Grafton School INC

Grafton School INC was paid $33.03M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 91% of everything it billed.

33Billing provider infoGRAFTON SCHOOL INC
WINCHESTER, VA 22601

33aNPI1932279072assigned 11/08/2006

33bProvider typeBehavioral Analyst

28Total paid$33.03M

24GClaims174,293

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Behavioral Analyst providers in Virginia

Rank by total paid#2 of 76

Median peer was paid$308K

This provider vs. median107×

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	34,563	$4.03M
2019	31,669	$4.91M
2020	38,971	$7.67M
2021	31,278	$7.10M
2022	17,157	$4.69M
2023	16,253	$4.38M
2024incomplete	4,402	$251K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0019	Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	91%	88,880	3,623	$30.16M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	4.7%	45,355	4,513	$1.55M
90847	Family psychotherapy with the patient present, 50 minutes	<1%	4,791	1,873	$258K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	6,260	2,805	$237K
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	<1%	3,576	2,617	$195K
97152		<1%	5,175	866	$167K
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	<1%	3,099	1,205	$139K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	7,244	1,858	$97K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	3,394	1,515	$91K
90846	Family psychotherapy without the patient present, 50 minutes	<1%	1,238	633	$63K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	3,165	1,130	$39K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	<1%	397	197	$16K

4 more codes

0360T		<1%	1,296	$11K
T2022	Case management, per month	<1%	181	$148.50
0361T		0%	222	$0.00
11001		0%	20	$0.00

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 officialLANE, VANESSA (DIRECTOR, CYCLE MNGT./ACCOUNTS RECE)

Same official

Other billing entities under LANE, VANESSA

Full network →

Provider	Location	Paid
Grafton School, INC.	Winchester, VA	$91.88M
Grafton School	Winchester, VA	$4.94M
Vanessa Lane Counseling LLC	Springfield, VT	$108K
Grafton School, INC.	Winchester, VA	$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.