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Hampton Newport News Community Services Board

Community/Behavioral Health·Hampton, VA·NPI: 1659424448Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $123.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$123.8M

$123,753,286

Total Claims

898K

Beneficiaries

352K

2.6 claims/patient

Avg Cost/Claim

$138

#960 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Hampton Newport News Community Services Board is a Community/Behavioral Health provider based in Hampton, VA. From the 2018–2024 period, this provider received $123.8M in Medicaid payments across 898K claims.

Why This Matters

This provider received $123.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,469 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 34% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$21.3M
-4%
2019
$20.5M
-18%
2020
$16.9M
+0%
2021
$17.0M
+4%
2022
$17.6M
-8%
2023
$16.2M
-13%
2024
$14.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0023 (Behavioral health outreach service, per 15 minutes)) accounts for 28% of total spending.

H0023Top 10%

Behavioral health outreach service, per 15 minutes

$34.8M

105K claims · 28.1%

Your Cost: $332.52/claim|Median: $53.97
6.2× median
H2022Normal range

Community-based wrap-around services, per diem

$23.5M

19K claims · 19.0%

Your Cost: $1,226.88/claim|Median: $336.31
3.6× median
T1017Top 5%

Targeted case management, per 15 min

$22.9M

67K claims · 18.5%

Your Cost: $344.00/claim|Median: $69.56
5.0× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$10.3M

108K claims · 8.3%

Your Cost: $95.54/claim|Median: $148.53
0.6× median
97150Top 10%

Therapeutic procedure, group (2+ patients)

$5.5M

70K claims · 4.4%

Your Cost: $77.58/claim|Median: $12.12
6.4× median
H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$3.8M

23K claims · 3.1%

Your Cost: $170.47/claim|Median: $266.41
0.6× median
H0039Top 25%

Assertive community treatment, per diem

$3.5M

5K claims · 2.8%

Your Cost: $666.99/claim|Median: $132.62
5.0× median
99214Normal range

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

$2.4M

41K claims · 2.0%

Your Cost: $59.20/claim|Median: $53.41
1.1× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$2.1M

31K claims · 1.7%

Your Cost: $67.45/claim|Median: $91.63
0.7× median
H0020Normal range

Alcohol/drug services; methadone administration

$1.9M

231K claims · 1.5%

Your Cost: $8.07/claim|Median: $18.95
0.4× median
H2018Normal range

Psychosocial rehabilitation services, per diem

$1.7M

3K claims · 1.4%

Your Cost: $660.13/claim|Median: $392.63
1.7× median
90837Normal range

Psychotherapy, 60 minutes

$1.7M

19K claims · 1.3%

Your Cost: $85.15/claim|Median: $85.66
1.0× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.7M

6K claims · 1.3%

Your Cost: $276.53/claim|Median: $215.80
1.3× median
99213Normal range

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

$1.5M

37K claims · 1.2%

Your Cost: $40.21/claim|Median: $37.81
1.1× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$1.2M

5K claims · 1.0%

Your Cost: $239.14/claim|Median: $84.12
2.8× median
H0036Normal range

Community psychiatric supportive treatment, per 15 min

$991K

7K claims · 0.8%

Your Cost: $146.19/claim|Median: $76.05
1.9× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$988K

14K claims · 0.8%

Your Cost: $70.82/claim|Median: $74.63
0.9× median
T2023Normal range

Community transition, waiver; per service

$767K

3K claims · 0.6%

Your Cost: $246.16/claim|Median: $300.13
0.8× median
90834Normal range

Psychotherapy, 45 minutes

$479K

7K claims · 0.4%

Your Cost: $64.95/claim|Median: $63.65
1.0× median
90791Normal range

Psychiatric diagnostic evaluation

$325K

3K claims · 0.3%

Your Cost: $106.00/claim|Median: $99.21
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$283K

2K claims · 0.2%

Your Cost: $117.15/claim|Median: $108.91
1.1× median
80305Normal range

$264K

29K claims · 0.2%

Your Cost: $9.02/claim|Median: $7.44
1.2× median
90847Normal range

Family psychotherapy with patient, 50 min

$218K

3K claims · 0.2%

Your Cost: $83.69/claim|Median: $77.33
1.1× median
S0109Top 25%

$196K

27K claims · 0.2%

Your Cost: $7.38/claim|Median: $4.67
1.6× median
H0032Normal range

Mental health service plan development

$190K

3K claims · 0.2%

Your Cost: $57.81/claim|Median: $80.64
0.7× median
H0005Normal range

Alcohol and/or drug services, group counseling

$154K

6K claims · 0.1%

Your Cost: $27.79/claim|Median: $47.35
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$142K

16K claims · 0.1%

Your Cost: $8.76/claim|Median: $9.56
0.9× median
90853Normal range

Group psychotherapy

$128K

6K claims · 0.1%

Your Cost: $22.20/claim|Median: $25.02
0.9× median
H0006Top 5%

Alcohol and/or drug services, case management

$66K

289 claims · 0.1%

Your Cost: $229.86/claim|Median: $43.10
5.3× median
99215Normal range

Office/outpatient visit, high complexity

$52K

629 claims · 0.0%

Your Cost: $82.98/claim|Median: $74.09
1.1× median

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