Medicaid Provider Spending

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

STARTING POINT OF VIRGINIA, P.C.

NPI: 1760949127 · ABINGDON, VA 24210 · Addiction Medicine (Psychiatry & Neurology) Physician · NPI assigned 02/21/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MCCORMAC, RUPERT controls 20+ related entities in our dataset. Read more

$28.98M
Total Medicaid Paid
408,448
Total Claims
272,095
Beneficiaries
29
Codes Billed
2018-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMCCORMAC, RUPERT (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date02/21/2019

Related Entities

Other providers sharing the same authorized official: MCCORMAC, RUPERT

ProviderCityStateTotal Paid
ARS TREATMENT CENTERS, P.C. UNIONTOWN PA $73.26M
CROSSROADS TREATMENT CENTER OF DANVILLE, PC DANVILLE VA $18.63M
CROSSROADS TREATMENT CENTER OF WINCHESTER, PC WINCHESTER VA $14.07M
CROSSROADS TREATMENT CENTER OF LOUISVILLE, PSC JEFFERSONTOWN KY $13.68M
CROSSROADS TREATMENT CENTER OF PETERSBURG, PC SOUTH PRINCE GEORGE VA $12.61M
CROSSROADS TREATMENT CENTER OF GREENSBORO, PC GREENSBORO NC $11.06M
CROSSROADS TREATMENT CENTER OF SUFFOLK, PC SUFFOLK VA $7.68M
CROSSROADS TREATMENT CENTER OF SOMERSET, PSC SOMERSET KY $7.19M
CROSSROADS TREATMENT CENTER OF ASHEVILLE, PC ASHEVILLE NC $6.45M
CENTER OF HOPE OF MYRTLE BEACH, LLC MYRTLE BEACH SC $5.62M
CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY, PSC INDEPENDENCE KY $4.80M
STARTING POINT OF FLORENCE, INC FLORENCE SC $4.62M
CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC WEAVERVILLE NC $4.41M
CROSSROADS TREATMENT CENTER OF CHARLESTON, PC NORTH CHARLESTON SC $3.18M
CROSSROADS TREATMENT CENTER OF ASHLAND, PSC ASHLAND KY $2.64M
STARTING POINT OF DARLINGTON, LLC HARTSVILLE SC $2.27M
CROSSROADS TREATMENT CENTER OF SENECA, PC SENECA SC $1.93M
CROSSROADS TREATMENT CENTER OF DENVER, PC DENVER CO $1.78M
ARS TREATMENT CENTERS OF NEW JERSEY, PC LANOKA HARBOR NJ $1.65M
CROSSROADS TREATMENT CENTER OF GREENVILLE, PC GREENVILLE SC $1.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $0.00
2019 16,635 $397K
2020 33,978 $2.40M
2021 92,331 $6.90M
2022 75,843 $6.00M
2023 96,052 $6.54M
2024 93,569 $6.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9012 Other specified case management service not elsewhere classified 39,528 36,062 $7.95M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 95,724 55,784 $5.23M
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 40,553 18,348 $4.04M
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed 20,184 11,998 $2.81M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49,334 36,671 $2.49M
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 34,796 30,014 $2.38M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,753 18,273 $1.83M
H0004 Behavioral health counseling and therapy, per 15 minutes 46,262 32,909 $988K
99215 Prolong outpt/office vis 6,515 3,213 $465K
80305 28,996 21,134 $314K
H0014 Alcohol and/or drug services; ambulatory detoxification 1,790 1,676 $211K
90791 Psychiatric diagnostic evaluation 848 805 $93K
99408 2,830 232 $60K
90832 Psychotherapy, 30 minutes with patient 851 701 $24K
99406 3,824 2,894 $23K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 3,012 213 $23K
S0109 Methadone, oral, 5 mg 4,341 161 $17K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 254 176 $16K
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 15-21 drug class(es), including metabolite(s) if performed 59 51 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 37 36 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 127 92 $2K
82075 415 294 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12 12 $966.01
81025 170 146 $941.70
99484 62 61 $470.01
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 44 41 $463.48
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 18 16 $442.78
H0005 Alcohol and/or drug services; group counseling by a clinician 93 70 $406.00
H0047 Alcohol and/or other drug abuse services, not otherwise specified 16 12 $0.00