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.

Diversified Assessment & Therapy Services (NPI 1265782395)

Field	Value
Entity Type	Organization
Organization	Diversified Assessment & Therapy Services
Address	1401 Chestnut St
City	Kenova
State	WV
ZIP	25530
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 17, 2012

Payer Source	Total Paid
Medicaid	$122.7M
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file while Medicaid revenue totals $122.7M, indicating the organization’s financial footprint is concentrated entirely in the Medicaid program. The absence of Medicare activity suggests its services and contracts are heavily oriented toward state Medicaid waivers and community behavioral health arrangements rather than traditional Medicare-covered care.

Revenue is extremely concentrated in a handful of service lines: the precomputed top 3 Medicaid codes account for 91.7% of this provider’s total Medicaid revenue, with S5125 alone representing $104.6M (85.2% of Medicaid revenue). That level of concentration means overall financial performance is highly sensitive to policy, rate, or utilization changes that affect these specific codes.

S5125 (attendant care services; per 15 minutes) dominates the business model, both by revenue ($104.6M) and claim volume (65.5K claims), which signals the organization primarily operates as a large attendant-care/home- and community-based service provider. The presence of T2021 (day habilitation, waiver) and T1002 (Rn services, up to 15 minutes) among the top revenue drivers further indicates a mixed service mix that pairs personal attendant support with day habilitation and licensed nursing oversight.

Competitive standing on the core attendant-care code is solid but not monopolistic: S5125 ranks #6 of 43 providers in-state (88th percentile) and is described as typical, unremarkable volume for this code, which positions the provider as an established regional participant rather than a statewide outlier or dominant incumbent. That ranking suggests the provider competes among several similarly sized agencies for waiver-based attendant-care business.

Nursing and habilitation codes show different peer dynamics: T1002 ranks #5 of 151 providers in-state (97th percentile) and is described as typical, unremarkable volume, indicating the provider delivers high absolute volumes of RN services relative to a broad peer set but without being flagged as an atypical outlier. By contrast, T1003 (LPN/LVN services) ranks #2 of 33 providers in-state (97th percentile) and is explicitly labeled notably above typical state volume, pointing to an above-average reliance on licensed practical nurse services compared with similar agencies.

Several secondary codes reflect complementary wraparound services rather than primary revenue drivers: T1005 (respite care), G9002 (coordinated care fee), A0160/A0120 (non-emergency transportation), and T1016 (case management) appear in the top claims list but represent much smaller shares of revenue. Their presence signals the provider offers case management, transportation support, respite, and coordinated-care functions typical of community/behavioral health agencies serving waiver populations, supporting the attendant-care and habilitation core.

The heavy dependence on per-15-minute unit codes for direct-care delivery implies operational scale is driven by workforce scheduling, mileage/transportation logistics, and claim-level documentation processes. Given S5125’s 65.5K claims volume and the sizable counts for T2021 (29.4K claims) and T1002 (26.4K claims), administrative capacity to manage large claim volumes and workforce supply for frequent short-interval visits is likely a critical operational competency.

The provider has an established market presence with long tenure: the NPI was enumerated on 2012-09-17 (~14 years ago), indicating over a decade of operation in the state Medicaid ecosystem. This tenure, combined with concentrated Medicaid revenue and extensive per-15-minute service delivery, suggests the organization is a mature Medicaid waiver and community-based services vendor rather than a new entrant.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	65,540	$1,600	$104.6M
T2021	Day habilitation, waiver; per 15 minutes	29,360	$160	$4.6M
T1002	Rn services, up to 15 minutes	26,410	$130	$3.4M
T1005	Respite care services, up to 15 minutes	7,800	$300	$2.4M
G9002	Coordinated care fee, maintenance rate	10,840	$210	$2.3M
A0160	Non-emergency transportation: per mile - case worker or social worker	8,220	$230	$1.9M
T1003	Lpn/lvn services, up to 15 minutes	23,670	$70	$1.8M
T1016	Case management, each 15 minutes	16,930	$70	$1.1M
T2024	Service assessment/plan of care development, waiver	5,710	$70	$371K
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…	3,220	$60	$202.8K

Showing 1–10 of 13

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

Diversified Assessment & Therapy Services — 2 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	6	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	10	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	5	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	14	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	2	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	9	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.	52	140	790	$90	$469.7K
T2019	Habilitation, supported employment, waiver; per 15 minutes	7	10	420	$130	$445.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	24	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	5	150	1,980	$40	$232.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Diversified Assessment & Therapy Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Contemplations Behavioral Health	WV	Community/Behavioral Health Agency	$0	$1.8M
West Virginia Cvs Pharmacy LLC	WV	Pharmacy	$85K	$1.9K
Griffith & Feil Drug, Inc.	WV	Pharmacy	$20.9K	$0

Diversified Assessment & Therapy Services — Billing Profile & Reimbursement Data

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Diversified Assessment & Therapy Services — 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