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    OpenPayerNPI Medicare & MedicaidMulberry Street Management Services, Inc.
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    Mulberry Street Management Services, Inc. — Billing Profile & Reimbursement Data

    NPI 1164614301 · Morgantown, WV · Community/Behavioral Health Agency

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    Mulberry Street Management Services, Inc. is a community/behavioral health agency provider located in Morgantown, West Virginia. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMulberry Street Management Services, Inc.
    Address1097 Greenbag Rd
    CityMorgantown
    StateWV
    ZIP26508
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedAugust 13, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$28.9M
    Medicare$0

    Key Findings

    MULBERRY STREET MANAGEMENT SERVICES, INC. is effectively a Medicaid-focused provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $28.9M, making this organization a single-payer (Medicaid) operation in the dataset. This concentration indicates its service lines and contracting are built around Medicaid beneficiaries and waiver/behavioral health payment structures rather than Medicare's fee schedules.

    Revenue is highly concentrated in a small set of Medicaid codes: the top three Medicaid codes by revenue account for 84.0% of the provider's total Medicaid revenue. That concentration suggests the business model relies heavily on a narrow set of services rather than a diversified procedure mix, which increases sensitivity to rate changes or policy shifts affecting those codes.

    The largest single revenue driver is S5125 (Attendant care services; per 15 minutes), which generated $16.7M or 57.7% of this provider's Medicaid revenue across 14.8K claims. With a statewide rank of #22 of 43 providers (50th percentile), the provider has typical, unremarkable volume for this service relative to in-state peers, indicating it is a meaningful but not dominant attendant care provider in West Virginia.

    G9002 (Coordinated care fee, maintenance rate) is the second major code, producing $4.2M (14.6% of Medicaid revenue) from 20.6K claims and ranking #8 of 123 providers in-state (94th percentile). That high percentile for a coordination/maintenance fee positions the provider as a relatively strong participant in care coordination payments across the state, suggesting established managed or coordinated care relationships.

    T1005 (Respite care services, up to 15 minutes) accounts for $3.4M (11.7% of Medicaid revenue) across 9.2K claims and ranks #3 of 29 providers in-state (93th percentile). This elevated rank for respite services indicates the provider is a leading in-state supplier of respite care within the waiver or behavioral health network and likely has operational capacity focused on short-interval, direct-care support.

    Other billed services—including transportation (A0160), case management (T1016), therapy-focused 97530, and day habilitation (T2021)—together make up smaller but material portions of revenue, reflecting a service mix tied to home- and community-based supports, case management, and habilitation. Ranks for these codes range from mid to upper percentiles (for example, T1016 at the 84th percentile and A0160 at the 70th), reinforcing that the organization is a competitive, typical statewide provider across multiple waiver-related service lines.

    The provider has long tenure in the NPI registry, enumerated since 2007-08-13 (~19 years ago), indicating sustained operation and likely established payer relationships and operational processes that support large volumes of time-based attendant and respite services. Long-standing enrollment aligns with the concentrated, repeatable nature of the time-based service codes dominating revenue.

    Across Medicaid codes there are no extreme statistical outliers reported; most high-volume codes are characterized as "typical, unremarkable volume" or high-percentile but not uniquely dominant. The profile therefore reads as a steady, specialized Medicaid service provider with high revenue concentration in a few core, time-based community/behavioral support codes rather than an unusually anomalous biller.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes14,820$1,120$16.7M
    G9002Coordinated care fee, maintenance rate20,590$210$4.2M
    T1005Respite care services, up to 15 minutes9,210$370$3.4M
    A0160Non-emergency transportation: per mile - case worker or social worker5,820$240$1.4M
    T1016Case management, each 15 minutes9,680$140$1.3M
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.2,780$360$1M
    T2021Day habilitation, waiver; per 15 minutes8,010$70$545K
    T2024Service assessment/plan of care development, waiver2,520$60$141K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…670$180$120.4K
    T1002Rn services, up to 15 minutes980$40$42K

    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.

    Full comparison — all codes billed, vs. West Virginia median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes224014,820$750$30.5M
    T2021Day habilitation, waiver; per 15 minutes25606,490$120$2.2M
    T1005Respite care services, up to 15 minutes3302,980$250$1.5M
    G9002Coordinated care fee, maintenance rate81202,950$150$901.9K
    T1016Case management, each 15 minutes161002,790$90$496.2K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.38140790$90$469.7K
    A0160Non-emergency transportation: per mile - case worker or social worker341102,030$50$278.8K
    T1002Rn services, up to 15 minutes1121501,980$40$232.6K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…46801,150$40$142.7K
    T2024Service assessment/plan of care development, waiver1050760$50$95.5K

    Nearby Providers

    Other providers in the same ZIP code as Mulberry Street Management Services, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mulberry Street Management Services, Inc.WVIn Home Supportive Care Agency$0$175.6M
    West Virginia's ChoiceWVHome Health Agency$0$72.7M
    Valley Comprehensive Community Mental Health CenterWVRespite Care$0$21.8M
    Valley Comprehensive Community Mental Health CenterWVCommunity/Behavioral Health Agency$0$19.4M
    Valley Comprehensive Community Mental Health Center, Inc.WVMental Health Counselor$0$16.7M
    Mulberry Street Management Services, Inc.WVCase Management Agency$0$8.3M
    Baymark Health Services Of West Virginia, Inc.WVSubstance Use Disorder Rehabilitation Clinic/Center$80.4K$7.9M
    Dr. Cynthia D. Parks Dds, PLLCWVPediatric Dentistry$0$2.7M
    West Virginia ChoiceWVHome Health Agency$0$2.2M
    Health Care Solutions At Home Inc.WVDurable Medical Equipment & Medical Supplies$0$1.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Mulberry Street Management Services, Inc. — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia