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.

Council On Aging, Inc. (NPI 1356768576)

Field	Value
Entity Type	Organization
Organization	Council On Aging, Inc.
Address	Rt 10 Old Itmann Grade School
City	Itmann
State	WV
ZIP	24847
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	March 26, 2014

Payer Source	Total Paid
Medicaid	$11.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	20,490	$550	$11.2M
A0160	Non-emergency transportation: per mile - case worker or social worker	5,570	$30	$183.7K
T1002	Rn services, up to 15 minutes	10,150	$20	$162.4K
T1001	Nursing assessment / evaluation	500	$120	$59.5K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	820	$50	$40.1K
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…	80	$0	$0

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

Council On Aging, Inc. — 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	12	70	6,710	$330	$6.6M
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…	73	80	4,510	$270	$4.7M
A0160	Non-emergency transportation: per mile - case worker or social worker	35	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	17	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	20	60	200	$110	$90.3K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	15	50	460	$50	$63.1K

Nearby Providers

Other providers in the same ZIP code as Council On Aging, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Council On Aging	WV	Home Health Agency	$0	$9.9M
All Care Home And Community Services	WV	Case Management Agency	$0	$1.5M

Council On Aging, Inc. — Billing Profile & Reimbursement Data

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Council On Aging, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References