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.

Mid Valley Healthcare Inc (NPI 1144408691)

Field	Value
Entity Type	Organization
Organization	Mid Valley Healthcare Inc
Address	307 N Main St
City	New Martinsville
State	WV
ZIP	26155
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 7, 2008

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3,180	$500	$1.6M
H2015	Comprehensive community support services, per 15 minutes	4,290	$50	$205.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	880	$110	$93.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	270	$100	$27.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	330	$70	$23.9K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	1,390	$10	$18.1K
H0031	Mental health assessment, by non-physician	100	$150	$14.5K

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

Mid Valley Healthcare Inc — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	12	20	2,650	$460	$2.9M
H2015	Comprehensive community support services, per 15 minutes	5	10	14,470	$50	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	123	170	8,500	$80	$1.5M
H0031	Mental health assessment, by non-physician	90	120	620	$160	$312.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	890	1,270	1,240	$30	$245K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	700	1,030	890	$50	$221K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	25	50	1,390	$30	$183.1K

Nearby Providers

Other providers in the same ZIP code as Mid Valley Healthcare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valeo Medical, PLLC	WV	Urgent Care Clinic/Center	$0	$5M
Wetzel County Hospital Association	WV	Rural Acute Care Hospital	$0	$3M
Wetzel County Hospital, Inc.	WV	Rural Acute Care Hospital	$0	$2.5M
Mid Valley Healthcare Inc	WV	Developmentally Disabled Services Day Training Agency	$0	$2.3M
Wetzel County Hospital, Inc.	WV	Family Medicine Physician	$0	$2M
Wetzel County Emergency Ambulance	WV	Land Ambulance	$254.6K	$1.5M
Anissa Anderson	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.2M
Wetzel County Hospital, Inc.	WV	Rural Health Clinic/Center	$0	$911.8K
Jonathan Blum	WV	Internal Medicine Physician	$108.7K	$0
Audra Lemon	WV	Family Nurse Practitioner	$94.7K	$0

Mid Valley Healthcare Inc — Billing Profile & Reimbursement Data

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Mid Valley Healthcare 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