Community Alternatives Virginia Inc.
Community/Behavioral Health
Forest, Virginia
NPI: 1194020370
Risk Tier
Elevated
Total Paid
$172.7M
$172,726,466
Total Claims
23K
Beneficiaries
22K
Avg Cost/Claim
$7,534.09
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $8,330.64 per claim for T2033 (Residential care, NOS; per diem), which is 7.9× the national median of $1,051.57.
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 3 procedure codes — billing is highly concentrated in very few services.
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