Virginia Medicaid Spending
Virginia's Medicaid program paid $4.64B across 20 providers from 2018–2024. 22 providers in Virginia are flagged on our risk watchlist. The top procedure code is T2033 (Residential care, NOS; per diem) at $660.9M.
Total Spending
$4.64B
Total Claims
42.2M
Top Providers
20
Beneficiaries
28.6M
Flagged Providers
22
on risk watchlist
Avg Per Provider
$231.9M
across 20 providers
Yearly Spending Trend
Top Providers in Virginia
Virginia Commonwealth University Health System Authority
General Acute Care Hospital · Richmond
$658.5M
8.5M claims
Rector & Visitors of the University of Virginia
General Acute Care Hospital · Charlottesville
$500.5M
7.2M claims
Wall Residences LLC
Community Based Residential Treatment Facility In · Floyd
$481.6M
89K claims
Home Care Delivered, Inc.
Durable Medical Equipment & Medical Supplies · Richmond
$309.5M
5.9M claims
Childrens Hospital of the Kings Daughters INC
Social Worker, Clinical · Norfolk
$288.2M
3.7M claims
Mount Rogers Community Services
Clinic/Center Mental Health (Including Community · Wytheville
$210.4M
1.1M claims
Lutheran Family Services of Virginia Inc.
Community Based Residential Treatment Facility In · Lynchburg
$194.3M
32K claims
New River Valley Community Services
Clinic/Center Mental Health (Including Community · Blacksburg
$193.8M
931K claims
Inova Health Care Services
Clinic/Center, Rehabilitation, Substance Use Disor · Falls Church
$176.7M
2.9M claims
Community Alternatives Virginia Inc.
Community/Behavioral Health · Forest
$172.7M
23K claims
Fishing Point Health Care LLC
General Practice · Portsmouth
$169.8M
139K claims
Galax Treatment Center, LLC
Clinic/Center, Methadone Clinic · Galax
$164.2M
371K claims
Carepeople Home Health, INC
Hospice Care, Community Based · Centreville
$163.1M
1.1M claims
Agape Health Management INC
Home Health · Alexandria
$158.5M
1.0M claims
Rappahannock Area Community Services Board
Day Training, Developmentally Disabled Services · Fredericksburg
$142.6M
613K claims
Horizon Behavioral Health
Community/Behavioral Health · Lynchburg
$138.0M
726K claims
Riverside Hospital INC
Psychiatric Hospital · Newport News
$136.8M
3.1M claims
Richmond Behavioral Health Authority
Counselor · Richmond
$129.2M
988K claims
Carilion Medical Center
General Acute Care Hospital · Roanoke
$124.9M
2.9M claims
Hampton Newport News Community Services Board
Community/Behavioral Health · Hampton
$123.8M
898K claims
Flagged Providers in Virginia
Fishing Point Health Care LLC
$169.8M
3 flags
Virginia Commonwealth University Health System Authority
$658.5M
2 flags
Rector & Visitors of the University of Virginia
$500.5M
2 flags
Wall Residences LLC
$481.6M
2 flags
Lutheran Family Services of Virginia Inc.
$194.3M
2 flags
New River Valley Community Services
$193.8M
2 flags
Upper Mattaponi Indian Tribe
$75.6M
2 flags
Home Care Delivered, Inc.
$309.5M
1 flag
Childrens Hospital of the Kings Daughters INC
$288.2M
1 flag
Mount Rogers Community Services
$210.4M
1 flag
Showing 10 of 22 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Virginia
| Code | Total Paid |
|---|---|
| T2033 Residential care, NOS; per diem | $660.9M |
| H2022 Community-based wrap-around services, per diem | $301.1M |
| T1019 Personal care services, per 15 min | $281.5M |
| H0023 Behavioral health outreach service, per 15 minutes | $267.2M |
| S5121 Attendant care services, in-home, per 15 min | $152.6M |
| G0463 Hospital outpatient clinic visit | $145.9M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $123.5M |
| 99283 Emergency dept visit, moderate complexity | $113.5M |
| T1017 Targeted case management, per 15 min | $100.2M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $97.5M |
| H0010 Alcohol and/or drug services, sub-acute detoxification, per diem | $93.1M |
| S0201 Partial hospitalization services, per diem | $81.9M |
| 99284 Emergency dept visit, high complexity | $80.8M |
| 96361 IV infusion, hydration, each additional hour | $57.9M |
| 92507 Speech/hearing/language treatment | $54.3M |