Medicaid Provider Spending

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

SHENANDOAH VALLEY COMMUNITY RESIDENCES, INC.

NPI: 1710905179 · WINCHESTER, VA 22601 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 07/17/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

98% of spending on code H2022 with only 3 total codes billed. Highly concentrated billing profile.

$17.45M
Total Medicaid Paid
3,404
Total Claims
3,276
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOMBS, RALPH (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/17/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 525 $1.89M
2019 565 $1.87M
2020 545 $2.29M
2021 527 $2.26M
2022 530 $2.83M
2023 363 $3.19M
2024 349 $3.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2022 Community-based wrap-around services, per diem 2,538 2,446 $17.16M
97150 Therapeutic procedure(s), group (2 or more individuals) 151 140 $183K
T2021 Day habilitation, waiver; per 15 minutes 715 690 $104K