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.

Rscr West Virginia, Inc. (NPI 1255496220)

Field	Value
Entity Type	Organization
Organization	Rscr West Virginia, Inc.
Address	3702 Camden Ave
City	Parkersburg
State	WV
ZIP	26101
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	December 27, 2006

Payer Source	Total Paid
Medicaid	$153.6M
Medicare	$0

Key Findings

RSCR WEST VIRGINIA, INC. reports no Medicare billing on file and $153.6M in lifetime Medicaid revenue, making the organization effectively a single-payer Medicaid provider in the available data. This payer concentration means analysis of the provider’s financial and operational profile should focus primarily on Medicaid activity and reimbursement trends for that program.

The provider’s Medicaid revenue is extremely concentrated: the precomputed top 3 Medicaid codes by revenue account for 96.7% of this provider’s total Medicaid revenue. S5125 alone generates $144.1M (93.8% of the provider’s Medicaid revenue), with T1003 contributing $2.9M (1.9%) and T2021 contributing $1.6M (1.1%).

The code mix—dominated by S5125 (Attendant care services; per 15 minutes), with meaningful but much smaller contributions from T1003 (Lpn/lvn services, up to 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes)—indicates that the organization’s operations are centered on hands-on attendant care and habilitation services for individuals with developmental disabilities. The presence of T1003 and T2021 suggests a blended model of direct personal care, licensed nursing support, and day habilitation programming rather than a facility-based medical model.

Despite S5125 driving the vast majority of revenue internally, the provider’s statewide competitive standing on that code is modest: S5125 ranks #10 of 43 providers in-state (79th percentile) and is described as a typical, unremarkable volume relative to peers. In other words, RSCR WV is highly dependent on that service for revenue even though it is not an outlier leader statewide for S5125.

For several supporting service codes the provider shows above-typical positioning in the state market: T1003 ranks #6 of 33 providers (84th percentile, typical) and T1002 (Rn services, up to 15 minutes) ranks #16 of 151 providers (90th percentile), while T2024 (service assessment/plan of care development, waiver) ranks #5 of 45 providers (91st percentile). These high percentiles for nursing and care-planning codes indicate a stronger-than-average presence in licensed nursing and waiver planning relative to many in-state peers.

Several ancillary service lines generate modest revenue and low state rankings, indicating limited exposure there: A0160 (non-emergency transportation: per mile) produced $1.2M (0.8% of Medicaid revenue) and ranks #19 of 112 (84th percentile), while therapy and diagnostic codes such as 97530 and 92507 contribute only $34.3K and $8K respectively and sit in low percentiles (19th and 8th). This pattern reinforces that RSCR WV focuses resources on attendant care and habilitation rather than on rehabilitation or specialty therapy volumes.

The extreme revenue concentration in S5125 creates operational and reimbursement exposure: because $144.1M (93.8% of Medicaid revenue) is tied to one service code, any policy, rate, or utilization change affecting attendant care reimbursement would materially affect the provider’s overall Medicaid revenue. Diversification into other billable service lines appears limited in the claims mix presented, which increases sensitivity to single-code payment dynamics.

The provider’s NPI was enumerated on 2006-12-27 (~20 years ago), indicating long tenure in the market. Combined with $153.6M in lifetime Medicaid revenue, this suggests a sustained presence and ongoing contracting with Medicaid payers, even as the organization remains narrowly focused on a small set of high-revenue service codes.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	42,860	$3,360	$144.1M
T1003	Lpn/lvn services, up to 15 minutes	14,300	$200	$2.9M
T2021	Day habilitation, waiver; per 15 minutes	15,120	$110	$1.6M
T1016	Case management, each 15 minutes	8,830	$140	$1.3M
A0160	Non-emergency transportation: per mile - case worker or social worker	11,550	$100	$1.2M
G9002	Coordinated care fee, maintenance rate	6,050	$190	$1.1M
T1002	Rn services, up to 15 minutes	10,570	$100	$1.1M
T2024	Service assessment/plan of care development, waiver	4,760	$50	$252.4K
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.	130	$260	$34.3K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	210	$160	$32.1K

Showing 1–10 of 12

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

Rscr West Virginia, Inc. — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	10	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	17	60	6,490	$120	$2.2M
G9002	Coordinated care fee, maintenance rate	33	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	6	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	18	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.	113	140	790	$90	$469.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	19	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	16	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	45	50	1,390	$30	$183.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	71	80	1,150	$40	$142.7K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camden Clark Memorial Hospital Corporation	WV	General Acute Care Hospital	$0	$56.2M
St. Joseph Recovery Center, LLC	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$49.5M
Westbrook Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$42.5M
Westbrook Health Services, Inc.	WV	Community/Behavioral Health Agency	$0	$32.6M
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Wv Family Support And Rehabilitation Services	WV	Community/Behavioral Health Agency	$0	$19.4M
Clean & Clear Advantage, LLC	WV	Addiction (Substance Use Disorder) Counselor	$0	$18.3M
Mjs Enterprises Inc	WV	Land Ambulance	$960.2K	$8.7M
Camden Clark Memorial Hospital Corporation	WV	Land Ambulance	$874.9K	$5.3M
Evergreen Therapeutic Treatment Centers LLC	WV	Adolescent and Children Mental Health Clinic/Center	$0	$3.3M

Rscr West Virginia, Inc. — Billing Profile & Reimbursement Data

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Rscr 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