Horizon Behavioral Health
Community/Behavioral Health
Lynchburg, Virginia
NPI: 1871542340
Risk Tier
Elevated
Total Paid
$138.0M
$138,041,259
Total Claims
726K
Beneficiaries
483K
Avg Cost/Claim
$190.15
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $333.88 per claim for H0023 (Behavioral health outreach service, per 15 minutes), which is 6.2× the national median of $53.97.
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