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.

Putnam County Aging, Inc. (NPI 1124238803)

Field	Value
Entity Type	Organization
Organization	Putnam County Aging, Inc.
Address	694 Winfield Rd
City	Saint Albans
State	WV
ZIP	25177
Taxonomy	Home Health Agency
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicaid	$26.5M
Medicare	$0

Key Findings

PUTNAM COUNTY AGING, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file and the provider reports $26.5M in total Medicaid revenue, indicating Medicaid is the sole documented payer source in these records. The absence of Medicare activity means payer-mix exposure is concentrated entirely in state Medicaid programs rather than split across Medicare and Medicaid.

Revenue is extremely concentrated in a single service line: the top three Medicaid codes together account for 100.0% of this provider's total Medicaid revenue, with T1019 alone representing $26M of revenue (98.1% of the provider's Medicaid revenue). This concentration means the provider's topline is heavily driven by one code and a single service modality.

The code mix (T1019, T1002, T1001) and the Home Health Agency taxonomy indicate the operation is focused on personal care and basic nursing support delivered in community or home settings. T1019 (personal care services, per 15 minutes) dominates by claims and dollars, while T1002 (RN services, up to 15 minutes) and T1001 (nursing assessment/evaluation) represent smaller nursing-oriented activities, consistent with a personal care/home-health aide model that also provides some licensed nursing touches.

T1019 shows very high utilization in absolute terms (79.4K claims, $328 avg paid/claim, $26M revenue) and ranks #3 of 78 providers in-state (97th percentile), yet the accompanying data label characterizes this volume as "typical, unremarkable volume for this code." In other words, the provider is among the higher-ranked statewide billers for T1019 by rank/percentile but the dataset’s annotation frames the observed volume as within the expected range for peers.

The two nursing codes (T1002 and T1001) are modest revenue contributors: T1002 accounts for $293K (1.1% of Medicaid revenue) with 20.9K claims and ranks #7 of 151 providers in-state (96th percentile, "typical, unremarkable volume"), while T1001 contributes $210.5K (0.8% of Medicaid revenue) with 1.8K claims and ranks #6 of 60 providers (92th percentile, "typical, unremarkable volume"). These ranks place the provider in the upper tier of state billers for those codes, but both codes remain small parts of overall revenue.

The pronounced reliance on T1019 creates business risk: any policy, eligibility, or rate change affecting per-15-minute personal care services could materially affect the provider’s revenue given T1019’s $26M contribution. Limited revenue diversification across codes suggests sensitivity to audit, prior-authorization, or reimbursement shifts centered on personal care services.

Operational patterns implied by claims and payment metrics point to a high-volume, unit-based service model: 79.4K claims for T1019 at a $328 avg paid/claim alongside 20.9K claims for T1002 at $14 avg paid/claim indicate a mix of high-dollar aggregated personal-care billing and many low-dollar nursing units billed per short encounters. This mix suggests routine, frequent 15-minute caregiving encounters comprise the bulk of service delivery and revenue generation.

PUTNAM COUNTY AGING, INC. has an established presence in the market with an NPI enumerated on 2007-05-23 (~19 years ago), which supports the interpretation of a long-standing community provider that has built a large Medicaid personal-care footprint over time. Tenure combined with concentrated Medicaid volume signals operational stability in a single payer market but also limited diversification.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	79,370	$330	$26M
T1002	Rn services, up to 15 minutes	20,930	$10	$293K
T1001	Nursing assessment / evaluation	1,830	$120	$210.4K

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

Putnam County Aging, Inc. — 2 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	3	80	4,510	$270	$4.7M
T1002	Rn services, up to 15 minutes	7	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	6	60	200	$110	$90.3K

Nearby Providers

Other providers in the same ZIP code as Putnam County Aging, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ten Up Ministries, Inc	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.7M
Putnam County Aging Program, Inc.	WV	Home Health Agency	$0	$3.4M
Braley & Thompson, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$777.9K
West Virginia Cvs Pharmacy LLC	WV	Pharmacy	$82.1K	$2.7K
Steven Potwin	WV	Optometrist	$72.1K	$0
Ajay Patel	WV	Internal Medicine Physician	$65.3K	$0
Michael Noto	WV	Foot & Ankle Surgery Podiatrist	$60.4K	$0
Stacey Smith	WV	Foot & Ankle Surgery Podiatrist	$35.7K	$0
Gabriel Mckinney	WV	Chiropractor	$22.5K	$0

Putnam County Aging, Inc. — Billing Profile & Reimbursement Data

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Putnam County Aging, 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