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.

Sycamore Run, LLC (NPI 1073737706)

Field	Value
Entity Type	Organization
Organization	Sycamore Run, LLC
Address	Rr 2 Box 215a
City	Keyser
State	WV
ZIP	26726
Taxonomy	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$13.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	5,070	$2,250	$11.4M
T1002	Rn services, up to 15 minutes	1,610	$430	$686.7K
G9002	Coordinated care fee, maintenance rate	2,420	$220	$541.6K
T1016	Case management, each 15 minutes	1,640	$180	$291K
T2021	Day habilitation, waiver; per 15 minutes	1,380	$150	$212.1K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,510	$120	$179.3K
T1003	Lpn/lvn services, up to 15 minutes	1,600	$100	$162.8K
A0160	Non-emergency transportation: per mile - case worker or social worker	1,190	$30	$32.2K
T2024	Service assessment/plan of care development, waiver	1,640	$10	$19.6K

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

Sycamore Run, LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	32	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	48	60	6,490	$120	$2.2M
G9002	Coordinated care fee, maintenance rate	70	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	19	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	59	100	2,790	$90	$496.2K
A0160	Non-emergency transportation: per mile - case worker or social worker	77	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	86	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	24	50	1,390	$30	$183.1K
T2024	Service assessment/plan of care development, waiver	16	50	760	$50	$95.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Potomac Valley Hospital Of W Va , Inc	WV	Critical Access Hospital	$0	$11M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.6M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$7.4M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$6.6M
Recovery Care LLC	WV	Specialist	$0	$3.5M
Developmental Center & Workshop, Inc.	WV	Developmentally Disabled Services Day Training Agency	$0	$2.7M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$2.6M
Potomac Valley Hospital Of W Va , Inc	WV	Emergency Medicine Physician	$0	$2.3M
Aging And Family Services Of Mineral County, Inc.	WV	Community/Behavioral Health Agency	$0	$1.6M
Recovery Care LLC	WV	Community/Behavioral Health Agency	$0	$1.3M

Sycamore Run, LLC — Billing Profile & Reimbursement Data

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Sycamore Run, 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