Virginia's 15,631 Medicaid providers billed $29.49B between 2018 and 2024. The most-billed code is T1019, accounting for $4.18B in payments. Richmond is the largest Medicaid billing hub in the state. 18 providers in VA appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $4.18B |
| H2022 | Community-based wrap-around services, per diem | $2.09B |
| H0046 | Mental health services, not otherwise specified | $1.42B |
RICHMOND ($3.57B) NORFOLK ($1.59B) VIRGINIA BEACH ($1.04B) ROANOKE ($1.03B) CHARLOTTESVILLE ($1.02B) NEWPORT NEWS ($910.41M) FAIRFAX ($860.38M) LYNCHBURG ($815.03M) FALLS CHURCH ($801.80M) WOODBRIDGE ($800.78M) ALEXANDRIA ($746.59M) CHESAPEAKE ($683.50M) FREDERICKSBURG ($643.59M) PORTSMOUTH ($600.04M) HAMPTON ($597.40M) NORTH CHESTERFIELD ($569.74M) FLOYD ($532.54M) DANVILLE ($528.67M) WINCHESTER ($453.80M) GLEN ALLEN ($446.14M) MANASSAS ($426.67M) ANNANDALE ($396.59M) SUFFOLK ($371.71M) SPRINGFIELD ($330.77M) PETERSBURG ($327.61M) GALAX ($320.02M) MARTINSVILLE ($317.89M) VIENNA ($317.75M) ARLINGTON ($312.46M) CHESTERFIELD ($296.86M) ABINGDON ($295.98M) HENRICO ($280.06M) WYTHEVILLE ($267.90M) CHANTILLY ($236.79M) CENTREVILLE ($222.63M) BLACKSBURG ($222.23M) MIDLOTHIAN ($205.07M) SALEM ($204.17M) DUMFRIES ($196.27M) FOREST ($192.64M) LEESBURG ($187.47M) HARRISONBURG ($174.65M) WILLIAMSBURG ($163.95M) STAFFORD ($158.52M) MECHANICSVILLE ($152.38M) CHESTER ($149.86M) FARMVILLE ($149.25M) STERLING ($147.57M) HOPEWELL ($133.45M) FRONT ROYAL ($128.27M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | HARTWOOD FOUNDATION, INC. | $52.43M | single-code billing |
| 2 | CENTRAL FAIRFAX SERVICES INC | $35.11M | single-code billing |
| 3 | FIDURA & ASSOCIATES, INC | $29.93M | single-code billing |
| 4 | A&C ALTERNATIVE CARE SUPPORT INC | $27.24M | single-code billing |
| 5 | VOLUNTEERS OF AMERICA CHESAPEAKE, INC. | $25.63M | single-code billing |
| 6 | COMMUNITY DIRECT SERVICES, INC. | $23.84M | single-code billing |
| 7 | J & D RESIDENTIAL SERVICES, INC. | $23.01M | single-code billing |
| 8 | FIVE STAR LIVING, LLC | $21.36M | single-code billing |
| 9 | HEART HAVENS INC | $19.42M | single-code billing |
| 10 | HEAVENLY HELPERS IN-HOME SERVICES | $15.34M | single-code billing |
| 11 | BEYOND EXCELLENCE, LLC | $14.95M | single-code billing |
| 12 | CLEARR VISSION SUPPORT SERVICES, INC | $14.89M | single-code billing |
| 13 | BLESSED SUPPORT PROFESSIONALS, INC | $14.85M | single-code billing |
| 14 | ANGELIC PLACE LLC | $14.73M | single-code billing |
| 15 | JEROLIN MANAGEMENT SERVICES, LLC | $14.13M | single-code billing |
| 16 | UNITED & EMPOWERED CARE, INC | $13.82M | single-code billing |
