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.

Lincoln County Opportunity Company, Inc. (NPI 1134347628)

Field	Value
Entity Type	Organization
Organization	Lincoln County Opportunity Company, Inc.
Address	360 Main St
City	Hamlin
State	WV
ZIP	25523
Taxonomy	Voluntary or Charitable Agency
NPI Enumerated	April 23, 2007

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

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…	49,800	$150	$7.2M
T1002	Rn services, up to 15 minutes	8,940	$10	$116.3K
T1001	Nursing assessment / evaluation	330	$120	$38.7K

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

Lincoln County Opportunity Company, Inc. — 0 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…	5	80	4,510	$270	$4.7M
T1002	Rn services, up to 15 minutes	21	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	25	60	200	$110	$90.3K

Nearby Providers

Other providers in the same ZIP code as Lincoln County Opportunity Company, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lincoln County Primary Care Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$10.7M
Lincoln County Opportunity Company, Inc.	WV	Voluntary or Charitable Agency	$0	$4.9M
Lincoln Emergency Medical Services Inc	WV	Ambulance	$263.5K	$4.1M
Lincoln County Primary Care Center, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.1M
Tammy Bannister	WV	Family Medicine Physician	$21.5K	$0
George Mckay	WV	Internal Medicine Physician	$7.5K	$0
Lucia Soltis	WV	Family Medicine Physician	$3.1K	$0

Lincoln County Opportunity Company, Inc. — Billing Profile & Reimbursement Data

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Lincoln County Opportunity Company, Inc. — 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