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.

Huntington Treatment Center, LLC (NPI 1497260202)

Key Findings

Field	Value
Entity Type	Organization
Organization	Huntington Treatment Center, LLC
Address	135 4th Ave
City	Huntington
State	WV
ZIP	25701
Taxonomy	Methadone Clinic
NPI Enumerated	December 4, 2017

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

HUNTINGTON TREATMENT CENTER, LLC’s Medicaid footprint is overwhelmingly focused on methadone dispensing: H0020 accounts for $20.2M of the provider’s $21M lifetime Medicaid revenue and represents 96.4% of its Medicaid dollars, consistent with operation as an opioid treatment program that provides frequent methadone administration. The code-level mix — dominated by H0020 with much smaller shares from evaluation-and-management codes — aligns with a service model built around daily/regular dosing and ancillary clinical visits.

Revenue concentration is extreme: the top three Medicaid codes together account for 98.4% of this provider’s total Medicaid revenue, signaling heavy dependence on a very small set of services for nearly all Medicaid income. That concentration creates a narrow revenue base where changes to reimbursement, coverage policy, or clinical guidelines for those codes would have outsized financial impact.

This provider is effectively single‑payer at scale for the data observed: there is no Medicare billing on file while lifetime Medicaid revenue is $21M, so Medicaid is the principal and near‑exclusive source of billed public-payer revenue. Analysts should treat Medicare comparisons as not applicable and focus competitive and reimbursement reviews on Medicaid policy and in‑state dynamics.

HUNTINGTON appears to be a statewide leader for methadone services: H0020 ranks #1 of 17 providers in-state (100th percentile) and is described as notably above typical state volume, indicating the clinic is a dominant in‑state provider of methadone administration. By contrast, evaluation-and-management activity shows mixed competitive placement: 99205 is relatively high for new complex visits (1.6K claims, $110 avg paid/claim, $175K revenue) and ranks #7 of 106 (94th percentile), while 99213 (4.4K claims, $57 avg paid/claim, $249.1K revenue) ranks #365 of 1273 (71th percentile) and is more typical versus peers.

The provider’s tenure (NPI enumerated 2017-12-04, ~9 years ago) indicates several years of enrollment and the accumulation of the reported lifetime Medicaid billing; this duration is consistent with an established outpatient opioid-treatment operation rather than a very new entrant. The multi‑year presence supports the interpretation that the H0020 volume is an ongoing operational focus rather than a short-term surge.

Operational workflow and throughput implications are evident in the utilization patterns: H0020 shows 204K claims at $99 avg paid/claim, which implies a very high frequency of dosing encounters consistent with daily or routine supervised methadone administration and substantial front‑line staffing and pharmacy controls to support those volumes. Such claim counts suggest the clinic’s day‑to‑day operations are oriented around high-volume, repeated outpatient dosing visits.

A few ancillary services stand out as statistical outliers despite limited revenue: 86580 (TB skin test) generated $8K and ranks #1 of 24 in-state (100th percentile; notably above typical state volume), suggesting routine TB screening workflows are embedded in the program. At the same time, multiple lab/drug-test and counseling codes (for example 80305, 80307, H0004, 36415) appear with nonzero claim counts but $0 recorded revenue, which may reflect bundling, non‑covered services, or payer adjudication practices rather than clinical absence; these patterns warrant further review of claim adjudication and billing granularity.

From a risk and contracting perspective, the provider’s extreme reliance on a single Medicaid procedure (H0020 at 96.4% of Medicaid revenue) creates concentration risk: any change in Medicaid reimbursement rates, prior‑authorization rules, or program eligibility for methadone administration could materially affect the provider’s financial position and negotiating leverage with payers and partners.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	204,010	$100	$20.2M
99213	The 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…	4,370	$60	$249.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,590	$110	$175K
99212	The 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,…	4,460	$40	$156.1K
H0031	Mental health assessment, by non-physician	620	$100	$64.9K
99214	The 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…	690	$70	$51K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,220	$10	$17.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	130	$120	$15.7K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	1,990	$1	$8K
80074	The lab analyst performs an acute hepatitis panel; the panel must include tests for hepatitis A IgM antibody, hepatitis B core IgM antibody, hepatitis B surface antigen, and hepatitis C antibody.	120	$50	$6.3K

Showing 1–10 of 20

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

Huntington Treatment Center, LLC — 2 of 16 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1	20	24,280	$100	$5.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	155	170	8,500	$80	$1.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	86	110	2,080	$50	$537.1K
H0031	Mental health assessment, by non-physician	60	120	620	$160	$312.6K
99213	The 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…	365	1,270	1,240	$30	$245K
99214	The 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…	569	1,030	890	$50	$221K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	24	40	900	$20	$214.7K
T1001	Nursing assessment / evaluation	22	60	200	$110	$90.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	250	330	790	$10	$64.1K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	88	190	110	$70	$63.4K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cabell Huntington Hospital Inc	WV	General Acute Care Hospital	$0	$94.1M
Autism Service Center	WV	Developmental Disabilities Clinic/Center	$0	$59M
University Physicians & Surgeons, Inc	WV	Internal Medicine Physician	$0	$58.3M
Tri-state Addiction Recovery Resources	WV	Community/Behavioral Health Agency	$0	$29.6M
County Of Cabell	WV	Land Ambulance	$2.6M	$23.3M
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.4M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.1M
Cabell Huntington Hospital Inc	WV	General Acute Care Hospital	$0	$9.3M

Huntington Treatment Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References