COMMUNITY ALTERNATIVES VIRGINIA, INC.
Case Management — FOREST, Virginia
Total Spending
$172.7M
Total Claims
23K
Procedures Billed
3
NPI
1194020370
AI Analysis
Generated by local language model · Based on 2018–2024 FFS data · Z-score: 10.72
COMMUNITY ALTERNATIVES VIRGINIA, INC., a case management provider based in Forest, VA, presents a statistically anomalous profile within the Medicaid FFS dataset, driven by an average claim cost of $7,534 compared to a category average of just $383. This disparity results in a ratio 19.7 times higher than the norm and places the provider at a Z-score of 10.72 standard deviations above the mean, indicating extreme statistical deviation. Between 2018 and 2024, the provider's spending grew from $17.6M to $31.1M, representing a 76% increase over six years, yet this entity accounts for only 0.016% of national FFS spending, suggesting its anomaly is concentrated within specific regional or service-line contexts rather than reflecting broad national trends.
This analysis was generated by a local AI model and grounded in the data shown on this page. It does not constitute legal, financial, or compliance advice. FFS data represents ~15% of total Medicaid spending; managed care payments are excluded.[qwen3.5:9b]
Outlier Alert: This provider's average cost per claim ($7,534) is 10.7 standard deviations above the average for Case Management providers ($383).
Yearly Spending Trend
Monthly Spending Trend
Top Procedures
| Code | Description | Total Paid▼ | Claims |
|---|---|---|---|
| T2033 | Res, nos waiver per diem | $166.5M | 20K |
| H2014 | Skills train and dev, 15 min | $3.8M | 1K |
| 97150 | Group therapeutic procedures | $2.4M | 2K |