Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. West Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Unlimited Possabilities, Inc. (NPI 1053678177)

Field	Value
Entity Type	Organization
Organization	Unlimited Possabilities, Inc.
Address	1707 Us Route 60 W
City	Milton
State	WV
ZIP	25541
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 13, 2012

Payer Source	Total Paid
Medicaid	$22.1M
Medicare	$0

Key Findings

UNLIMITED POSSABILITIES, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file and lifetime Medicaid revenue totals $22.1M. The absence of Medicare activity means the organization’s reimbursement, utilization patterns, and competitive standing should be evaluated almost entirely on its Medicaid footprint rather than a dual-payer mix.

Revenue is highly concentrated in a small set of service codes: the top three Medicaid codes (S5125, T2021, T1005) account for 94.8% of the provider’s total Medicaid revenue. Individually, S5125 contributes $15.7M (71.2%), T2021 contributes $4.1M (18.5%), and T1005 contributes $1.1M (5.1%), signaling a narrow set of services that drive nearly all payments.

The code mix indicates a community/behavioral health operator delivering home- and waiver-based support services: S5125 (Attendant care services; per 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) together comprise the vast majority of revenue, consistent with high-volume personal care and habilitation programming. T1005 (Respite care services, up to 15 minutes) further reinforces that the business model centers on hands-on care delivered in short increment units rather than episodic medical procedures.

Competitive standing by code is modest-to-strong in-state but not dominant. For S5125 the provider ranks #14 of 43 in the state (69th percentile) and is described as having typical, unremarkable volume for that code; for T2021 it ranks #14 of 57 (77th percentile) with a similar characterization of typical volume. By contrast, T1005 is a relative strength where the provider ranks #4 of 29 in-state (89th percentile), indicating above-average market presence for respite services.

Ancillary and care-coordination services generate only a small share of revenue: T1016 (Case management) accounts for $539.4K (2.4%) and A0160 (Non-emergency transportation) accounts for $468.6K (2.1%) of Medicaid revenue. These line items suggest the provider supplements front-line attendant and habilitation services with case management and transportation supports, but these functions are not primary revenue drivers.

Clinical skilled-nursing services represent a minimal portion of the business: T1003 (Lpn/lvn services) and T1002 (Rn services) together account for under 0.4% of total Medicaid revenue ($44K and $35.5K respectively) and rank low in-state (13th and 18th percentiles). This reinforces that the operation is focused more on personal care and habilitation than on professional nursing services.

Operational specialization and billing cadence are implied by the dominant unit-based codes: S5125 and T2021 are billed per 15 minutes and show very high claim counts (29.2K and 19.1K claims respectively), consistent with a high-volume, short-interval service delivery model typical of attendant care and day habilitation programs. Analysts should expect operational emphasis on staffing, scheduling, and time-based visit documentation rather than procedure-driven throughput.

The provider has been enumerated for an extended period (NPI registered 2012-04-13, ~14 years ago), indicating an established presence in the state Medicaid market. Combined with its concentrated Medicaid revenue base, this tenure suggests a stable, specialized service provider that is heavily reliant on state waiver and attendant care reimbursements for its financial profile.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	29,250	$540	$15.7M
T2021	Day habilitation, waiver; per 15 minutes	19,120	$210	$4.1M
T1005	Respite care services, up to 15 minutes	8,260	$140	$1.1M
T1016	Case management, each 15 minutes	6,920	$80	$539.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	15,120	$30	$468.6K
T2024	Service assessment/plan of care development, waiver	780	$60	$45.3K
T1003	Lpn/lvn services, up to 15 minutes	570	$80	$44K
T1002	Rn services, up to 15 minutes	460	$80	$35.5K
T2025	Waiver services; not otherwise specified (nos)	70	$200	$13.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	30	$140	$3.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. West Virginia Distribution

Unlimited Possabilities, Inc. — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	14	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	14	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	4	30	2,980	$250	$1.5M
T1003	Lpn/lvn services, up to 15 minutes	29	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	28	100	2,790	$90	$496.2K
A0160	Non-emergency transportation: per mile - case worker or social worker	14	110	2,030	$50	$278.8K
T2025	Waiver services; not otherwise specified (nos)	7	10	610	$230	$263.7K
T1002	Rn services, up to 15 minutes	124	150	1,980	$40	$232.6K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	77	80	1,150	$40	$142.7K
T2024	Service assessment/plan of care development, waiver	22	50	760	$50	$95.5K

Nearby Providers

Other providers in the same ZIP code as Unlimited Possabilities, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$11M
Focused On You, LLC.	WV	Case Management Agency	$0	$1.7M

Unlimited Possabilities, Inc. — Billing Profile & Reimbursement Data

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Unlimited Possabilities, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References