Medicaid Provider Spending

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

HORIZON BEHAVIORAL HEALTH

NPI: 1871542340 · LYNCHBURG, VA 24501 · Community/Behavioral Health Agency · NPI assigned 05/10/2006

$138.04M
Total Medicaid Paid
725,946
Total Claims
482,787
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLUCY, MELISSA (CEO / EXECUTIVE DIRECTOR)
NPI Enumeration Date05/10/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 79,624 $18.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0023 Behavioral health outreach service (planned approach to reach a targeted population) 190,793 185,219 $63.70M
T1017 Targeted case management, each 15 minutes 53,225 52,256 $17.87M
90837 Psychotherapy, 53 minutes with patient 114,144 56,336 $12.45M
H0035 Mental health partial hospitalization, treatment, less than 24 hours 84,785 6,366 $8.32M
H2019 Therapeutic behavioral services, per 15 minutes 13,416 1,976 $4.39M
H0040 Assertive community treatment program, per diem 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 14,487 2,692 $3.42M
H2011 Crisis intervention service, per 15 minutes 5,036 3,511 $3.34M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,658 45,835 $3.34M
H0039 Assertive community treatment, face-to-face, per 15 minutes 6,499 2,384 $2.55M
T2023 Targeted case management; per month 7,515 7,392 $2.16M
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 9,103 6,216 $2.06M
90791 Psychiatric diagnostic evaluation 15,198 14,495 $1.90M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 40,353 36,227 $1.63M
99215 Prolong outpt/office vis 15,970 14,071 $1.59M
90834 Psychotherapy, 45 minutes with patient 14,724 10,895 $1.15M
H2017 Psychosocial rehabilitation services, per 15 minutes 20,572 1,938 $1.03M
H2033 Multisystemic therapy for juveniles, per 15 minutes 3,237 450 $719K
90832 Psychotherapy, 30 minutes with patient 11,582 8,093 $684K
H0006 Alcohol and/or drug services; case management 2,815 2,577 $630K
H2034 Alcohol and/or drug abuse halfway house services, per diem 1,658 115 $280K
S9482 Family stabilization services, per 15 minutes 407 64 $215K
H0046 Mental health services, not otherwise specified 1,292 168 $113K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,112 9,864 $105K
H0004 Behavioral health counseling and therapy, per 15 minutes 2,008 957 $91K
90853 Group psychotherapy (other than of a multiple-family group) 4,349 2,052 $91K
G9012 Other specified case management service not elsewhere classified 296 264 $61K
H0032 Mental health service plan development by non-physician 1,131 976 $56K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,869 3,591 $48K
90847 Family psychotherapy with the patient present, 50 minutes 311 255 $27K
80306 1,945 1,251 $24K
99354 307 249 $21K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 14 14 $14K
T2024 Service assessment/plan of care development, waiver 40 40 $12K
96101 65 39 $12K
96131 117 90 $10K
96130 135 103 $10K
99417 Prolong home eval add 15m 229 221 $8K
96137 57 42 $7K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 352 24 $2K
36415 Collection of venous blood by venipuncture 1,236 1,008 $2K
96136 26 26 $913.53
Q3014 Telehealth originating site facility fee 34 34 $680.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $415.32