| 17 | NOVA FAMILY SERVICES, INC. | $13.48M | single-code billing |
| 18 | ABBY & ANTONIO INC. | $13.18M | single-code billing |
| 19 | REYNA HOME CARE | $12.65M | single-code billing |
| 20 | KEY SUPPORT SERVICES, LLC | $11.93M | single-code billing |
| 21 | PROGRESSIVE SERVICES OF VIRGINIA LLC | $11.46M | single-code billing |
| 22 | PROVIDENT ARC LLC | $11.24M | single-code billing |
| 23 | ASSURED DEVELOPMENT SERVICES LLC. | $11.18M | single-code billing |
| 24 | TRUCARE HOMES, LLC | $10.65M | single-code billing |
| 25 | C.J. DESIGNS, INC. | $10.62M | single-code billing |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | RICHMOND | 8,471,931 | $658.49M |
| 2 | RECTOR & VISITORS OF THE UNIVERSITY OF VIRGINIA | CHARLOTTESVILLE | 7,181,828 | $500.55M |
| 3 | WALL RESIDENCES, LLC | FLOYD | 89,469 | $481.64M |
| 4 | HOME CARE DELIVERED, INC. | RICHMOND | 5,888,511 | $309.52M |
| 5 | CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC | NORFOLK | 3,749,193 | $288.16M |
| 6 | MOUNT ROGERS COMMUNITY SERVICES | WYTHEVILLE | 1,050,852 | $210.43M |
| 7 | LUTHERAN FAMILY SERVICES OF VIRGINIA, INC. | LYNCHBURG | 32,409 | $194.34M |
| 8 | NEW RIVER VALLEY COMMUNITY SERVICES | BLACKSBURG | 930,786 | $193.80M |
| 9 | INOVA HEALTH CARE SERVICES | FALLS CHURCH | 2,860,436 | $176.68M |
| 10 | COMMUNITY ALTERNATIVES VIRGINIA, INC. | FOREST | 22,926 | $172.73M |
| 11 | FISHING POINT HEALTH CARE LLC | PORTSMOUTH | 139,427 | $169.84M |
| 12 | GALAX TREATMENT CENTER, LLC | GALAX | 371,048 | $164.22M |
| 13 | CAREPEOPLE HOME HEALTH, INC | CENTREVILLE | 1,129,821 | $163.11M |
| 14 | AGAPE HEALTH MANAGEMENT INC | ALEXANDRIA | 1,003,220 | $158.46M |
| 15 | RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD | FREDERICKSBURG | 613,025 | $142.55M |
| 16 | HORIZON BEHAVIORAL HEALTH | LYNCHBURG | 725,946 | $138.04M |
| 17 | RIVERSIDE HOSPITAL INC | NEWPORT NEWS | 3,118,184 | $136.80M |
| 18 | RICHMOND BEHAVIORAL HEALTH AUTHORITY | RICHMOND | 988,214 | $129.19M |
| 19 | CARILION MEDICAL CENTER | ROANOKE | 2,897,971 | $124.86M |
| 20 | HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD | HAMPTON | 898,172 | $123.75M |
| 21 | REGION TEN COMMUNITY COMMUNITY SERVICES BOARD | CHARLOTTESVILLE | 657,202 | $116.82M |
| 22 | COUNTY OF CHESTERFIELD VIRGINIA | CHESTERFIELD | 345,424 | $110.94M |
| 23 | HIGHLANDS COMMUNITY SERVICES | ABINGDON | 686,128 | $106.56M |
| 24 | CHIPPENHAM & JOHNSTON-WILLIS HOSPITALS INC | RICHMOND | 2,512,798 | $103.74M |
| 25 | CUMBERLAND MOUNTAIN COMMUNITY SERVICES | CEDAR BLUFF | 499,819 | $100.42M |
| 26 | MCV ASSOCIATED PHYSICIANS | RICHMOND | 2,608,484 | $99.16M |
