New River Valley Community Services
Clinic/Center Mental Health (Including Community Mental Health Center)
Blacksburg, Virginia
NPI: 1942304126
Risk Tier
High
Total Paid
$193.8M
$193,801,440
Total Claims
931K
Beneficiaries
418K
Avg Cost/Claim
$208.21
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $339.39 per claim for H0023 (Behavioral health outreach service, per 15 minutes), which is 6.3× the national median of $53.97.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 7 procedure codes: H0023 at 6.3× median, H0039 at 11.8× median.
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