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.

Voca Corporation Of West Virginia, Inc. (NPI 1184780629)

Field	Value
Entity Type	Organization
Organization	Voca Corporation Of West Virginia, Inc.
Address	712 Mercer St
City	Princeton
State	WV
ZIP	24740
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$178.3M
Medicare	$0

Key Findings

VOCA CORPORATION OF WEST VIRGINIA, INC. is effectively a single-payer provider with no Medicare billing on file and Total Medicaid revenue: $178.3M. Its NPI was enumerated (registered): 2006-12-29 (~20 years ago), indicating long-tenured operation in the state Medicaid market rather than a recent entrant.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 93.7% of this provider's total Medicaid revenue, driven overwhelmingly by S5125 which alone represents 89.7% of Medicaid revenue. That concentration means a very small set of service lines — primarily the S5125-attendant care service — dominate the business and financial performance.

The provider’s code mix and reimbursement levels indicate it operates primarily as a home- and community-based service organization focused on attendant and habilitation supports. S5125 (43.8K claims, $3655 avg paid/claim, $160M revenue) is the dominant line; other contributors include T2021 (19.5K claims, $215 avg paid/claim, $4.2M revenue) and T1016 (14.1K claims, $200 avg paid/claim, $2.8M revenue), reflecting a portfolio of attendant care, day habilitation, and case management services.

Competitive standing is mixed: for its largest code S5125 it ranks #9 of 43 providers in-state (81th percentile) and the file characterizes that position as typical, unremarkable volume for this code, so VOCA is not a statewide incumbent leader in attendant care despite that code making up most of its revenue. By contrast, it shows stronger relative presence in some clinical support codes — for example T1002 (Rn services) ranks #10 of 151 providers (94th percentile) and T1003 (Lpn/lvn services) ranks #4 of 33 (91th percentile) — signaling above-average scale in nursing services relative to peers.

Two Medicaid codes stand out as statistical outliers relative to the rest of the state: T2024 (Service assessment/plan of care development, waiver) ranks #3 of 45 providers (95th percentile) and is described as notably above typical state volume, and 97802 ranks #1 of 13 providers (100th percentile) and is likewise described as notably above typical state volume. Those above-typical rankings suggest VOCA has specialized capacity or billing activity for plan-of-care development and individualized diet-therapy visits compared with most in-state peers.

Operational implications of the code mix include high dependence on direct-care labor and care coordination: large volumes of time-based attendant care (S5125) plus substantial counts in RN/LPN visits (T1002, T1003) and case management (T1016) imply staffing models weighted to hourly caregivers and licensed nurses, with material administrative overhead for care planning and transportation (A0160, A0120). This structure may drive recurring, predictable utilization but also creates sensitivity to staffing availability and Medicaid wage/rate adjustments.

Given the extreme revenue concentration in S5125 and the fact that the organization reports no Medicare revenue, changes in Medicaid policy, reimbursement rates, or waiver program rules would have outsized financial impact on VOCA. The provider’s reliance on a small set of Medicaid codes (top 3 = 93.7% of Medicaid revenue) heightens exposure to payer-level rate negotiation and program-design shifts, making Medicaid reimbursement stability the primary commercial risk factor for the business.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	43,780	$3,660	$160M
T2021	Day habilitation, waiver; per 15 minutes	19,540	$220	$4.2M
T1016	Case management, each 15 minutes	14,100	$200	$2.8M
T1003	Lpn/lvn services, up to 15 minutes	16,460	$160	$2.7M
T1002	Rn services, up to 15 minutes	15,630	$170	$2.7M
G9002	Coordinated care fee, maintenance rate	9,810	$200	$1.9M
T1005	Respite care services, up to 15 minutes	1,130	$1,010	$1.1M
A0160	Non-emergency transportation: per mile - case worker or social worker	7,940	$130	$1.1M
97530	The 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.	3,290	$320	$1.1M
T2024	Service assessment/plan of care development, waiver	7,880	$60	$457.3K

Showing 1–10 of 13

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

Voca Corporation Of West Virginia, Inc. — 2 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	9	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	13	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	21	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	16	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	4	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	11	100	2,790	$90	$496.2K
97530	The 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.	31	140	790	$90	$469.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	8	10	420	$130	$445.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	26	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	10	150	1,980	$40	$232.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Voca Corporation Of West Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Highlands Community Mental Health Center, Inc.	WV	Community/Behavioral Health Agency	$0	$44.2M
Princeton Community Hospital Assn., Inc.	WV	General Acute Care Hospital	$0	$41M
Southern Highlands Community Mental Health Center, Inc.	WV	Counselor	$0	$22M
Princeton Community Hospital Assn Inc.	WV	Urology Physician	$0	$15.4M
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$12.1M
Princeton Rescue Squad Inc	WV	Land Ambulance	$1.1M	$10.4M
Foot And Ankle Clinic Of The Virginias Inc	WV	Podiatrist	$0	$5.5M
Bradley Hoffman	WV	Foot & Ankle Surgery Podiatrist	$4.9M	$0
Beautiful Minds Counseling Center	WV	Mental Health Counselor	$0	$4.1M
Bluefield Gastroenterology PLLC	WV	Specialist	$0	$4M

Voca Corporation Of West Virginia, Inc. — Billing Profile & Reimbursement Data

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Voca Corporation Of West Virginia, 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