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.

Wv Family Support And Rehabilitation Services (NPI 1508260837)

Field	Value
Entity Type	Organization
Organization	Wv Family Support And Rehabilitation Services
Address	214 8th St.
City	Parkersburg
State	WV
ZIP	26101
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 15, 2014

Payer Source	Total Paid
Medicaid	$19.4M
Medicare	$0

Key Findings

WV FAMILY SUPPORT AND REHABILITATION SERVICES has no Medicare billing on file and is effectively a single-payer Medicaid provider, reporting $19.4M in lifetime Medicaid revenue; its NPI was enumerated on 2014-10-15 (~12 years ago), indicating roughly a decade of enrollment in federal provider records. This payer concentration means analyses and competitive benchmarking should be framed primarily against Medicaid activity rather than Medicare.

Revenue is extremely concentrated in a small set of services: the precomputed top three Medicaid codes account for 95.8% of the provider's total Medicaid revenue. This concentration indicates that a very small number of service lines drive nearly all financial performance and should be the primary focus for utilization, reimbursement, and audit reviews.

The provider’s dominant revenue driver is H0038 (Self-help/peer services, per 15 minutes): 104.5K claims generating $15.5M (79.7% of Medicaid revenue) at $148 avg paid/claim. This code mix shows the organization primarily operates high-volume peer support and community-based behavioral health programming rather than physician-led clinical care.

H0038 billing positions the provider as a statewide leader in peer/self-help services: it ranks #2 of 57 providers in-state (98th percentile) and is described as an "extreme outlier" relative to typical state volume for this code. That standing implies market dominance in the peer-services niche and that changes to policy, rate-setting, or prior authorization for H0038 would materially affect the provider.

Secondary revenue lines include H0004 (Behavioral health counseling and therapy) with 22.4K claims and $2.4M revenue (12.3% of Medicaid revenue) and H2036 (Alcohol and/or other drug treatment program, per diem) with 4.3K claims and $734.3K (3.8%). H0004 ranks #53 of 166 in-state (68th percentile) and H2036 ranks #29 of 35 (18th percentile), indicating these are typical, unremarkable volumes relative to peers and that clinical counseling and per-diem AOD programming are meaningful but not dominant.

Ancillary service patterns show notable operational breadth: A0160 (Non-emergency transportation: per mile - case worker or social worker) produced 31.4K claims and $376.9K (1.9% of revenue) and ranks #4 of 112 in-state (97th percentile), labeled "notably above typical". High transportation volume suggests substantial field-based outreach or frequent client transport associated with the provider’s community programs, supporting the high H0038 service intensity.

Other service lines are comparatively small but present: H0031 (Mental health assessment by non-physician) produced 2.2K claims and $344.4K (1.8% of revenue) and ranks #27 of 119 (78th percentile), while T1017 (Targeted case management) is nominal at 21 claims and $1.3K (0.0% of revenue) and ranks near the bottom in-state. These figures indicate some capacity for assessment and case management but not a major revenue focus.

From a risk and operational perspective, the combination of near-total Medicaid reliance, a single code (H0038) accounting for $15.5M and 79.7% of revenue, and the top-three share of 95.8% creates concentration risk: reimbursement policy changes or utilization reviews targeting H0038 would disproportionately affect the organization. Analysts should prioritize auditing and benchmarking of H0038 delivery, billing practices, and reimbursement trends, while monitoring the provider’s limited diversification and almost complete absence of Medicare business.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	104,450	$150	$15.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	22,410	$110	$2.4M
H2036	Alcohol and/or other drug treatment program, per diem	4,270	$170	$734.3K
A0160	Non-emergency transportation: per mile - case worker or social worker	31,410	$10	$376.9K
H0031	Mental health assessment, by non-physician	2,170	$160	$344.4K
H0032	Mental health service plan development by non-physician	520	$180	$93.4K
T1017	Targeted case management, each 15 minutes	20	$60	$1.3K

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

Wv Family Support And Rehabilitation Services — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	29	40	29,190	$210	$7.8M
H0038	Self‑help/peer services, per 15 minutes	2	60	3,310	$110	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	53	170	8,500	$80	$1.5M
H0031	Mental health assessment, by non-physician	27	120	620	$160	$312.6K
A0160	Non-emergency transportation: per mile - case worker or social worker	4	110	2,030	$50	$278.8K
H0032	Mental health service plan development by non-physician	21	60	280	$80	$141.9K
T1017	Targeted case management, each 15 minutes	110	110	970	$20	$95.3K

Nearby Providers

Other providers in the same ZIP code as Wv Family Support And Rehabilitation Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rscr West Virginia, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$153.6M
Camden Clark Memorial Hospital Corporation	WV	General Acute Care Hospital	$0	$56.2M
St. Joseph Recovery Center, LLC	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$49.5M
Westbrook Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$42.5M
Westbrook Health Services, Inc.	WV	Community/Behavioral Health Agency	$0	$32.6M
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Clean & Clear Advantage, LLC	WV	Addiction (Substance Use Disorder) Counselor	$0	$18.3M
Mjs Enterprises Inc	WV	Land Ambulance	$960.2K	$8.7M
Camden Clark Memorial Hospital Corporation	WV	Land Ambulance	$874.9K	$5.3M
Evergreen Therapeutic Treatment Centers LLC	WV	Adolescent and Children Mental Health Clinic/Center	$0	$3.3M

Wv Family Support And Rehabilitation Services — Billing Profile & Reimbursement Data

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Wv Family Support And Rehabilitation Services — 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