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    OpenPayerNPI Medicare & MedicaidWirt County Health Services Association, Inc
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    Wirt County Health Services Association, Inc — Billing Profile & Reimbursement Data

    NPI 1356403703 · Ravenswood, WV · Federally Qualified Health Center (FQHC)

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    Wirt County Health Services Association, Inc is a federally qualified health center (fqhc) provider located in Ravenswood, West Virginia. This profile covers 0 Medicare and 35 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationWirt County Health Services Association, Inc
    Address606 Washington Street
    CityRavenswood
    StateWV
    ZIP26164
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedDecember 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive21,910$120$2.7M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…10,650$10$127.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…3,550$10$42.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.640$20$10.2K
    96110The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…200$40$8.4K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.1,180$10$8.3K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…370$20$8K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…260$20$5.4K
    92551The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.90$30$3K
    G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source620$1$2.5K

    Showing 1–10 of 35

    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.

    Full comparison — all codes billed, vs. West Virginia median

    35 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive933904,610$130$2.2M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2081,2701,240$30$245K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…2431,030890$50$221K
    Q3014Telehealth originating site facility fee6680580$20$104.1K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…142150520$50$76.2K
    87651The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.4850440$30$64.8K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…129200490$30$57.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…245540320$20$43.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.151190220$50$42.7K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…97140900$10$38.3K

    Showing 1–10 of 35

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wirt County Health Services Association, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wirt County Health Services Association, IncWVFederally Qualified Health Center (FQHC)$0$3.4M
    Wirt County Health Services Association IncWVFederally Qualified Health Center (FQHC)$0$3M
    Wirt County Health Services Association IncWVFederally Qualified Health Center (FQHC)$0$2.1M
    Wirt County Health Services Association, IncWVFederally Qualified Health Center (FQHC)$0$2.1M
    Wirt County Health Services Association, IncWVFederally Qualified Health Center (FQHC)$0$899.3K
    Joseph LantzWVEmergency Medicine Physician$74.2K$0
    Ronald GreerWVFamily Medicine Physician$53.9K$0
    Cindy DuganWVPsychiatry Physician$46.3K$0
    Leann WilliamsWVMedical Physician Assistant$3.6K$0
    Shirin MoradWVInternal Medicine Physician$1.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Wirt County Health Services Association, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohio Valley Physicians IncWVRural Health Clinic/Center$0$2.4M
    Jesse Ben Mize Iii & Christie Mize PtrWVOptometrist$0$1M
    Robert HessWVFamily Medicine Physician$187K$0
    Arif MalikWVInternal Medicine Physician$112.9K$0
    Todd MyersWVFamily Medicine Physician$60K$0
    Lindsey BushWVFamily Nurse Practitioner$43.7K$0
    Rex CummingsWVOptometrist$16.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Wirt County Health Services Association, Inc — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia