Agency
Grafton School, INC.
Grafton School, INC. was paid $91.88M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 60% of everything it billed.
33Billing provider infoGRAFTON SCHOOL, INC.
WINCHESTER, VA 22601
WINCHESTER, VA 22601
33aNPI1720159676assigned 11/13/2006
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$91.88M
24GClaims264,707
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Virginia
Rank by total paid#3 of 110
Median peer was paid$2.16M
This provider vs. median42×
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 | 46,381 | $11.96M | |
| 2019 | 40,184 | $10.23M | |
| 2020 | 29,394 | $8.43M | |
| 2021 | 32,684 | $10.55M | |
| 2022 | 38,130 | $13.78M | |
| 2023 | 38,809 | $16.19M | |
| 2024incomplete | 39,125 | $20.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 60% | 187,230 | 6,600 | $55.34M |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 24% | 50,814 | 2,610 | $22.29M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 8.1% | 8,827 | 5,574 | $7.41M |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 5.5% | 4,436 | 4,159 | $5.03M |
| 97139 | 1.6% | 4,523 | 4,370 | $1.44M | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 5,042 | 578 | $245K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,345 | 507 | $55K |
| 97152 | <1% | 1,129 | 305 | $22K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 337 | 210 | $14K |
| 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% | 149 | 136 | $13K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 680 | 200 | $11K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 195 | 97 | $10K |
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 officialLANE, VANESSA (DIRECTOR, CYCLE MNGT./ACCOUNTS RECE)
| Provider | Location | Paid |
|---|---|---|
| Grafton School INC | Winchester, VA | $33.03M |
| Grafton School | Winchester, VA | $4.94M |
| Vanessa Lane Counseling LLC | Springfield, VT | $108K |
| Grafton School, INC. | Winchester, VA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.