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.

Westbrook Health Services, Inc (NPI 1568889525)

Field	Value
Entity Type	Organization
Organization	Westbrook Health Services, Inc
Address	2121 7th Street
City	Parkersburg
State	WV
ZIP	26101
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 27, 2014

Payer Source	Total Paid
Medicaid	$42.5M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused organization: there is no Medicare billing on file and total Medicaid revenue on the file is $42.5M. The absence of Medicare activity indicates the provider’s revenue and clinical footprint are concentrated in state Medicaid programs rather than dual Medicare/Medicaid lines.

Revenue concentration is high and programmatic: the platform’s precomputed top-3 share shows the three highest-revenue Medicaid codes account for 63.9% of this provider’s Medicaid revenue. Those top codes are H2036 ($10.3M, 24.2%), H0004 ($9.2M, 21.6%), and H0040 ($7.7M, 18.0%), indicating most revenue flows through a small set of per-diem and therapy services.

The code mix signals an operational focus on community behavioral health and substance-use services: large revenues for H2036 (Alcohol and/or other drug treatment program, per diem), H0004 (Behavioral health counseling and therapy, per 15 minutes), and H0040 (Assertive community treatment program, per diem) point to a facility model that combines per-diem programmatic AOD services, high-volume counseling, and ACT team delivery. Additional billing for community psychiatric treatment codes such as H0036 and comprehensive support services like H2015 and T1040 reinforce a multi-modal community behavioral health operation rather than a primarily office-based medical practice.

Competitive standing is mixed across service lines: the provider is notably above typical state volume on outpatient counseling and assessments—H0004 ranks #10 of 166 in-state (95th percentile; notably above typical) and H0031 ranks #6 of 119 (96th percentile; notably above typical)—which suggests regional strength in therapy and non-physician mental health assessment. By contrast, its largest per-diem lines are described as typical, unremarkable for the state (H2036 rank #10 of 35, 74th percentile; H0040 rank #4 of 12, 73th percentile), indicating strong revenue concentration but not statewide dominance in every program area.

There are clear statistical outliers and leadership pockets: the provider ranks #1 of 5 for H0037 (Community psychiatric supportive treatment program, per diem) at the 100th percentile (notably above typical state volume), and shows notably above-typical volumes for H0032 and H0031 (95th–96th percentiles). Multiple ancillary and support codes also show high relative placement—80305 (drug testing) and Q3014 (telehealth originating site fee) both sit at the 96th percentile—suggesting above-typical billing intensity for diagnostic and telehealth-originating-site services.

Service breadth extends beyond therapy to coordination and support lines: high volumes for Q3014 (18.5K claims, $463.3K) and A0120 (17.8K claims, $196.1K) alongside T1040 (3.8K claims, $992.8K) and T1017 suggest the provider bills telehealth originations, non-emergency transportation, certified community behavioral health clinic per-diem services, and targeted case management—consistent with a community behavioral health agency offering wraparound supports. This mix implies operational capacity for both direct treatment and the logistical supports that keep community-based clients engaged.

Concentration risk is material because top programmatic codes drive the majority of Medicaid revenue. With H2036, H0004, and H0040 together representing 63.9% of Medicaid revenue, any policy, rate, or utilization shifts affecting per-diem AOD programs, outpatient counseling, or ACT reimbursement could disproportionately impact overall revenue. Stakeholders evaluating contract negotiations or network risk should factor that dependence on a few program types increases fiscal sensitivity to Medicaid program changes.

The provider is an established participant in the state Medicaid network: the NPI was enumerated 2014-03-27 (~12 years ago), indicating sustained presence and likely integration into state behavioral health referral and reimbursement pathways. That tenure, combined with the high-volume counseling and assessment lines, supports the view that WESTBROOK HEALTH SERVICES, INC is a stable, Medicaid-centric community behavioral health operator with pockets of above-typical scale in specific service categories.

Medicaid: Complete Services Breakdown

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

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	53,800	$190	$10.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	83,540	$110	$9.2M
H0040	Assertive community treatment program, per diem	87,960	$90	$7.7M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7,550	$490	$3.7M
H0031	Mental health assessment, by non-physician	11,000	$170	$1.8M
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…	20,040	$70	$1.4M
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…	27,880	$50	$1.3M
H2015	Comprehensive community support services, per 15 minutes	23,060	$50	$1.2M
T1040	Medicaid certified community behavioral health clinic services, per diem	3,780	$260	$992.8K
H0032	Mental health service plan development by non-physician	8,820	$80	$697K

Showing 1–10 of 33

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

Westbrook Health Services, Inc — 8 of 25 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	10	40	29,190	$210	$7.8M
H0040	Assertive community treatment program, per diem	4	10	71,630	$80	$6.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	6	20	2,650	$460	$2.9M
H2015	Comprehensive community support services, per 15 minutes	3	10	14,470	$50	$1.6M
H0038	Self‑help/peer services, per 15 minutes	22	60	3,310	$110	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	10	170	8,500	$80	$1.5M
T1040	Medicaid certified community behavioral health clinic services, per diem	2	10	3,100	$270	$790.4K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	9	30	1,020	$50	$438.2K
H0031	Mental health assessment, by non-physician	6	120	620	$160	$312.6K
A0160	Non-emergency transportation: per mile - case worker or social worker	91	110	2,030	$50	$278.8K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Westbrook Health Services, Inc.	WV	Community/Behavioral Health Agency	$0	$32.6M
Cindy Dugan	WV	Psychiatry Physician	$46.3K	$0
Ryan Kalakewich	WV	Clinical Psychologist	$31.4K	$0

Nearby Providers

Other providers in the same ZIP code as Westbrook Health Services, Inc, 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
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Wv Family Support And Rehabilitation Services	WV	Community/Behavioral Health Agency	$0	$19.4M
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
Parkersburg Radiology Services, Inc.	WV	Diagnostic Radiology Physician	$0	$2.4M

Westbrook Health Services, Inc — Billing Profile & Reimbursement Data

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Westbrook Health Services, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References