Physician
Credence Behavioral Health PLLC
Credence Behavioral Health PLLC was paid $63K by Medicaid between Jul 2023 and Nov 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.
33Billing provider infoCREDENCE BEHAVIORAL HEALTH PLLC
LYNCHBURG, VA 24502
LYNCHBURG, VA 24502
33aNPI1912692096assigned 04/06/2023
33bProvider typeAddiction Medicine (Psychiatry & Neurology) Physician
28Total paid$63K
24GClaims1,842
24DCodes billed5
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers
Next to other Addiction Medicine (Psychiatry & Neurology) Physician providers in Virginia
Rank by total paid#4 of 6
Median peer was paid$63K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2023 | 751 | $13K | |
| 2024incomplete | 1,091 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 87% | 845 | 580 | $55K |
| 80305 | 9.6% | 645 | 460 | $6K | |
| 99406 | 2.3% | 259 | 162 | $1K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 18 | 12 | $365.01 |
| 96127 | <1% | 75 | 45 | $79.31 |
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 officialDHAT, SANKET (CEO AND FOUNDER)