Agency
Rappahannock Area Community Services Board
Rappahannock Area Community Services Board was paid $142.55M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is H2022, Community-based wrap-around services, per diem — 27% of everything it billed.
33Billing provider infoRAPPAHANNOCK AREA COMMUNITY SERVICES BOARD
FREDERICKSBURG, VA 22401
FREDERICKSBURG, VA 22401
33aNPI1790742153assigned 04/28/2006
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$142.55M
24GClaims613,025
24DCodes billed43
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#1 of 110
Median peer was paid$2.16M
This provider vs. median66×
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 | 95,497 | $17.55M | |
| 2019 | 98,629 | $18.52M | |
| 2020 | 87,497 | $18.15M | |
| 2021 | 86,012 | $19.34M | |
| 2022 | 84,897 | $22.14M | |
| 2023 | 84,684 | $23.95M | |
| 2024incomplete | 75,809 | $22.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2022 | Community-based wrap-around services, per diem | 27% | 117,096 | 4,112 | $38.26M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 12% | 48,155 | 48,104 | $16.70M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 10% | 48,318 | 1,617 | $14.40M |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 9.5% | 9,896 | 8,642 | $13.52M |
| H0043 | Supported housing, per diem | 9.1% | 47,950 | 1,689 | $13.02M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 4.8% | 8,532 | 7,666 | $6.90M |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 4.5% | 19,646 | 19,317 | $6.47M |
| H0046 | Mental health services, not otherwise specified | 2.9% | 9,668 | 2,043 | $4.20M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 2.5% | 68,181 | 5,054 | $3.54M |
| H0040 | Assertive community treatment program, per diem | 2.5% | 16,673 | 1,370 | $3.50M |
| T2023 | Targeted case management; per month | 2.3% | 10,566 | 10,555 | $3.34M |
| T2022 | Case management, per month | 1.7% | 17,476 | 17,053 | $2.35M |
31 more codes
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 1.5% | 5,429 | $2.18M |
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 47,129 | $2.03M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 1.2% | 1,816 | $1.74M |
| 90834 | Psychotherapy session, about 45 minutes | 1.0% | 23,147 | $1.49M |
| H2018 | Psychosocial rehabilitation services, per diem | <1% | 1,858 | $1.25M |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 2,823 | $1.18M |
| 90837 | Psychotherapy session, about an hour | <1% | 11,387 | $1.16M |
| H0036 | Community psychiatric support and treatment, per 15 minutes | <1% | 4,108 | $790K |
| T1005 | Respite care services, up to 15 minutes | <1% | 2,219 | $761K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 6,003 | $669K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 7,524 | $500K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 4,065 | $420K |
| T2003 | Non-emergency transportation, per trip | <1% | 32,005 | $289K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 5,488 | $282K |
| H0006 | Alcohol and/or drug services; case management | <1% | 1,251 | $241K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,812 | $218K |
| G0153 | Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes | <1% | 1,388 | $181K |
| 90889 | <1% | 979 | $175K | |
| A0130 | Non-emergency transportation: wheelchair van | <1% | 13,683 | $169K |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 539 | $139K |
| 99490 | Ccm add 20min | <1% | 2,569 | $136K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 5,463 | $98K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | <1% | 664 | $85K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | <1% | 560 | $76K |
| Q3014 | Telehealth originating site facility fee | <1% | 2,649 | $34K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 3,316 | $23K |
| H0032 | Mental health service plan development by non-physician | <1% | 327 | $18K |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter | <1% | 244 | $18K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 192 | $17K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 14 | $1K |
| 99058 | <1% | 217 | $397.41 |
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 officialWICKENS, JOE (EXECUTIVE DIRECTOR)