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
3,276
Beneficiary Records
Provider Details
| Authorized Official | COMBS, RALPH (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Bene. Records | Total 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 |