Is IMPACT MENTAL HEALTH SERVICES LLC flagged for Medicaid fraud?

IMPACT MENTAL HEALTH SERVICES LLC (NPI: 1477963056) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does IMPACT MENTAL HEALTH SERVICES LLC bill Medicaid?

IMPACT MENTAL HEALTH SERVICES LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in PORTSMOUTH, VA.

What is NPI 1477963056?

NPI 1477963056 is the National Provider Identifier for IMPACT MENTAL HEALTH SERVICES LLC. They are a Community/Behavioral Health provider based in PORTSMOUTH, VA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

IMPACT MENTAL HEALTH SERVICES LLC

Community/Behavioral Health·PORTSMOUTH, VA·NPI: 1477963056Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.5M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$36.5M

$36,520,842

Total Claims

131K

Beneficiaries

23K

5.8 claims/patient

Avg Cost/Claim

$278

Monthly Spending Trend

Yearly Spending

2018

$6.0M

-3%

2019

$5.8M

-11%

2020

$5.2M

-2%

2021

$5.1M

-13%

2022

$4.4M

+15%

2023

$5.1M

-4%

2024

$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H0046 (Mental health services, not otherwise specified)) accounts for 62% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0046Mental health services, not otherwise specifiedSee all providers →

$22.8M

68K claims

$337.03

$85.02

4.0×

Top 10%

H0046Top 10%

Mental health services, not otherwise specified

$22.8M

68K claims · 62.4%

Your Cost: $337.03/claim|Median: $85.02

4.0× median

H2012Behavioral health day treatment, per hourSee all providers →

$5.0M

13K claims

$388.31

$137.86

2.8×

Top 10%

H2012Top 10%

Behavioral health day treatment, per hour

$5.0M

13K claims · 13.7%

Your Cost: $388.31/claim|Median: $137.86

2.8× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$4.4M

19K claims

$231.35

$129.75

1.8×

Top 10%

H0015Top 10%

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

$4.4M

19K claims · 12.1%

Your Cost: $231.35/claim|Median: $129.75

1.8× median

T1012Alcohol/drug services, skills developmentSee all providers →

$2.7M

28K claims

$96.80

$40.78

2.4×

Top 25%

T1012Top 25%

Alcohol/drug services, skills development

$2.7M

28K claims · 7.3%

Your Cost: $96.80/claim|Median: $40.78

2.4× median

S9482Family stabilization services, per 15 minutesSee all providers →

$1.2M

1,461 claims

$841.23

$625.59

1.3×

Normal range

S9482Normal range

Family stabilization services, per 15 minutes

$1.2M

1,461 claims · 3.4%

Your Cost: $841.23/claim|Median: $625.59

1.3× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$159K

187 claims

$852.22

$84.12

10.1×

Top 5%

H2019Top 5%

Therapeutic behavioral services, per 15 min

$159K

187 claims · 0.4%

Your Cost: $852.22/claim|Median: $84.12

10.1× median

H0032Mental health service plan developmentSee all providers →

$124K

1,408 claims

$88.34

$80.64

1.1×

Normal range

H0032Normal range

Mental health service plan development

$124K

1,408 claims · 0.3%

Your Cost: $88.34/claim|Median: $80.64

1.1× median

H0006Alcohol and/or drug services, case managementSee all providers →

$52K

268 claims

$194.79

$43.10

4.5×

Top 5%

H0006Top 5%

Alcohol and/or drug services, case management

$52K

268 claims · 0.1%

Your Cost: $194.79/claim|Median: $43.10

4.5× median

90791Psychiatric diagnostic evaluationSee all providers →

$39K

358 claims

$108.61

$99.21

1.1×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$39K

358 claims · 0.1%

Your Cost: $108.61/claim|Median: $99.21

1.1× median

90837Psychotherapy, 60 minutesSee all providers →

$22K

367 claims

$59.48

$85.66

0.7×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$22K

367 claims · 0.1%

Your Cost: $59.48/claim|Median: $85.66

0.7× median

H0031Mental health assessment by non-physicianSee all providers →

$5K

82 claims

$54.88

$96.18

0.6×

Normal range

H0031Normal range

Mental health assessment by non-physician

$5K

82 claims · 0.0%

Your Cost: $54.88/claim|Median: $96.18

0.6× median

Other Top Providers in Virginia

View all →

Virginia Commonwealth University Health System Authority

General Acute Care Hospital

$658.5M

Rector & Visitors of the University of Virginia

General Acute Care Hospital

$500.5M

Wall Residences LLC

Community Based Residential Treatment Facility In

$481.6M

Home Care Delivered, Inc.

Durable Medical Equipment & Medical Supplies

$309.5M

Childrens Hospital of the Kings Daughters INC

Social Worker, Clinical

$288.2M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providers All providers in Virginia →How we detect fraud →