Managed care
Epic Health Partners, LLC
Epic Health Partners, LLC was paid $45.35M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is H0046, Mental health services, not otherwise specified — 55% of everything it billed.
33Billing provider infoEPIC HEALTH PARTNERS, LLC
DANVILLE, VA 24540
DANVILLE, VA 24540
33aNPI1760734503assigned 10/03/2012
33bProvider typeExclusive Provider Organization
28Total paid$45.35M
24GClaims253,681
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Virginia
Rank by total paid#1 of 15
Median peer was paid$131K
This provider vs. median345×
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 | 22,301 | $4.69M | |
| 2019 | 35,580 | $5.68M | |
| 2020 | 44,062 | $6.19M | |
| 2021 | 46,864 | $7.27M | |
| 2022 | 46,146 | $10.86M | |
| 2023 | 35,173 | $6.64M | |
| 2024incomplete | 23,555 | $4.00M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0046 | Mental health services, not otherwise specified | 55% | 159,764 | 11,610 | $24.99M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 12% | 14,415 | 1,713 | $5.46M |
| S9482 | Family stabilization services, per 15 minutes | 9.9% | 7,154 | 1,223 | $4.49M |
| H2012 | Behavioral health day treatment, per hour | 9.0% | 27,457 | 2,436 | $4.09M |
| H2011 | Crisis intervention service, per 15 minutes | 6.5% | 2,433 | 883 | $2.97M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.5% | 11,944 | 6,657 | $1.15M |
| 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 | 1.1% | 2,232 | 371 | $481K |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | <1% | 1,066 | 97 | $452K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 3,404 | 3,048 | $380K |
| 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% | 6,098 | 4,866 | $349K |
| 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% | 2,745 | 2,250 | $113K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,546 | 1,888 | $111K |
14 more codes
| Q3014 | Telehealth originating site facility fee | <1% | 7,304 | $95K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 494 | $63K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 532 | $32K |
| H0032 | Mental health service plan development by non-physician | <1% | 558 | $28K |
| 80305 | <1% | 2,594 | $26K | |
| 99205 | Prolong outpt/office vis | <1% | 176 | $16K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 171 | $14K |
| 90839 | <1% | 143 | $14K | |
| H0006 | Alcohol and/or drug services; case management | <1% | 54 | $9K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 118 | $6K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 228 | $5K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 16 | $935.27 |
| H0031 | Mental health assessment, by non-physician | <1% | 12 | $600.00 |
| 99354 | <1% | 23 | $386.80 |
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 officialWILLIAMS, CORY (PRESIDENT)