Is VIRGINIA TREATMENT CENTER flagged for Medicaid fraud?

VIRGINIA TREATMENT CENTER (NPI: 1811035520) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does VIRGINIA TREATMENT CENTER bill Medicaid?

VIRGINIA TREATMENT CENTER received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Methadone Clinic provider. Located in ROANOKE, VA.

What is NPI 1811035520?

NPI 1811035520 is the National Provider Identifier for VIRGINIA TREATMENT CENTER. They are a Clinic/Center, Methadone Clinic provider based in ROANOKE, VA. This NPI is registered with the CMS NPI Registry.

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VIRGINIA TREATMENT CENTER

Clinic/Center, Methadone Clinic·ROANOKE, VA·NPI: 1811035520Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $24.5M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

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

Total Paid

$24.5M

$24,482,131

Total Claims

2.3M

Beneficiaries

186K

12.4 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018

$1.4M

+49%

2019

$2.1M

+56%

2020

$3.3M

+21%

2021

$4.0M

+5%

2022

$4.2M

+7%

2023

$4.5M

+11%

2024

$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 30% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0020Alcohol/drug services; methadone administrationSee all providers →

$7.4M

998K claims

$7.44

$18.95

0.4×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$7.4M

998K claims · 30.3%

Your Cost: $7.44/claim|Median: $18.95

0.4× median

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

$6.9M

31K claims

$224.01

$137.85

1.6×

Normal range

G9012Normal range

Other specified case management service, per 15 minutes

$6.9M

31K claims · 28.0%

Your Cost: $224.01/claim|Median: $137.85

1.6× median

S0109 See all providers →

$4.8M

966K claims

$4.96

$4.67

1.1×

Normal range

S0109Normal range

$4.8M

966K claims · 19.6%

Your Cost: $4.96/claim|Median: $4.67

1.1× median

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

$1.7M

40K claims

$41.82

$74.63

0.6×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$1.7M

40K claims · 6.8%

Your Cost: $41.82/claim|Median: $74.63

0.6× median

J0574 See all providers →

$1.4M

93K claims

$14.66

$15.76

0.9×

Normal range

J0574Normal range

$1.4M

93K claims · 5.6%

Your Cost: $14.66/claim|Median: $15.76

0.9× median

80305 See all providers →

$947K

85K claims

$11.08

$7.44

1.5×

Top 25%

80305Top 25%

$947K

85K claims · 3.9%

Your Cost: $11.08/claim|Median: $7.44

1.5× median

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

$421K

6,337 claims

$66.40

$53.41

1.2×

Normal range

99214Normal range

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

$421K

6,337 claims · 1.7%

Your Cost: $66.40/claim|Median: $53.41

1.2× median

J0572 See all providers →

$310K

44K claims

$6.98

$8.49

0.8×

Normal range

J0572Normal range

$310K

44K claims · 1.3%

Your Cost: $6.98/claim|Median: $8.49

0.8× median

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

$282K

17K claims

$16.44

$47.35

0.3×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$282K

17K claims · 1.2%

Your Cost: $16.44/claim|Median: $47.35

0.3× median

H0014 See all providers →

$143K

1,098 claims

$130.16

$137.81

0.9×

Normal range

H0014Normal range

$143K

1,098 claims · 0.6%

Your Cost: $130.16/claim|Median: $137.81

0.9× median

99215Office/outpatient visit, high complexitySee all providers →

$131K

1,479 claims

$88.29

$74.09

1.2×

Normal range

99215Normal range

Office/outpatient visit, high complexity

$131K

1,479 claims · 0.5%

Your Cost: $88.29/claim|Median: $74.09

1.2× median

J0573 See all providers →

$81K

7,202 claims

$11.22

$12.82

0.9×

Normal range

J0573Normal range

$81K

7,202 claims · 0.3%

Your Cost: $11.22/claim|Median: $12.82

0.9× median

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

$28K

666 claims

$42.75

$37.81

1.1×

Normal range

99213Normal range

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

$28K

666 claims · 0.1%

Your Cost: $42.75/claim|Median: $37.81

1.1× median

86580Tuberculosis (TB) skin testSee all providers →

$9K

1,490 claims

$5.92

$4.46

1.3×

Normal range

86580Normal range

Tuberculosis (TB) skin test

$9K

1,490 claims · 0.0%

Your Cost: $5.92/claim|Median: $4.46

1.3× median

G2067Medication-assisted treatment, opioid use disorder, per monthSee all providers →

$3K

2,235 claims

$1.31

$73.29

0.0×

Normal range

G2067Normal range

Medication-assisted treatment, opioid use disorder, per month

$3K

2,235 claims · 0.0%

Your Cost: $1.31/claim|Median: $73.29

0.0× median

81025Urine pregnancy testSee all providers →

$3K

390 claims

$6.45

$4.81

1.3×

Normal range

81025Normal range

Urine pregnancy test

$3K

390 claims · 0.0%

Your Cost: $6.45/claim|Median: $4.81

1.3× median

93000Electrocardiogram, complete, with interpretation and reportSee all providers →

$2K

187 claims

$12.13

$9.70

1.3×

Normal range

93000Normal range

Electrocardiogram, complete, with interpretation and report

$2K

187 claims · 0.0%

Your Cost: $12.13/claim|Median: $9.70

1.3× median

82075Alcohol (ethanol) breath testSee all providers →

$1K

344 claims

$4.12

$16.59

0.2×

Normal range

82075Normal range

Alcohol (ethanol) breath test

$1K

344 claims · 0.0%

Your Cost: $4.12/claim|Median: $16.59

0.2× median

J0575 See all providers →

$248

20 claims

$12.42

$14.96

0.8×

Normal range

J0575Normal range

$248

20 claims · 0.0%

Your Cost: $12.42/claim|Median: $14.96

0.8× median

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