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.

Prestera Center For Mental Health Services, Inc (NPI 1427278480)

Field	Value
Entity Type	Organization
Organization	Prestera Center For Mental Health Services, Inc
Address	3375 Us Route 60
City	Huntington
State	WV
ZIP	25705
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	4,930	$2,180	$10.7M
T2021	Day habilitation, waiver; per 15 minutes	4,580	$300	$1.4M
G9002	Coordinated care fee, maintenance rate	1,550	$210	$328.4K
T1016	Case management, each 15 minutes	1,990	$110	$225.1K
T1003	Lpn/lvn services, up to 15 minutes	750	$220	$167.3K
T1002	Rn services, up to 15 minutes	1,350	$70	$87.8K
A0160	Non-emergency transportation: per mile - case worker or social worker	410	$130	$53.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	430	$80	$35.4K
T2024	Service assessment/plan of care development, waiver	50	$60	$3.1K

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

Prestera Center For Mental Health Services, Inc — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	33	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	35	60	6,490	$120	$2.2M
G9002	Coordinated care fee, maintenance rate	86	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	25	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	55	100	2,790	$90	$496.2K
A0160	Non-emergency transportation: per mile - case worker or social worker	90	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	99	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	40	50	1,390	$30	$183.1K
T2024	Service assessment/plan of care development, waiver	39	50	760	$50	$95.5K

Nearby Providers

Other providers in the same ZIP code as Prestera Center For Mental Health Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ncgcare Acquisition, LLC	WV	Psychiatry Physician	$0	$40.3M
Prestera Center For Mental Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$18.7M
Radiology Inc	WV	Diagnostic Radiology Physician	$0	$15.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.2M
St. Mary's Himg, LLC	WV	Internal Medicine Physician	$0	$2.6M
Associates In Psychology And Therapy, Inc.	WV	Psychologist	$0	$1.5M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.4M
Ultimate Health Services Inc	WV	Family Medicine Physician	$0	$908.1K
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Ahmed Abdelgaber	WV	Family Medicine Physician	$377.5K	$0

Prestera Center For Mental Health Services, Inc — Billing Profile & Reimbursement Data

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Prestera Center For Mental Health Services, 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