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Richmond Behavioral Health Authority

Counselor·Richmond, VA·NPI: 1184715328Share

Compared to Counselor Peers

Total spending distribution among 9 providers in this specialty

P25MedianP75P90

This provider's total spending of $129.2M is at the 75th percentile among 9 Counselor providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$129.2M

$129,186,445

Total Claims

988K

Beneficiaries

393K

2.5 claims/patient

Avg Cost/Claim

$131

#900 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Richmond Behavioral Health Authority is a Counselor provider based in Richmond, VA. From the 2018–2024 period, this provider received $129.2M in Medicaid payments across 988K claims.

Why This Matters

This provider received $129.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,148 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 37% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$14.4M
+24%
2019
$17.8M
-8%
2020
$16.3M
+16%
2021
$18.9M
+9%
2022
$20.7M
+3%
2023
$21.4M
-8%
2024
$19.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 30% of total spending.

H0023Top 25%

Behavioral health outreach service, per 15 minutes

$39.0M

144K claims · 30.2%

Your Cost: $269.71/claim|Median: $53.97
5.0× median
T1017Top 5%

Targeted case management, per 15 min

$20.5M

62K claims · 15.9%

Your Cost: $329.55/claim|Median: $69.56
4.7× median
H0010Normal range

Alcohol and/or drug services, sub-acute detoxification, per diem

$15.2M

65K claims · 11.8%

Your Cost: $234.54/claim|Median: $369.55
0.6× median
H2016Normal range

Comprehensive community support services, per 15 min

$8.2M

85K claims · 6.3%

Your Cost: $96.87/claim|Median: $321.53
0.3× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$4.5M

89K claims · 3.5%

Your Cost: $51.11/claim|Median: $91.63
0.6× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$4.2M

29K claims · 3.2%

Your Cost: $141.99/claim|Median: $266.41
0.5× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$4.0M

47K claims · 3.1%

Your Cost: $86.28/claim|Median: $148.53
0.6× median
H0006Top 10%

Alcohol and/or drug services, case management

$3.7M

21K claims · 2.9%

Your Cost: $180.22/claim|Median: $43.10
4.2× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$3.6M

20K claims · 2.8%

Your Cost: $184.88/claim|Median: $84.12
2.2× median
H2018Top 25%

Psychosocial rehabilitation services, per diem

$2.6M

3,698 claims · 2.0%

Your Cost: $691.87/claim|Median: $392.63
1.8× median
T2022Normal range

Case management, per month

$2.5M

20K claims · 1.9%

Your Cost: $122.16/claim|Median: $202.77
0.6× median
H0039Top 25%

Assertive community treatment, per diem

$2.4M

6,618 claims · 1.8%

Your Cost: $357.48/claim|Median: $132.62
2.7× median
H0046Normal range

Mental health services, not otherwise specified

$2.4M

23K claims · 1.8%

Your Cost: $100.98/claim|Median: $85.02
1.2× median
99214Normal range

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

$2.0M

53K claims · 1.6%

Your Cost: $38.47/claim|Median: $53.41
0.7× median
H2034Normal range

Alcohol and/or drug abuse halfway house services, per hour

$2.0M

30K claims · 1.6%

Your Cost: $67.85/claim|Median: $164.03
0.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$2.0M

8,053 claims · 1.5%

Your Cost: $243.80/claim|Median: $215.80
1.1× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$1.5M

12K claims · 1.2%

Your Cost: $126.37/claim|Median: $129.75
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$1.4M

23K claims · 1.0%

Your Cost: $59.94/claim|Median: $99.21
0.6× median
H2036Normal range

Alcohol/drug treatment, per hour

$1.0M

4,294 claims · 0.8%

Your Cost: $238.32/claim|Median: $253.79
0.9× median
99213Normal range

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

$854K

50K claims · 0.7%

Your Cost: $17.12/claim|Median: $37.81
0.5× median
T2023Normal range

Community transition, waiver; per service

$833K

2,892 claims · 0.6%

Your Cost: $288.08/claim|Median: $300.13
1.0× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$694K

7,710 claims · 0.5%

Your Cost: $90.05/claim|Median: $76.05
1.2× median
90834Normal range

Psychotherapy, 45 minutes

$561K

21K claims · 0.4%

Your Cost: $27.10/claim|Median: $63.65
0.4× median
S9482Normal range

Family stabilization services, per 15 minutes

$404K

3,653 claims · 0.3%

Your Cost: $110.47/claim|Median: $625.59
0.2× median
90837Normal range

Psychotherapy, 60 minutes

$363K

6,383 claims · 0.3%

Your Cost: $56.81/claim|Median: $85.66
0.7× median
S0109Top 10%

$295K

5,897 claims · 0.2%

Your Cost: $50.01/claim|Median: $4.67
10.7× median
99490Top 10%

Chronic care management services, 20 minutes per month

$271K

7,386 claims · 0.2%

Your Cost: $36.66/claim|Median: $6.31
5.8× median
99409Normal range

$244K

15K claims · 0.2%

Your Cost: $16.56/claim|Median: $34.77
0.5× median
H0020Normal range

Alcohol/drug services; methadone administration

$238K

5,804 claims · 0.2%

Your Cost: $40.96/claim|Median: $18.95
2.2× median
99215Normal range

Office/outpatient visit, high complexity

$238K

7,010 claims · 0.2%

Your Cost: $33.89/claim|Median: $74.09
0.5× median

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