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    OpenPayerNPI Medicare & MedicaidHarmony Ridge Recovery Center, LLC
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    Harmony Ridge Recovery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1174022404 · Walker, WV · Substance Abuse Rehabilitation Facility

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    Harmony Ridge Recovery Center, LLC is a substance abuse rehabilitation facility provider located in Walker, West Virginia. This profile covers 0 Medicare and 1 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
    OrganizationHarmony Ridge Recovery Center, LLC
    Address47 Chambers Circle Drive
    CityWalker
    StateWV
    ZIP26180
    TaxonomySubstance Abuse Rehabilitation Facility
    NPI EnumeratedFebruary 1, 2018

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

    Payer SourceTotal Paid
    Medicaid$24.3M
    Medicare$0

    Key Findings

    HARMONY RIDGE RECOVERY CENTER, LLC is effectively a single-payer Medicaid provider with no Medicare billing on file; lifetime Medicare revenue is listed as none while lifetime Medicaid revenue totals $24.3M, indicating its business is focused on state Medicaid-funded behavioral health services rather than Medicare beneficiaries. The provider has been enumerated since 2018-02-01 (~8 years ago), so the current Medicaid revenue profile reflects roughly the first eight years of its NPI registration and suggests an established presence in its market over that period. Revenue is extremely concentrated in a single service line: H2036 (Alcohol and/or other drug treatment program, per diem) accounts for $24.3M and is reported as 100.0% of this provider's total Medicaid revenue, indicating the organization operates predominantly as a per-diem substance abuse treatment facility rather than offering a broader mix of coded outpatient or ancillary services. Volume metrics for H2036 show 99.5K claims at an average paid/claim of $244, which, combined with the 100.0% revenue share, suggests the provider’s operations are high-volume per-diem stays rather than low-frequency high-reimbursement procedures. Competitive standing within the state for H2036 is strong: the code ranks #3 of 35 providers in-state and is described as 94th percentile and notably above typical state volume for this code, characterizing HARMONY RIDGE as one of the larger Medicaid providers of per-diem substance abuse treatment in West Virginia. The code-level statistical label (“notably above typical state volume”) reinforces that the provider is an outlier on utilization for H2036 relative to in-state peers, which has implications for network capacity and payer negotiations around per-diem behavioral health rates and utilization management. Given the absence of Medicare activity, strategic or operational discussions with this provider should center on Medicaid payment models, per-diem utilization controls, and capacity for addiction treatment services rather than Medicare-related programs or reimbursement streams.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2036Alcohol and/or other drug treatment program, per diem99,490$240$24.3M

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem34029,190$210$7.8M

    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
    5 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Harmony Ridge Recovery Center, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia