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.

Hometown Care LLC (NPI 1063163178)

Field	Value
Entity Type	Organization
Organization	Hometown Care LLC
Address	66 S. Crim Ave
City	Belington
State	WV
ZIP	26250
Taxonomy	Child Intellectual and/or Developmental Disabilities Respite Care
NPI Enumerated	January 11, 2022

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	3,610	$1,230	$4.4M
G9002	Coordinated care fee, maintenance rate	580	$200	$116.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	1,200	$50	$63.7K
T2021	Day habilitation, waiver; per 15 minutes	230	$70	$15.1K
T1002	Rn services, up to 15 minutes	40	$90	$3.6K

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

Hometown Care LLC — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	38	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	53	60	6,490	$120	$2.2M
G9002	Coordinated care fee, maintenance rate	104	120	2,950	$150	$901.9K
A0160	Non-emergency transportation: per mile - case worker or social worker	76	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	143	150	1,980	$40	$232.6K

Nearby Providers

Other providers in the same ZIP code as Hometown Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hometown Care	WV	Homemaker	$0	$22.1M
Belington Community Medical Services Association	WV	Federally Qualified Health Center (FQHC)	$0	$5M
Hometown Care	WV	Case Manager/Care Coordinator	$0	$1.9M
Hometown Care LLC	WV	Personal Care Attendant	$0	$1.9M
Belington Emergency Squad Inc	WV	Ambulance	$134K	$1.1M
Mariah Jennings	WV	Audiologist	$2.9K	$0

Hometown Care LLC — Billing Profile & Reimbursement Data

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Hometown Care LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References