110

Median peer was paid$2.16M

This provider vs. median43×

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	65,909	$11.53M
2019	67,957	$13.03M
2020	64,796	$12.53M
2021	68,216	$13.45M
2022	66,296	$14.44M
2023	60,748	$14.97M
2024incomplete	48,980	$13.90M

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)	35%	96,493	95,364	$32.69M
H2022	Community-based wrap-around services, per diem	23%	2,743	2,689	$21.48M
T1017	Case management, billed per 15 minutesTargeted case management, each 15 minutes	12%	33,517	33,127	$11.51M
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	4.7%	82,222	6,946	$4.41M
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	3.0%	12,072	2,495	$2.77M
H2014	Skills training and development, per 15 minutes	2.7%	984	974	$2.53M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	2.2%	23,741	2,174	$2.07M
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	2.1%	16,926	11,689	$1.99M
H0040	Assertive community treatment program, per diem	1.8%	9,803	1,527	$1.72M
H0039	Assertive community treatment, face-to-face, per 15 minutes	1.8%	7,235	1,735	$1.68M
T2022	Case management, per month	1.3%	8,764	8,503	$1.19M
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	1.3%	18,633	16,921	$1.19M

34 more codes

90834	Psychotherapy session, about 45 minutes	1.1%	12,337	$1.02M
99213	Doctor's office visit, returning patient (routine)	1.0%	21,323	$978K
H2011	Crisis intervention service, per 15 minutes	1.0%	1,515	$939K
H0006	Alcohol and/or drug services; case management	<1%	3,791	$876K
T2023	Targeted case management; per month	<1%	2,518	$780K
H0036	Community psychiatric support and treatment, per 15 minutes	<1%	3,505	$724K
90791	Psychiatric diagnostic evaluation	<1%	5,330	$703K
90832	Psychotherapy session, about 30 minutes	<1%	6,979	$458K
99215	Doctor's office visit, returning patient (complex)	<1%	4,169	$412K
H0046	Mental health services, not otherwise specified	<1%	2,929	$361K
G9012	Other specified case management service not elsewhere classified	<1%	983	$230K
Q3014	Telehealth originating site facility fee	<1%	9,140	$198K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	7,633	$182K
80305		<1%	12,275	$143K
S9445	Patient education, not otherwise classified, non-physician provider, individual, per session	<1%	2,821	$102K
T2003	Non-emergency transportation, per trip	<1%	16,194	$89K
H0005	Alcohol and/or drug services; group counseling by a clinician	<1%	2,052	$85K
H0032	Mental health service plan development by non-physician	<1%	1,265	$64K
S9482	Family stabilization services, per 15 minutes	<1%	275	$42K
T1012	Alcohol and/or substance abuse services, skills development	<1%	808	$40K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	<1%	3,763	$31K
90785		<1%	2,633	$31K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	887	$30K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	3,495	$26K
90792	Psychiatric diagnostic evaluation with medical services	<1%	197	$19K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	158	$16K
H0024	Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude)	<1%	113	$7K
T1027	Family training and counseling for child development, per 15 minutes	<1%	56	$5K
H0004	Behavioral health counseling and therapy, per 15 minutes	<1%	81	$5K
98968		<1%	330	$4K
H0025	Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior)	<1%	107	$507.60
99443		<1%	52	$345.48
98967		<1%	40	$302.34
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	15	$165.06

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 officialPRESTON, BRIAM (EXECUTIVE DIRECTOR)