Mount Rogers Community Services
Clinic/Center Mental Health (Including Community Mental Health Center)
Wytheville, Virginia
NPI: 1255365599
Risk Tier
High
Total Paid
$210.4M
$210,426,117
Total Claims
1.1M
Beneficiaries
446K
Avg Cost/Claim
$200.24
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 10 procedure codes: H0023 at 6.2× median, T1017 at 5.0× median.
Consistent Billing
Monthly billing amounts show almost no natural variation (CV < 0.1).
Monthly billing coefficient of variation: 0.0889 (near-zero variation).
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