Agency
Family Determination LLC
Family Determination LLC was paid $3.96M by Medicaid between Jan 2018 and Feb 2023, across 1 billing code. Its largest line is H0046, Mental health services, not otherwise specified — 100% of everything it billed.
33Billing provider infoFAMILY DETERMINATION LLC
NORFOLK, VA 23513
NORFOLK, VA 23513
33aNPI1700101581assigned 04/05/2010
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$3.96M
24GClaims7,423
24DCodes billed1
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#168 of 565
Median peer was paid$1.46M
This provider vs. median2.7×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code H0046 with only 1 total codes billed. Highly concentrated billing profile.
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 | 2,001 | $1.33M | |
| 2019 | 2,266 | $1.28M | |
| 2020 | 1,965 | $977K | |
| 2021 | 914 | $300K | |
| 2023 | 277 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0046 | Mental health services, not otherwise specified | 100% | 7,423 | 1,200 | $3.96M |
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 officialJACKSON, TERRY (CEO)