Is NATIONAL COUNSELING GROUP, INC flagged for Medicaid fraud?

NATIONAL COUNSELING GROUP, INC (NPI: 1710070545) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does NATIONAL COUNSELING GROUP, INC bill Medicaid?

NATIONAL COUNSELING GROUP, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Counselor, Mental Health provider. Located in RICHMOND, VA.

What is NPI 1710070545?

NPI 1710070545 is the National Provider Identifier for NATIONAL COUNSELING GROUP, INC. They are a Counselor, Mental Health provider based in RICHMOND, VA. This NPI is registered with the CMS NPI Registry.

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NATIONAL COUNSELING GROUP, INC

Counselor, Mental Health·RICHMOND, VA·NPI: 1710070545Share

Compared to Counselor, Mental Health Peers

Total spending distribution among 27 providers in this specialty

P25MedianP75P90

This provider's total spending of $32.2M is at the 75th percentile among 27 Counselor, Mental Health providers.

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

Total Paid

$32.2M

$32,186,957

Total Claims

218K

Beneficiaries

30K

7.2 claims/patient

Avg Cost/Claim

$148

Monthly Spending Trend

Yearly Spending

2018

$11.5M

-11%

2019

$10.2M

-65%

2020

$3.6M

-41%

2021

$2.1M

-24%

2022

$1.6M

+10%

2023

$1.7M

-11%

2024

$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (H0046 (Mental health services, not otherwise specified)) accounts for 53% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0046Mental health services, not otherwise specifiedSee all providers →

$17.2M

106K claims

$162.81

$85.02

1.9×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$17.2M

106K claims · 53.4%

Your Cost: $162.81/claim|Median: $85.02

1.9× median

H0035Mental health partial hospitalization, treatment, per hourSee all providers →

$5.2M

51K claims

$102.79

$148.53

0.7×

Normal range

H0035Normal range

Mental health partial hospitalization, treatment, per hour

$5.2M

51K claims · 16.3%

Your Cost: $102.79/claim|Median: $148.53

0.7× median

H2012Behavioral health day treatment, per hourSee all providers →

$4.8M

23K claims

$206.39

$137.86

1.5×

Top 25%

H2012Top 25%

Behavioral health day treatment, per hour

$4.8M

23K claims · 14.9%

Your Cost: $206.39/claim|Median: $137.86

1.5× median

90837Psychotherapy, 60 minutesSee all providers →

$1.9M

20K claims

$93.11

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$1.9M

20K claims · 5.8%

Your Cost: $93.11/claim|Median: $85.66

1.1× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$1.6M

1,333 claims

$1,228.88

$84.12

14.6×

Top 1%

H2019Top 1%

Therapeutic behavioral services, per 15 min

$1.6M

1,333 claims · 5.1%

Your Cost: $1,228.88/claim|Median: $84.12

14.6× median

H2016Comprehensive community support services, per 15 minSee all providers →

$979K

11K claims

$86.20

$321.53

0.3×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$979K

11K claims · 3.0%

Your Cost: $86.20/claim|Median: $321.53

0.3× median

90889 See all providers →

$174K

1,847 claims

$94.39

$56.63

1.7×

Normal range

90889Normal range

$174K

1,847 claims · 0.5%

Your Cost: $94.39/claim|Median: $56.63

1.7× median

H0032Mental health service plan developmentSee all providers →

$116K

1,838 claims

$63.35

$80.64

0.8×

Normal range

H0032Normal range

Mental health service plan development

$116K

1,838 claims · 0.4%

Your Cost: $63.35/claim|Median: $80.64

0.8× median

S9482Family stabilization services, per 15 minutesSee all providers →

$82K

206 claims

$397.21

$625.59

0.6×

Normal range

S9482Normal range

Family stabilization services, per 15 minutes

$82K

206 claims · 0.3%

Your Cost: $397.21/claim|Median: $625.59

0.6× median

H0031Mental health assessment by non-physicianSee all providers →

$38K

620 claims

$61.53

$96.18

0.6×

Normal range

H0031Normal range

Mental health assessment by non-physician

$38K

620 claims · 0.1%

Your Cost: $61.53/claim|Median: $96.18

0.6× median

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

$26K

445 claims

$58.16

$53.41

1.1×

Normal range

99214Normal range

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

$26K

445 claims · 0.1%

Your Cost: $58.16/claim|Median: $53.41

1.1× median

90832Psychotherapy, 30 minutesSee all providers →

$16K

373 claims

$42.57

$41.28

1.0×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$16K

373 claims · 0.0%

Your Cost: $42.57/claim|Median: $41.28

1.0× median

90834Psychotherapy, 45 minutesSee all providers →

$10K

170 claims

$58.40

$63.65

0.9×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$10K

170 claims · 0.0%

Your Cost: $58.40/claim|Median: $63.65

0.9× median

90791Psychiatric diagnostic evaluationSee all providers →

$5K

60 claims

$90.25

$99.21

0.9×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$5K

60 claims · 0.0%

Your Cost: $90.25/claim|Median: $99.21

0.9× median

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