| 27 | PIEDMONT REGIONAL COMMUNITY SERVICES BOARD | MARTINSVILLE | 442,902 | $93.85M |
| 28 | FAMILY INSIGHT, PC | ROANOKE | 603,596 | $93.47M |
| 29 | FRIENDS HEALTH CARE TEAM, INC. | ANNANDALE | 571,625 | $92.72M |
| 30 | GRAFTON SCHOOL, INC. | WINCHESTER | 264,707 | $91.88M |
| 31 | SENTARA HOSPITALS | NORFOLK | 4,190,266 | $88.20M |
| 32 | CHILDRENS SPECIALTY GROUP PLLC | NORFOLK | 999,166 | $87.76M |
| 33 | AMERICAN CARE PARTNERS AT HOME INC | FALLS CHURCH | 211,601 | $87.43M |
| 34 | DEPAUL COMMUNITY RESOURCES | ROANOKE | 25,489 | $86.61M |
| 35 | EMERGENCY MEDICINE ASSOCIATES P.A., P.C. | FALLS CHURCH | 1,784,191 | $85.87M |
| 36 | TREMONT ROAD DENTAL, PC | NEWPORT NEWS | 2,092,000 | $85.04M |
| 37 | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP | CHARLOTTESVILLE | 2,042,126 | $84.85M |
| 38 | WESTERN TIDEWATER COMMUNITY MENTAL | SUFFOLK | 484,777 | $84.35M |
| 39 | BON SECOURS ST. MARY'S HOSPITAL OF RICHMOND LLC | RICHMOND | 2,107,366 | $83.03M |
| 40 | MPS HEALTHCARE INC | VIENNA | 223,853 | $81.32M |
| 41 | PRIVIA MEDICAL GROUP, LLC | ARLINGTON | 3,633,309 | $81.26M |
| 42 | MARY WASHINGTON HOSPITAL INC. | FREDERICKSBURG | 2,016,585 | $80.25M |
| 43 | NATIONAL CAPITAL TREATMENT AND RECOVERY | ARLINGTON | 218,544 | $80.22M |
| 44 | SENTARA HOSPITALS | NORFOLK | 2,277,166 | $79.69M |
| 45 | CENTRA HEALTH INC | LYNCHBURG | 2,251,014 | $78.57M |
| 46 | SENTARA HOSPITALS | HAMPTON | 1,978,987 | $78.52M |
| 47 | HOPE HOUSE FOUNDATION | NORFOLK | 21,014 | $77.86M |
| 48 | SUPPORT SERVICES OF VIRGINIA, INC. | VIRGINIA BEACH | 72,189 | $76.16M |
| 49 | BLUE RIDGE BEHAVIORAL HEALTHCARE | ROANOKE | 324,341 | $75.66M |
| 50 | UPPER MATTAPONI INDIAN TRIBE | AYLETT | 68,393 | $75.61M |
| 51 | PATIENT FIRST RICHMOND MEDICAL GROUP PLLC | GLEN ALLEN | 2,150,549 | $75.22M |
| 52 | COMMUNITY SYSTEMS, INC. | SPRINGFIELD | 10,379 | $75.07M |
| 53 | MARYVIEW HOSPITAL LLC | PORTSMOUTH | 2,201,382 | $75.03M |
| 54 | CROSSROADS SERVICES BOARD | FARMVILLE | 322,245 | $74.28M |
| 55 | SERENITY C & C INC. | HAMPTON | 61,037 | $74.18M |
| 56 | CARILION MEDICAL CENTER | ROANOKE | 1,703,973 | $73.43M |
| 57 | MAXIM HEALTHCARE SERVICES, INC. | GLEN ALLEN | 177,067 | $72.71M |
| 58 | WASHINGTON HOME CARE INC | ALEXANDRIA | 374,089 | $70.07M |
| 59 | WINCHESTER MEDICAL CENTER | WINCHESTER | 1,435,792 | $69.83M |
| 60 | INOVA HEALTH CARE SERVICES | ALEXANDRIA | 1,306,260 | $69.02M |
| 61 | MIDDLE PENINSULA NORTHERN NECK MENTAL HEALTH & RETARDATION | GLOUCESTER | 337,376 | $67.96M |
| 62 | FAIRFAX COUNTY, VIRGINIA | FAIRFAX | 388,912 | $67.63M |
| 63 | DANVILLE REGIONAL MEDICAL CENTER, LLC | DANVILLE | 2,330,689 | $65.11M |
