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.

Ncgcare Acquisition, LLC (NPI 1104348556)

Field	Value
Entity Type	Organization
Organization	Ncgcare Acquisition, LLC
Address	5317 Cherry Lawn Rd
City	Huntington
State	WV
ZIP	25705
Taxonomy	Psychiatry Physician
NPI Enumerated	July 7, 2017

Payer Source	Total Paid
Medicaid	$40.3M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and total Medicaid lifetime revenue is $40.3M, indicating Medicaid is the sole material payer driving this entity's reported revenues. Analysts should treat this profile as Medicaid-dependent when assessing financial exposure and service strategy.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 96.7% of the provider's Medicaid revenue, meaning a tiny code mix drives nearly all reported income. That level of concentration amplifies the impact of reimbursement or utilization changes on overall revenue.

S5125 is the dominant revenue driver by a wide margin: S5125 generated $37.8M (93.9% of this provider's Medicaid revenue) across 31.3K claims at $1209 avg paid/claim. State-level comparisons show this volume as typical rather than exceptional (ranks #13 of 43, 71th percentile), so the provider is large on this code internally but not an outlier in-state.

The code mix signals an operational focus on attendant care and Medicaid waiver/home- and community-based supports: the high share from S5125 (attendant care services per 15 minutes) together with billing for T2021 (day habilitation, waiver) and T1016 (case management) shows the business is delivering direct, frequent, short-interval hands-on services plus coordination. This pattern implies a workforce-intensive model that bills in many small time increments rather than episodic procedures.

Secondary codes show modest but nontrivial footprints in complementary services: T2021 produced $605.1K (1.5% of Medicaid revenue) across 7.2K claims ($84 avg paid/claim) and T1016 produced $532.9K (1.3% of Medicaid revenue) across 7.6K claims ($70 avg paid/claim). State ranks place T1016 at #26 of 96 (74th percentile), suggesting the provider has an above-average presence in case management relative to peers, while T2021 sits near the median (rank #28 of 57, 52th percentile).

The provider also bills a range of ancillary waiver and nursing codes at smaller volumes—examples include G9002 ($358.8K, 1.6K claims, $229 avg paid/claim; rank #85 of 123, 31th percentile), T1003 ($314.9K, 8.7K claims, $36 avg paid/claim; rank #8 of 33, 78th percentile), and T1002 ($167.9K, 4.8K claims, $35 avg paid/claim; rank #37 of 151, 76th percentile). These items indicate the organization supplies some nursing and coordinated care services in addition to attendant care, but none approach the revenue scale of S5125.

From a competitive-stance perspective, despite the very large absolute share of attendant-care revenue, the provider is not clearly dominant statewide on that code: S5125 ranks #13 of 43 (71th percentile), which places it above average but not among the top-tier outliers. Several supplemental codes (for example T1003 and T1002) show stronger percentile placements (78th and 76th percentile), indicating pockets of relative strength in nursing-related billing.

The NPI was enumerated on 2017-07-07 (~9 years ago), providing a multi-year observable history for utilization patterns; with nearly a decade of activity, the current concentration in attendant-care billing appears established rather than transient. Given the extreme revenue concentration in a single service line (S5125), analysts should monitor policy or reimbursement changes that affect attendant care and waiver rules, because shifts there would materially affect this provider's Medicaid revenue profile.

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	31,300	$1,210	$37.8M
T2021	Day habilitation, waiver; per 15 minutes	7,200	$80	$605.1K
T1016	Case management, each 15 minutes	7,610	$70	$532.9K
G9002	Coordinated care fee, maintenance rate	1,570	$230	$358.8K
T1003	Lpn/lvn services, up to 15 minutes	8,750	$40	$314.9K
A0160	Non-emergency transportation: per mile - case worker or social worker	1,780	$140	$240.2K
T2025	Waiver services; not otherwise specified (nos)	1,950	$110	$219.9K
T1002	Rn services, up to 15 minutes	4,800	$40	$167.9K
T2024	Service assessment/plan of care development, waiver	270	$70	$18.6K

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

Ncgcare Acquisition, 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	13	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	28	60	6,490	$120	$2.2M
G9002	Coordinated care fee, maintenance rate	85	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	8	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	26	100	2,790	$90	$496.2K
A0160	Non-emergency transportation: per mile - case worker or social worker	62	110	2,030	$50	$278.8K
T2025	Waiver services; not otherwise specified (nos)	3	10	610	$230	$263.7K
T1002	Rn services, up to 15 minutes	37	150	1,980	$40	$232.6K
T2024	Service assessment/plan of care development, waiver	30	50	760	$50	$95.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prestera Center For Mental Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$18.7M
Radiology Inc	WV	Diagnostic Radiology Physician	$0	$15.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.2M
Prestera Center For Mental Health Services, Inc	WV	Developmental Disabilities Clinic/Center	$0	$13M
St. Mary's Himg, LLC	WV	Internal Medicine Physician	$0	$2.6M
Associates In Psychology And Therapy, Inc.	WV	Psychologist	$0	$1.5M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.4M
Ultimate Health Services Inc	WV	Family Medicine Physician	$0	$908.1K
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Ahmed Abdelgaber	WV	Family Medicine Physician	$377.5K	$0

Ncgcare Acquisition, LLC — Billing Profile & Reimbursement Data

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Ncgcare Acquisition, LLC — 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