Lutheran Family Services of Virginia Inc.
Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities
Lynchburg, Virginia
NPI: 1104986017
Risk Tier
High
Total Paid
$194.3M
$194,342,716
Total Claims
32K
Beneficiaries
31K
Avg Cost/Claim
$5,996.57
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $8,070.26 per claim for T2033 (Residential care, NOS; per diem), which is 7.7× the national median of $1,051.57.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: T2033 at 7.7× median, H2022 at 26.6× median.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024