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.

Board Of Child Care, Wv (NPI 1366602039)

Field	Value
Entity Type	Organization
Organization	Board Of Child Care, Wv
Address	715 Brown Rd
City	Martinsburg
State	WV
ZIP	25404
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	June 16, 2008

Payer Source	Total Paid
Medicaid	$5.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	29,370	$180	$5.3M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	60	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	33,030	$0	$0
H2010	Comprehensive medication services, per 15 minutes	290	$0	$0
H2011	Crisis intervention service, per 15 minutes	80	$0	$0
T1017	Targeted case management, each 15 minutes	160	$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

Board Of Child Care, Wv — 0 of 1 code 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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	12	40	12,160	$150	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	31	170	8,500	$80	$1.5M
T1017	Targeted case management, each 15 minutes	99	110	970	$20	$95.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	58	100	120	$100	$69.6K
H2011	Crisis intervention service, per 15 minutes	3	10	250	$60	$24K
H2010	Comprehensive medication services, per 15 minutes	3	10	80	$10	$1.2K

Nearby Providers

Other providers in the same ZIP code as Board Of Child Care, Wv, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martinsburg Institute Inc	WV	Methadone Clinic	$155.3K	$11.4M
Stonebrook Community Services LLC	WV	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Shenandoah Valley Medical System, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$5M
Berkeley Co Comm On Aging	WV	Homemaker	$0	$2.1M
Benjamin Krepps	WV	Pain Medicine (Anesthesiology) Physician	$174K	$0
Carrie Chase	WV	Family Nurse Practitioner	$162.7K	$0
Joseph Jurand	WV	Psychiatry Physician	$128.8K	$0
Miranda Albaugh	WV	Family Medicine Physician	$125.5K	$0
West Virginia Cvs Pharmacy LLC	WV	Pharmacy	$100.8K	$0
Johny Alencherry	WV	Internal Medicine Physician	$77.3K	$0

Board Of Child Care, Wv — Billing Profile & Reimbursement Data

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Board Of Child Care, Wv — 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