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.

Stevenson, LLC (NPI 1265727291)

Field	Value
Entity Type	Organization
Organization	Stevenson, LLC
Address	1 Cantley Dr
City	Charleston
State	WV
ZIP	25314
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 17, 2011

Payer Source	Total Paid
Medicaid	$42.4M
Medicare	$0

Key Findings

STEVENSON, LLC is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the practice reports $42.4M in lifetime Medicaid revenue, indicating its commercial exposure and reimbursement risk are concentrated in Medicaid. This profile should be read as a Medicaid-centric operation rather than a mixed Medicare/Medicaid provider.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicaid codes account for 93.7% of this provider's total Medicaid revenue. Specifically, S5125 generates $34.6M (81.8% of this provider's total Medicaid revenue), T2021 generates $3.9M (9.1%), and T1016 generates $1.2M (2.9%), meaning these three codes dominate the financial picture.

The code mix suggests a service model focused on direct community-based supports: S5125 (attendant care services; per 15 minutes) as the dominant revenue driver indicates the business primarily delivers attendant/home-based care, while T2021 (day habilitation, waiver; per 15 minutes) points to day-program habilitation services and T1016 (case management, each 15 minutes) reflects a significant care coordination role. Together these codes are consistent with a community/behavioral health agency that delivers high-volume, time-based hands-on support and care management.

High claim volumes for the top codes imply substantial recurring service delivery and staffing intensity: S5125 records 21.7K claims, T2021 has 17.4K claims, and T1016 shows 17.5K claims, indicating routine, high-frequency service encounters rather than episodic or one-off procedures. These volumes support the interpretation of an operational model built around frequent, time-based encounters and have implications for workforce capacity and scheduling.

Competitive standing varies by service line within West Virginia: for S5125 the provider ranks #17 of 43 in-state (62th percentile; typical, unremarkable volume for this code), and for T2021 it ranks #15 of 57 in-state (75th percentile; typical, unremarkable volume for this code), indicating modest market presence on attendant care and day habilitation. By contrast, T1016 ranks #8 of 96 in-state (93th percentile; notably above typical state volume for this code), signaling that the provider is relatively strong and above-typical in case management compared with state peers.

The organization maintains smaller but diverse Medicaid revenue streams outside the top three codes, which provides limited revenue diversification: T1002 (Rn services, up to 15 minutes) accounts for $911K (2.2%), A0160 (non-emergency transportation: per mile - case worker or social worker) accounts for $653.1K (1.5%), T1003 (Lpn/lvn services, up to 15 minutes) accounts for $589.1K (1.4%), and T1005 (respite care services, up to 15 minutes) contributes $276.7K (0.7%). These secondary lines—nursing, transportation, LPN services, and respite—appear supplementary to the core attendant care and habilitation operations rather than primary revenue drivers.

The provider has an established operating history, with its NPI enumerated on 2011-06-17 (~15 years ago), suggesting organizational stability and experience delivering Medicaid services over a sustained period. Given the heavy revenue dependence on a few time-based service codes, any changes in Medicaid policy, reimbursement rates, or utilization oversight for those specific codes could have outsized financial impact on this long-tenured provider.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	21,740	$1,590	$34.6M
T2021	Day habilitation, waiver; per 15 minutes	17,360	$220	$3.9M
T1016	Case management, each 15 minutes	17,540	$70	$1.2M
T1002	Rn services, up to 15 minutes	8,130	$110	$911K
A0160	Non-emergency transportation: per mile - case worker or social worker	11,660	$60	$653.1K
T1003	Lpn/lvn services, up to 15 minutes	8,180	$70	$589.1K
T1005	Respite care services, up to 15 minutes	750	$370	$276.7K
G9002	Coordinated care fee, maintenance rate	450	$210	$94.1K
T2024	Service assessment/plan of care development, waiver	1,440	$60	$84.8K
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.	70	$470	$32.5K

Showing 1–10 of 11

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

Stevenson, LLC — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	17	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	15	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	23	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	106	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	9	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	8	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.	124	140	790	$90	$469.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	18	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	25	150	1,980	$40	$232.6K
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 11

Nearby Providers

Other providers in the same ZIP code as Stevenson, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David J. Patton, Md., Inc.	WV	Obstetrics & Gynecology Physician	$0	$10.4M
Q Labs Inc	WV	Clinical Medical Laboratory	$139.5K	$8.8M
Wv Asthma And Allergy Centers, Inc.	WV	Allergy & Immunology Physician	$0	$3.7M
Timothy Spears	WV	General Practice Dentistry	$0	$3.5M
Professional Therapy Services, Inc.	WV	Speech-Language Pathologist	$0	$1.6M
Mallinath Kayi	WV	Pulmonary Disease Physician	$78.8K	$110.2K
Ghali Ibrahim Bacha	WV	Internal Medicine Physician	$121.4K	$0
Chandra Kumar	WV	Allergy & Immunology Physician	$104.6K	$0
Siwat Kiratiseavee	WV	Allergy & Immunology Physician	$89.2K	$0
Samar Sankari	WV	Endocrinology, Diabetes & Metabolism Physician	$83.4K	$0

Stevenson, LLC — Billing Profile & Reimbursement Data

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Stevenson, LLC — 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