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.

Wirt County Health Services Association, Inc (NPI 1518191923)

Field	Value
Entity Type	Organization
Organization	Wirt County Health Services Association, Inc
Address	461 Schoolview Street
City	Elizabeth
State	WV
ZIP	26143
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	May 13, 2009

Payer Source	Total Paid
Medicaid	$899.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	5,440	$150	$838.2K
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…	2,980	$10	$29.8K
D9999	N/A	90	$220	$21K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	860	$1	$3.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	370	$10	$3.3K
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,…	80	$30	$2.4K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	150	$10	$750
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	30	$10	$230
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	20	$10	$140
0241U	N/A	50	$0	$0

Showing 1–10 of 26

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

Wirt County Health Services Association, 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	185	390	4,610	$130	$2.2M
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…	445	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…	818	1,030	890	$50	$221K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	62	90	170	$60	$72.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	170	210	280	$40	$59.2K
D1120	Prophylaxis–child	208	270	290	$30	$49.1K
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,…	394	540	320	$20	$43.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	102	190	220	$50	$42.7K
D9999	N/A	19	30	120	$170	$37.3K
0241U	N/A	37	40	540	$40	$35.9K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wirt County Health Services Association, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wirt County Health Services Association, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$3.4M
Wirt County Health Services Association Inc	WV	Federally Qualified Health Center (FQHC)	$0	$3M
Wirt County Health Services Association, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.9M
Wirt County Health Services Association Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.1M
Wirt County Health Services Association, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.1M
Joseph Lantz	WV	Emergency Medicine Physician	$74.2K	$0
Ronald Greer	WV	Family Medicine Physician	$53.9K	$0
Cindy Dugan	WV	Psychiatry Physician	$46.3K	$0
Leann Williams	WV	Medical Physician Assistant	$3.6K	$0
Shirin Morad	WV	Internal Medicine Physician	$1.9K	$0

Nearby Providers

Other providers in the same ZIP code as Wirt County Health Services Association, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tracy Hendershot	WV	Family Medicine Physician	$108.7K	$0
Kimberly Jividen	WV	Family Nurse Practitioner	$21.8K	$0

Wirt County Health Services Association, Inc — Billing Profile & Reimbursement Data

Sign up for Wirt County Health Services Association, Inc — Billing Profile & Reimbursement Data policy alerts

Wirt County Health Services Association, Inc — Billing Profile & Reimbursement Data

Sign up for Wirt County Health Services Association, Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References