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.

Mcdowell County Commission On Aging (NPI 1316166432)

Field	Value
Entity Type	Organization
Organization	Mcdowell County Commission On Aging
Address	725 Stewart St
City	Welch
State	WV
ZIP	24801
Taxonomy	Community Health Clinic/Center
NPI Enumerated	April 25, 2007

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

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…	11,380	$210	$2.4M
T1002	Rn services, up to 15 minutes	3,640	$10	$51K
T1001	Nursing assessment / evaluation	10	$120	$1.4K

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

Mcdowell County Commission On Aging — 0 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…	21	80	4,510	$270	$4.7M
T1002	Rn services, up to 15 minutes	47	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	57	60	200	$110	$90.3K

Nearby Providers

Other providers in the same ZIP code as Mcdowell County Commission On Aging, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of West Virginia Welch Community Hospital	WV	General Acute Care Hospital	$0	$4.5M
State Of West Virginia Welch Community Hospital	WV	Rural Health Clinic/Center	$0	$4.2M
Family Healthcare Associates, Inc	WV	Rural Health Clinic/Center	$0	$4M
Rahmet Muzaffer	WV	Family Medicine Physician	$0	$1.8M
Appalachian Mountains Medical, LLC	WV	Emergency Medicine Physician	$0	$1.7M

Mcdowell County Commission On Aging — Billing Profile & Reimbursement Data

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Mcdowell County Commission On Aging — Billing Profile & Reimbursement Data

Sign up for Mcdowell County Commission On Aging — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References