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 New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

West Central Services, Inc. (NPI 1174635684)

Field	Value
Entity Type	Organization
Organization	West Central Services, Inc.
Address	85 Mechanic St Unit A10
City	Lebanon
State	NH
ZIP	03766
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$38.2M
Medicare	$0

Key Findings

WEST CENTRAL SERVICES, INC. reports no Medicare billing on file and $38.2M in lifetime Medicaid revenue, making its footprint effectively single-payer Medicaid-focused rather than split across Medicare and Medicaid. The absence of Medicare activity suggests the organization's services, contracting and patient mix are concentrated on Medicaid-covered populations and benefits, rather than fee-for-service Medicare lines.

Revenue is heavily concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 68.2% of this provider's total Medicaid revenue, led by T1016 at $14.4M revenue (37.7% of this provider's total Medicaid revenue), followed by H2020 at $6.5M revenue (17.0%) and H2019 at $5.1M revenue (13.5%). This concentration indicates the bulk of billing comes from case management and therapeutic behavioral services, creating exposure if payer rules or utilization for those specific services change.

The mix of high-volume codes (T1016, H2020, H2019) and psychotherapy codes (90837, 90847, 90834) indicates an operational focus on community-based behavioral health: substantial case management and both per-diem and per-15-minute therapeutic behavioral services combined with frequent individual and family psychotherapy. The heavy presence of case management (T1016) alongside therapeutic behavioral services suggests the provider operates as a community mental health / care-coordination hub rather than a primarily medication-management or inpatient provider.

Competitive standing across core Medicaid services is mixed: T1016 ranks #16 of 33 providers in-state (53th percentile; typical, unremarkable volume for this code), H2020 ranks #4 of 8 providers in-state (57th percentile; typical, unremarkable volume for this code), and H2019 ranks #9 of 33 providers in-state (75th percentile; typical, unremarkable volume for this code). These rankings signal a modest-to-strong presence in behavioral health and case management relative to in-state peers, with particularly stronger positioning for H2019.

There are clear statistical outliers in the provider's profile that merit attention: 90837 is an "extreme outlier" by the supplied label, with 52.5K claims and $4.3M revenue (11.3% of this provider's total Medicaid revenue) and a rank of #4 of 194 providers in-state (98th percentile; extreme outlier, far above typical state volume for this code). Separately, 99211 ranks #2 of 59 providers in-state (98th percentile; notably above typical state volume for this code), indicating unusually high volumes of low-level established-patient visits in addition to intensive psychotherapy sessions. These patterns point to a clinical model combining very high-volume long-session psychotherapy and frequent brief visits.

Several evaluation-and-management and psychotherapy codes sit at high statewide percentiles, reinforcing the provider's strong outpatient therapy footprint: 99214 ranks #24 of 416 providers in-state (94th percentile; typical, unremarkable volume for this code), 90834 ranks #14 of 133 providers in-state (90th percentile; typical, unremarkable volume for this code), and 99215 ranks #10 of 95 providers in-state (90th percentile; typical, unremarkable volume for this code). Together these placements show above-typical delivery of both moderate- and high-complexity outpatient visits as well as mid-length psychotherapy compared with peers.

The provider shows pockets of sole-or-few-provider service standing in niche codes: H2001 (Rehabilitation program, per 1/2 day) produced $281K revenue (0.7% of this provider's total Medicaid revenue) and ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code), suggesting they are one of a very small number of in-state providers billing that service. While that code is a small share of total revenue, the 100th-percentile rank indicates a unique regional role for that specific rehabilitation offering.

WEST CENTRAL SERVICES, INC. has a long-tenured NPI (enumerated 2006-08-31, ~20 years ago), indicating established operations and likely sustained payer relationships in the state. Combined with the heavy Medicaid concentration and the code-level profile above, this tenure supports the interpretation of a stable, Medicaid-centric behavioral health provider with concentrated service lines and a few high-volume psychotherapy and visit-level outliers.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	46,950	$310	$14.4M
H2020	Therapeutic behavioral services, per diem	41,600	$160	$6.5M
H2019	Therapeutic behavioral services, per 15 minutes	72,530	$70	$5.1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	52,550	$80	$4.3M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	15,880	$90	$1.4M
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…	20,580	$50	$1.1M
T1027	Family training and counseling for child development, per 15 minutes	9,910	$90	$882.1K
H2018	Psychosocial rehabilitation services, per diem	9,170	$90	$834K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	5,530	$100	$542K
H2011	Crisis intervention service, per 15 minutes	1,770	$300	$526.9K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

West Central Services, Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	16	30	35,170	$170	$12.5M
H2020	Therapeutic behavioral services, per diem	4	10	38,630	$170	$7.8M
H2019	Therapeutic behavioral services, per 15 minutes	9	30	3,880	$90	$4.4M
H2023	Supported employment, per 15 minutes	23	30	11,450	$120	$2.3M
H2018	Psychosocial rehabilitation services, per diem	4	10	9,710	$90	$1.9M
H2015	Comprehensive community support services, per 15 minutes	23	30	10,280	$90	$1.5M
H2011	Crisis intervention service, per 15 minutes	11	20	1,900	$180	$829.6K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	7	30	600	$90	$719.5K
H0034	Medication training and support, per 15 minutes	8	10	17,440	$30	$709.6K
T1027	Family training and counseling for child development, per 15 minutes	9	30	2,010	$80	$516.4K

Showing 1–10 of 31

Nearby Providers

Other providers in the same ZIP code as West Central Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alice Peck Day Memorial Hospital	NH	Critical Access Hospital	$0	$2.1M
Headrest	NH	Addiction (Substance Use Disorder) Counselor	$0	$1.1M
City Of Lebanon	NH	Land Ambulance	$405.8K	$528.6K
Lebanon School District	NH	Local Education Agency (LEA)	$0	$873K
Grafton County Senior Citizens Council	NH	Homemaker	$0	$617.9K
Matthew Leboeuf	NH	MOHS-Micrographic Surgery Physician	$555.8K	$0
Community Surgical Supply Of Toms River, LLC	NH	Oxygen Equipment & Supplies (DME)	$0	$459K
Manuel Iriondo	NH	MOHS-Micrographic Surgery Physician	$191K	$0
Alice Peck Day Memorial Hospital	NH	Family Medicine Physician	$0	$180.4K
Brian Simmons	NH	Dermatology Physician	$137.5K	$0

West Central Services, 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