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.

Recoveryu (NPI 1316577430)

Field	Value
Entity Type	Organization
Organization	Recoveryu
Address	1219 Stewart Plz
City	Dunbar
State	WV
ZIP	25064
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 16, 2020

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0004	Behavioral health counseling and therapy, per 15 minutes	14,170	$50	$651.9K
H0038	Self‑help/peer services, per 15 minutes	8,470	$60	$533.7K
H0032	Mental health service plan development by non-physician	430	$220	$92.4K
H0031	Mental health assessment, by non-physician	160	$140	$22.9K
T1017	Targeted case management, each 15 minutes	40	$60	$2.5K

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

Recoveryu — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	20	60	3,310	$110	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	69	170	8,500	$80	$1.5M
H0031	Mental health assessment, by non-physician	86	120	620	$160	$312.6K
H0032	Mental health service plan development by non-physician	26	60	280	$80	$141.9K
T1017	Targeted case management, each 15 minutes	107	110	970	$20	$95.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Psychological Assessment & Intervention Services, LLC	WV	Respite Care	$0	$43.5M
Csi Community Services Inc	WV	Community/Behavioral Health Agency	$0	$8.3M
Kci Usa, Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$6.4M
New Horizons Therapy Services	WV	Community/Behavioral Health Agency	$0	$3.1M
Bridget B Stevens,dds,inc	WV	General Practice Dentistry	$0	$2.5M
National Seating & Mobility, Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$2.5M
Psychological Assessment And Intervention Services, LLC	WV	Psychologist	$0	$1.3M
Respiratory Therapy Services LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$777.3K
John Lilly	WV	Internal Medicine Physician	$98K	$0
Jonathan Lilly	WV	Family Medicine Physician	$82K	$0

Recoveryu — Billing Profile & Reimbursement Data

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Recoveryu — Billing Profile & Reimbursement Data

Sign up for Recoveryu — 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