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.

Jackson County Developmental Center, Inc (NPI 1528381746)

Field	Value
Entity Type	Organization
Organization	Jackson County Developmental Center, Inc
Address	270 Jack Burlingame Dr
City	Millwood
State	WV
ZIP	25262
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	March 2, 2010

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Key Findings

JACKSON COUNTY DEVELOPMENTAL CENTER, INC (Millwood, WV) is effectively a Medicaid-focused provider with $26.4M in lifetime Medicaid revenue and no Medicare billing on file; its NPI was enumerated on 2010-03-02 (~16 years ago), indicating a sustained presence in the state waiver ecosystem.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes account for 93.4% of this provider's total Medicaid revenue, led by S5125 at $19.2M (73.0%), followed by T2021 at $4.6M (17.5%) and G9002 at $761.2K (2.9%).

The code mix points to an operational model built around hands-on, time-based service delivery: S5125 (Attendant care services; per 15 minutes) dominance implies a labor-intensive attendant care model, while T2021 (Day habilitation, waiver; per 15 minutes) confirms substantial day-program habilitation activity; G9002 (Coordinated care fee, maintenance rate) suggests involvement in coordinated/managed arrangements at a smaller scale.

Despite S5125 producing the lion's share of revenue, the provider ranks only #25 of 43 in-state (43rd percentile) for this code — a typical, unremarkable volume for this code — which suggests high revenue concentration rather than statewide dominance for attendant-care volume. T2021 ranks #12 of 57 in-state (80th percentile) but is also described as a typical, unremarkable volume for this code, and G9002 ranks #54 of 123 (57th percentile) with a similar characterization, indicating the provider is a solid but not dominant in-state participant across its top codes.

An important statistical outlier relative to peers is T1016 (Case management, each 15 minutes): 17.7K claims produced $477.5K (1.8% of revenue) and ranks #7 of 96 providers in-state (94th percentile; notably above typical state volume), signalling a notably stronger-than-average case-management footprint that supplements its direct care services.

Secondary service lines provide complementary supports: T1005 (Respite care services, up to 15 minutes) generated $668.7K (3.8K claims), A0160 (Non-emergency transportation: per mile - case worker or social worker) generated $338.6K (2.5K claims), and T1002/T1003 chart nursing visits ($125.9K and $82.4K respectively), indicating bundled wraparound services around the core attendant/day habilitation offerings.

The payer mix is effectively single-payer Medicaid — there is no Medicare billing on file — which concentrates reimbursement and operational risk on Medicaid program rules and waiver contracts and suggests contracting/operations will be focused on state Medicaid and waiver requirements.

High utilization volumes reinforce the time-based service model: S5125 shows 11.4K claims and T2021 shows 20.8K claims, reflecting sustained, high-frequency billing for 15-minute units consistent with an intensive, labor-hour driven delivery model rather than episodic procedural care.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	11,350	$1,690	$19.2M
T2021	Day habilitation, waiver; per 15 minutes	20,760	$220	$4.6M
G9002	Coordinated care fee, maintenance rate	3,700	$210	$761.2K
T1005	Respite care services, up to 15 minutes	3,820	$180	$668.7K
T1016	Case management, each 15 minutes	17,690	$30	$477.5K
A0160	Non-emergency transportation: per mile - case worker or social worker	2,550	$130	$338.6K
T1002	Rn services, up to 15 minutes	3,810	$30	$125.9K
T1003	Lpn/lvn services, up to 15 minutes	2,230	$40	$82.4K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	390	$110	$41K
T2024	Service assessment/plan of care development, waiver	230	$60	$13.1K

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

Jackson County Developmental Center, Inc — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	25	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	12	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	10	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	54	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	16	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	7	100	2,790	$90	$496.2K
A0160	Non-emergency transportation: per mile - case worker or social worker	46	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	44	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	41	50	1,390	$30	$183.1K
T2024	Service assessment/plan of care development, waiver	31	50	760	$50	$95.5K

Jackson County Developmental Center, Inc — Billing Profile & Reimbursement Data

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Jackson County Developmental Center, Inc — 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

Frequently Asked Questions

References