Helton House INC

Helton House INC was paid $2.32M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoHELTON HOUSE INC
RICE, VA 23966

33aNPI1992092597assigned 07/01/2011

33bProvider typeCommunity/Behavioral Health Agency

28Total paid$2.32M

24GClaims33,175

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Community/Behavioral Health Agency providers in Virginia

Rank by total paid#231 of 565

Median peer was paid$1.46M

This provider vs. median1.6×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code H2017 with only 2 total codes billed. Highly concentrated billing profile.

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	3,241	$161K
2019	1,078	$237K
2020	7,698	$355K
2021	6,844	$395K
2022	5,180	$377K
2023	4,635	$394K
2024incomplete	4,499	$398K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2017	Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes	99%	30,072	1,581	$2.28M
A0100	Non-emergency taxi ride to a medical appointmentNon-emergency transportation; taxi	1.5%	3,103	123	$34K

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 officialHELTON, EDWARD (OWNER/EXECUTIVE DIRECTOR)