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.

Mulberry Street Management Services, Inc. (NPI 1255523494)

Field	Value
Entity Type	Organization
Organization	Mulberry Street Management Services, Inc.
Address	1097 Greenbag Rd
City	Morgantown
State	WV
ZIP	26508
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 13, 2007

Payer Source	Total Paid
Medicaid	$175.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer: Total Medicare revenue is listed as none (no Medicare billing on file) while total Medicaid revenue is $175.6M, indicating that all documented government reimbursement activity is through Medicaid. The absence of Medicare billing makes this an operation that competes and contracts primarily within the Medicaid market rather than the Medicare market.

Revenue is extremely concentrated in a very small set of service lines: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue. In particular, T1019 alone represents $170.7M (97.2% of the provider’s Medicaid revenue), demonstrating that almost all Medicaid dollars flow through a single service code.

The provider’s operational profile aligns tightly with its taxonomy of In Home Supportive Care Agency: T1019 (personal care services) is the primary revenue driver, supported by nursing visit and assessment codes T1002 and T1001. This mix suggests the organization’s principal activity is delivery of personal care services in the community, with RN services and nursing assessments serving a subsidiary clinical role rather than driving revenue.

Code-level economics are highly uneven: T1019 has 590.6K claims at $289 avg paid/claim generating $170.7M, while T1002 has 181.7K claims at $16 avg paid/claim for $2.9M and T1001 has 17.3K claims at $117 avg paid/claim for $2M. The large dollar value for T1019 relative to the other two codes reflects both very high claim volume and a high average payment per claim under that code, making T1019 the dominant price-and-volume contributor.

Competitive standing in-state is commanding for these services: the provider ranks #1 for T1019, T1002, and T1001 in West Virginia (100th percentile) and is described as an extreme outlier, far above typical state volume for each code. Those rank and percentile positions indicate this entity is a dominant statewide provider for the specific in-home personal care and supporting nursing codes it bills.

Operational scale and throughput are substantial: the provider reported 590.6K claims for T1019 and 181.7K claims for T1002, implying a sustained, high-volume delivery and billing operation to support those claim counts. Such volumes suggest significant front-line caregiver deployments and administrative capacity to manage frequent, short-interval service billing.

The provider has a long-established NPI presence, enumerated on 2007-08-13 (~19 years ago), which combined with the large Medicaid footprint signals a sustained market presence rather than a recent entrant. Longevity plus the concentrated revenue base supports the interpretation of an established specialist in Medicaid-funded in‑home support.

Because 100.0% of Medicaid revenue is driven by three codes with one code at 97.2%, this profile warrants attention in payer analytics and contracting: the provider’s financial performance and utilization patterns are highly dependent on T1019. For payers and analysts, this makes the entity a strategic candidate for utilization benchmarking, rate negotiations, and program oversight focused on personal care services and associated nursing support codes.

Medicaid: Complete Services Breakdown

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

3 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…	590,590	$290	$170.7M
T1002	Rn services, up to 15 minutes	181,700	$20	$2.9M
T1001	Nursing assessment / evaluation	17,310	$120	$2M

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

Mulberry Street Management Services, Inc. — 3 of 3 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

3 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…	1	80	4,510	$270	$4.7M
T1002	Rn services, up to 15 minutes	1	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	1	60	200	$110	$90.3K

Nearby Providers

Other providers in the same ZIP code as Mulberry Street Management Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia's Choice	WV	Home Health Agency	$0	$72.7M
Mulberry Street Management Services, Inc.	WV	Community/Behavioral Health Agency	$0	$28.9M
Valley Comprehensive Community Mental Health Center	WV	Respite Care	$0	$21.8M
Valley Comprehensive Community Mental Health Center	WV	Community/Behavioral Health Agency	$0	$19.4M
Valley Comprehensive Community Mental Health Center, Inc.	WV	Mental Health Counselor	$0	$16.7M
Mulberry Street Management Services, Inc.	WV	Case Management Agency	$0	$8.3M
Baymark Health Services Of West Virginia, Inc.	WV	Substance Use Disorder Rehabilitation Clinic/Center	$80.4K	$7.9M
Dr. Cynthia D. Parks Dds, PLLC	WV	Pediatric Dentistry	$0	$2.7M
West Virginia Choice	WV	Home Health Agency	$0	$2.2M
Health Care Solutions At Home Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$1.4M

Mulberry Street Management Services, Inc. — Billing Profile & Reimbursement Data

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Mulberry Street Management 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