| 64 | HENRICO AREA MENTAL HEATLH AND DEVELOPMENTAL SERVICES | GLEN ALLEN | 240,497 | $64.74M |
| 65 | HCA HEALTH SERVICES OF VIRGINIA INC | RICHMOND | 1,439,968 | $64.62M |
| 66 | COMMUNITY CONCEPTS, INC. | DUMFRIES | 32,018 | $63.60M |
| 67 | TREMONT ROAD DENTAL SUPER, P.C. | NORFOLK | 1,449,506 | $63.58M |
| 68 | AUGUSTA HEALTH CARE, INC | FISHERSVILLE | 1,638,072 | $63.57M |
| 69 | COMPASS YOUTH SERVICES | CHARLOTTESVILLE | 222,288 | $63.45M |
| 70 | HOPE IN HOME CARE LLC | NEWPORT NEWS | 547,048 | $63.44M |
| 71 | INSIGHT, INC. | WOODBRIDGE | 7,097 | $60.72M |
| 72 | CENTRA MEDICAL GROUP, LLC | LYNCHBURG | 1,340,904 | $60.16M |
| 73 | POTOMAC HOSPITAL CORPORATION OF PRINCE WILLIAM | WOODBRIDGE | 1,446,887 | $59.17M |
| 74 | VALLEY COMMUNITY SERVICES BOARD | STAUNTON | 390,461 | $59.14M |
| 75 | FAMILY PRESERVATION SERVICES LLC | ROANOKE | 615,375 | $58.77M |
| 76 | COMMUNITY ALTERNATIVES VIRGINIA, INC. | CHRISTIANSBURG | 32,121 | $58.59M |
| 77 | SENTARA HOSPITALS | SUFFOLK | 1,659,461 | $57.85M |
| 78 | BON SECOURS-RICHMOND COMMUNITY HOSPITAL LLC | RICHMOND | 1,182,682 | $57.21M |
| 79 | CARE ADVANTAGE, INC | NORTH CHESTERFIELD | 420,221 | $56.95M |
| 80 | RICHMOND RESIDENTIAL SERVICES, INC | RICHMOND | 7,139 | $56.61M |
| 81 | FAIRFAX COUNTY, VIRGINIA | FAIRFAX | 169,104 | $55.65M |
| 82 | COMPASS COUNSELING SERVICES OF NORTHERN VIRGINIA | FREDERICKSBURG | 231,404 | $54.45M |
| 83 | YOUNGS HEALTHCARE INC. | ANNANDALE | 291,356 | $54.02M |
| 84 | UVA CULPEPER MEDICAL CENTER | CULPEPER | 1,045,825 | $53.94M |
| 85 | NORTHWESTERN COMMUNITY SERVICES BOARD | FRONT ROYAL | 309,634 | $53.49M |
| 86 | RAPPAHANNOCK-RAPIDAN COMMUNITY SERVICES BOARD | WARRENTON | 201,951 | $53.36M |
| 87 | SENTARA RMH MEDICAL CENTER | HARRISONBURG | 1,544,385 | $52.95M |
| 88 | HARTWOOD FOUNDATION, INC. | SPRINGFIELD | 6,001 | $52.43M |
| 89 | SENTARA HOSPITALS | VIRGINIA BEACH | 1,393,125 | $52.40M |
| 90 | LEWIS-GALE MEDICAL CENTER, LLC | SALEM | 1,288,362 | $51.85M |
| 91 | SUNRISE COMMUNITY OF VIRGINIA, INC. | FAIRFAX | 7,419 | $51.25M |
| 92 | ATA&ANA LLC | VIENNA | 282,749 | $50.57M |
| 93 | MEDEXPRESS URGENT CARE, PC - VIRGINIA | BLUEFIELD | 1,270,935 | $50.52M |
| 94 | DOMINION WAIVER SERVICES | RICHMOND | 116,498 | $49.20M |
| 95 | COLUMBIA/HCA JOHN RANDOLPH, INC. | HOPEWELL | 1,142,966 | $49.09M |
| 96 | BON SECOURS MERCY HEALTH PETERSBURG LLC | PETERSBURG | 1,219,036 | $48.78M |
| 97 | SENTARA MEDICAL GROUP | NORFOLK | 1,480,718 | $48.77M |
| 98 | LOVE THY NEIGHBOR, LLC | CHESAPEAKE | 411,652 | $48.22M |
| 99 | EMERGENCY PHYSICIANS OF TIDEWATER | NORFOLK | 866,380 | $47.85M |
| 100 | PREMIUM CARE USA, LLC | FAIRFAX | 281,322 | $47.82M |