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.

The Council Of Senior Citizens Of Gilmer County, Inc-pca (NPI 1205253069)

Field	Value
Entity Type	Organization
Organization	The Council Of Senior Citizens Of Gilmer County, Inc-pca
Address	720 N Lewis St
City	Glenville
State	WV
ZIP	26351
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 18, 2014

Payer Source	Total Paid
Medicaid	$868.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	820	$1,040	$849.3K
T1002	Rn services, up to 15 minutes	1,500	$10	$19.5K

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

The Council Of Senior Citizens Of Gilmer County, Inc-pca — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	56	80	4,510	$270	$4.7M
T1002	Rn services, up to 15 minutes	94	150	1,980	$40	$232.6K

Nearby Providers

Other providers in the same ZIP code as The Council Of Senior Citizens Of Gilmer County, Inc-pca, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Minnie Hamilton Health Care Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$3.7M
Council Of Senior Citizens Of Gilmer Co. Inc.	WV	Voluntary or Charitable Agency	$0	$1.3M
Gilmer County Ambulance Service	WV	Ambulance	$134.2K	$613.9K
Hilary Miller	WV	Family Medicine Physician	$32.6K	$0

The Council Of Senior Citizens Of Gilmer County, Inc-pca — Billing Profile & Reimbursement Data

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The Council Of Senior Citizens Of Gilmer County, Inc-pca — 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