Is REVIDA RECOVERY CENTERS, PC flagged for Medicaid fraud?

REVIDA RECOVERY CENTERS, PC (NPI: 1013483486) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does REVIDA RECOVERY CENTERS, PC bill Medicaid?

REVIDA RECOVERY CENTERS, PC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Family Medicine, Addiction Medicine provider. Located in ABINGDON, VA.

What is NPI 1013483486?

NPI 1013483486 is the National Provider Identifier for REVIDA RECOVERY CENTERS, PC. They are a Family Medicine, Addiction Medicine provider based in ABINGDON, VA. This NPI is registered with the CMS NPI Registry.

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REVIDA RECOVERY CENTERS, PC

Family Medicine, Addiction Medicine·ABINGDON, VA·NPI: 1013483486Share

Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$40.5M

$40,533,296

Total Claims

426K

Beneficiaries

284K

1.5 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018

$164K

+2271%

2019

$3.9M

+47%

2020

$5.7M

+24%

2021

$7.0M

+12%

2022

$7.9M

+6%

2023

$8.4M

-11%

2024

$7.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (G9012 (Other specified case management service, per 15 minutes)) accounts for 29% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

G9012Other specified case management service, per 15 minutesSee all providers →

$11.8M

57K claims

$205.77

$137.85

1.5×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$11.8M

57K claims · 29.1%

Your Cost: $205.77/claim|Median: $137.85

1.5× median

H0033Oral medication administration, direct observationSee all providers →

$8.1M

57K claims

$142.22

$31.37

4.5×

Top 25%

H0033Top 25%

Oral medication administration, direct observation

$8.1M

57K claims · 20.0%

Your Cost: $142.22/claim|Median: $31.37

4.5× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$7.7M

127K claims

$60.61

$53.41

1.1×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$7.7M

127K claims · 19.0%

Your Cost: $60.61/claim|Median: $53.41

1.1× median

H0016Alcohol or drug abuse services, prenatalSee all providers →

$5.6M

28K claims

$196.89

$182.66

1.1×

Normal range

H0016Normal range

Alcohol or drug abuse services, prenatal

$5.6M

28K claims · 13.7%

Your Cost: $196.89/claim|Median: $182.66

1.1× median

H0047Alcohol and/or drug abuse, not otherwise specifiedSee all providers →

$2.2M

13K claims

$169.00

$81.37

2.1×

Normal range

H0047Normal range

Alcohol and/or drug abuse, not otherwise specified

$2.2M

13K claims · 5.4%

Your Cost: $169.00/claim|Median: $81.37

2.1× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$2.1M

51K claims

$41.19

$74.63

0.6×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.1M

51K claims · 5.1%

Your Cost: $41.19/claim|Median: $74.63

0.6× median

H0014 See all providers →

$1.5M

7,914 claims

$193.25

$137.81

1.4×

Normal range

H0014Normal range

$1.5M

7,914 claims · 3.8%

Your Cost: $193.25/claim|Median: $137.81

1.4× median

H2010Comprehensive medication services, per 15 minSee all providers →

$608K

5,760 claims

$105.60

$62.69

1.7×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$608K

5,760 claims · 1.5%

Your Cost: $105.60/claim|Median: $62.69

1.7× median

G0480Drug test, definitive, 1-7 drug classesSee all providers →

$272K

5,324 claims

$51.18

$37.56

1.4×

Normal range

G0480Normal range

Drug test, definitive, 1-7 drug classes

$272K

5,324 claims · 0.7%

Your Cost: $51.18/claim|Median: $37.56

1.4× median

80305 See all providers →

$197K

38K claims

$5.12

$7.44

0.7×

Normal range

80305Normal range

$197K

38K claims · 0.5%

Your Cost: $5.12/claim|Median: $7.44

0.7× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$166K

18K claims

$9.21

$37.81

0.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$166K

18K claims · 0.4%

Your Cost: $9.21/claim|Median: $37.81

0.2× median

G0481Drug test, definitive, 8-14 drug classesSee all providers →

$111K

1,802 claims

$61.43

$64.72

0.9×

Normal range

G0481Normal range

Drug test, definitive, 8-14 drug classes

$111K

1,802 claims · 0.3%

Your Cost: $61.43/claim|Median: $64.72

0.9× median

90832Psychotherapy, 30 minutesSee all providers →

$68K

4,678 claims

$14.52

$41.28

0.4×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$68K

4,678 claims · 0.2%

Your Cost: $14.52/claim|Median: $41.28

0.4× median

H0049 See all providers →

$51K

2,714 claims

$18.83

$9.27

2.0×

Normal range

H0049Normal range

$51K

2,714 claims · 0.1%

Your Cost: $18.83/claim|Median: $9.27

2.0× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$48K

1,968 claims

$24.17

$47.35

0.5×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$48K

1,968 claims · 0.1%

Your Cost: $24.17/claim|Median: $47.35

0.5× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$42K

553 claims

$76.29

$84.03

0.9×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$42K

553 claims · 0.1%

Your Cost: $76.29/claim|Median: $84.03

0.9× median

G2087 See all providers →

$20K

3,030 claims

$6.74

$48.10

0.1×

Normal range

G2087Normal range

$20K

3,030 claims · 0.1%

Your Cost: $6.74/claim|Median: $48.10

0.1× median

90834Psychotherapy, 45 minutesSee all providers →

$10K

665 claims

$15.37

$63.65

0.2×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$10K

665 claims · 0.0%

Your Cost: $15.37/claim|Median: $63.65

0.2× median

90853Group psychotherapySee all providers →

$6K

705 claims

$9.01

$25.02

0.4×

Normal range

90853Normal range

Group psychotherapy

$6K

705 claims · 0.0%

Your Cost: $9.01/claim|Median: $25.02

0.4× median

99212Office/outpatient visit, low complexitySee all providers →

$4K

1,487 claims

$2.74

$25.06

0.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$4K

1,487 claims · 0.0%

Your Cost: $2.74/claim|Median: $25.06

0.1× median

99215Office/outpatient visit, high complexitySee all providers →

$3K

30 claims

$116.53

$74.09

1.6×

Top 25%

99215Top 25%

Office/outpatient visit, high complexity

$3K

30 claims · 0.0%

Your Cost: $116.53/claim|Median: $74.09

1.6× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$387

256 claims

$1.51

$57.85

0.0×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$387

256 claims · 0.0%

Your Cost: $1.51/claim|Median: $57.85

0.0× median

90837Psychotherapy, 60 minutesSee all providers →

$114

19 claims

$6.02

$85.66

0.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$114

19 claims · 0.0%

Your Cost: $6.02/claim|Median: $85.66

0.1× median

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