Agency
Horizon Behavioral Health
Horizon Behavioral Health was paid $138.04M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is H0023, Behavioral health outreach service (planned approach to reach a targeted population) — 46% of everything it billed.
33Billing provider infoHORIZON BEHAVIORAL HEALTH
LYNCHBURG, VA 24501
LYNCHBURG, VA 24501
33aNPI1871542340assigned 05/10/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$138.04M
24GClaims725,946
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in Virginia
Rank by total paid#1 of 565
Median peer was paid$1.46M
This provider vs. median94×
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 | 144,024 | $22.90M | |
| 2019 | 132,123 | $21.42M | |
| 2020 | 105,228 | $18.90M | |
| 2021 | 94,899 | $18.41M | |
| 2022 | 81,821 | $18.29M | |
| 2023 | 88,227 | $19.66M | |
| 2024incomplete | 79,624 | $18.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 46% | 190,793 | 185,219 | $63.70M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 13% | 53,225 | 52,256 | $17.87M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 9.0% | 114,144 | 56,336 | $12.45M |
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | 6.0% | 84,785 | 6,366 | $8.32M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 3.2% | 13,416 | 1,976 | $4.39M |
| H0040 | Assertive community treatment program, per diem | 2.8% | 18,832 | 2,399 | $3.90M |
| 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 | 2.5% | 14,487 | 2,692 | $3.42M |
| H2011 | Crisis intervention service, per 15 minutes | 2.4% | 5,036 | 3,511 | $3.34M |
| 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 | 2.4% | 51,658 | 45,835 | $3.34M |
| H0039 | Assertive community treatment, face-to-face, per 15 minutes | 1.8% | 6,499 | 2,384 | $2.55M |
| T2023 | Targeted case management; per month | 1.6% | 7,515 | 7,392 | $2.16M |
| H0036 | Community psychiatric support and treatment, per 15 minutesCommunity psychiatric supportive treatment, face-to-face, per 15 minutes | 1.5% | 9,103 | 6,216 | $2.06M |
32 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.4% | 15,198 | $1.90M |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 40,353 | $1.63M |
| 99215 | Doctor's office visit, returning patient (complex) | 1.2% | 15,970 | $1.59M |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 14,724 | $1.15M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 20,572 | $1.03M |
| H2033 | Multisystemic therapy for juveniles, per 15 minutes | <1% | 3,237 | $719K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 11,582 | $684K |
| H0006 | Alcohol and/or drug services; case management | <1% | 2,815 | $630K |
| H2034 | Alcohol and/or drug abuse halfway house services, per diem | <1% | 1,658 | $280K |
| S9482 | Family stabilization services, per 15 minutes | <1% | 407 | $215K |
| H0046 | Mental health services, not otherwise specified | <1% | 1,292 | $113K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12,112 | $105K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 2,008 | $91K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,349 | $91K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 296 | $61K |
| H0032 | Mental health service plan development by non-physician | <1% | 1,131 | $56K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,869 | $48K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 311 | $27K |
| 80306 | <1% | 1,945 | $24K | |
| 99354 | <1% | 307 | $21K | |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 14 | $14K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 40 | $12K |
| 96101 | <1% | 65 | $12K | |
| 96131 | <1% | 117 | $10K | |
| 96130 | <1% | 135 | $10K | |
| 99417 | Prolong home eval add 15m | <1% | 229 | $8K |
| 96137 | <1% | 57 | $7K | |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 352 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,236 | $2K |
| 96136 | <1% | 26 | $913.53 | |
| Q3014 | Telehealth originating site facility fee | <1% | 34 | $680.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $415.32 |
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 officialLUCY, MELISSA (CEO / EXECUTIVE DIRECTOR)