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    OpenPayerNPI Medicare & MedicaidFamily Service Of Marion & Harrison Counties Inc
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    Family Service Of Marion & Harrison Counties Inc — Billing Profile & Reimbursement Data

    NPI 1215295688 · Fairmont, WV · Community/Behavioral Health Agency

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    Family Service Of Marion & Harrison Counties Inc is a community/behavioral health agency provider located in Fairmont, West Virginia. This profile covers 0 Medicare and 5 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
    OrganizationFamily Service Of Marion & Harrison Counties Inc
    Address1313 Locust Ave Ste 1
    CityFairmont
    StateWV
    ZIP26554
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedApril 24, 2012

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

    Payer SourceTotal Paid
    Medicaid$3M
    Medicare$0

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5130Homemaker service, nos; per 15 minutes7,410$400$3M
    T1002Rn services, up to 15 minutes2,500$20$47.5K
    A0160Non-emergency transportation: per mile - case worker or social worker300$50$15.1K
    S5161Emergency response system; service fee, per month (excludes installation and testing)120$50$5.9K
    T1001Nursing assessment / evaluation50$70$3.7K

    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

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5130Homemaker service, nos; per 15 minutes34706,710$330$6.6M
    A0160Non-emergency transportation: per mile - case worker or social worker971102,030$50$278.8K
    T1002Rn services, up to 15 minutes621501,980$40$232.6K
    T1001Nursing assessment / evaluation3960200$110$90.3K
    S5161Emergency response system; service fee, per month (excludes installation and testing)4050460$50$63.1K

    Nearby Providers

    Other providers in the same ZIP code as Family Service Of Marion & Harrison Counties Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monongahela Valley Association Of Health Centers, IncWVFederally Qualified Health Center (FQHC)$0$16.6M
    Alecto Healthcare Services Fairmont LLCWVGeneral Acute Care Hospital$0$11.7M
    Radiological Physician Associates IncWVDiagnostic Radiology Physician$0$11.1M
    Bbc Rehab, Pc,incWVSubstance Use Disorder Rehabilitation Clinic/Center$0$10.5M
    Bioscrip Infusion Services, LLCWVHome Infusion Therapy Pharmacy$0$8.8M
    Marion County Rescue Squad IncWVLand Ambulance$833K$7.6M
    Family Service Of Marion & Harrison Counties IncWVCommunity/Behavioral Health Agency$0$5.5M
    Essential Needs HomecareWVIn Home Supportive Care Agency$0$4.7M
    Yale Academy LLCWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$3.8M
    Youth Academy, LLCWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$3.8M

    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
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Family Service Of Marion & Harrison Counties Inc — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia