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.

Children's Home Society Of West Virginia (NPI 1598884488)

Field	Value
Entity Type	Organization
Organization	Children's Home Society Of West Virginia
Address	1422 Kanawha Blvd E
City	Charleston
State	WV
ZIP	25301
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$44.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer Medicaid: there is no Medicare billing on file while lifetime Medicaid revenue totals $44.1M, indicating the organization’s operations are primarily funded through Medicaid rather than Medicare. The absence of Medicare activity suggests the provider’s service mix and beneficiary population are focused on pediatric and youth behavioral health services reimbursed by state Medicaid programs.

Revenue concentration is extremely high and narrowly focused: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s total Medicaid revenue, with H0019 alone representing the entirety of billed Medicaid revenue at $44.1M. That concentration implies the organization’s financials are heavily dependent on long‑term residential behavioral health per‑diem payments rather than a diversified set of Medicaid services.

The code mix and highest‑revenue activity show this operation is a long‑term residential behavioral health provider for children: H0019 (long‑term residential, without room and board, per diem) accounts for $44.1M and 159.3K claims, indicating sustained residential stays and a programmatic focus on non‑acute, extended behavioral health treatment. Supporting codes reported (H0031, H0032, H0004, H2014, T1017) reflect ancillary mental health assessment, service planning, counseling, skills training, and case management activity consistent with an integrated residential treatment model.

Competitive standing in West Virginia for the primary revenue code is dominant: H0019 revenue ranks #1 of 36 providers in‑state and sits in the 100th percentile, described as an "extreme outlier" and far above typical state volume for this code. The provider’s statewide leadership on H0019 suggests it is a major capacity source for long‑term residential behavioral health services for children within WV.

Other Medicaid codes show activity but contribute no reported paid revenue: codes such as H0031 (632 claims), H0032 (158 claims), 96101 (64 claims), H0004 (60.4K claims), H2014 (11.3K claims) and T1017 (15.7K claims) appear on file yet have $0 average paid/claim and $0 reported revenue in the dataset. These counts indicate the provider documents a range of behavioral health assessments, therapy, skills training and case management encounters in its workflow, but the financial picture in the dataset attributes revenue almost exclusively to the H0019 per‑diem.

The provider’s statewide ranking on ancillary volume varies: H2014 ranks #1 of 8 providers in‑state (100th percentile; notably above typical state volume for this code), while H0004 ranks #14 of 166 (92nd percentile) and T1017 ranks #8 of 112 (94th percentile). These percentile positions point to relatively high operational throughput in skills training, counseling, and targeted case management compared with many in‑state peers, further reinforcing a residential program offering bundled or extensive non‑room‑and‑board services.

Organizational tenure suggests established operations: the NPI was enumerated on 2007‑03‑29 (~19 years ago), indicating nearly two decades of enrollment and likely continuity in serving the pediatric behavioral health population. Longevity paired with large Medicaid per‑diem revenue supports the view that the provider has longstanding capacity and reimbursement relationships within state Medicaid systems.

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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	159,340	$280	$44.1M
96101	N/A	60	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	60,420	$0	$0
H0031	Mental health assessment, by non-physician	630	$0	$0
H0032	Mental health service plan development by non-physician	160	$0	$0
H2014	Skills training and development, per 15 minutes	11,330	$0	$0
T1017	Targeted case management, each 15 minutes	15,660	$0	$0

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

Children's Home Society Of West Virginia — 1 of 1 code 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
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1	40	12,160	$150	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	14	170	8,500	$80	$1.5M
H0031	Mental health assessment, by non-physician	58	120	620	$160	$312.6K
H0032	Mental health service plan development by non-physician	39	60	280	$80	$141.9K
T1017	Targeted case management, each 15 minutes	8	110	970	$20	$95.3K
H2014	Skills training and development, per 15 minutes	1	10	690	$30	$75.3K
96101	N/A	5	10	40	$110	$6.8K

Nearby Providers

Other providers in the same ZIP code as Children's Home Society Of West Virginia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Wv Birth To Three	WV	Early Intervention Provider Agency	$0	$59.9M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Kanawha County Emergency Ambulance Authority	WV	Land Ambulance	$2.3M	$31.9M
Maxim Healthcare Services, Inc.	WV	Home Health Agency	$0	$19.9M
All-aid Services, Inc.	WV	Home Health Agency	$0	$16.3M
The Arc Of The Three Rivers, Inc.	WV	Case Management Agency	$0	$15.6M
Retina Consultants, PLLC	WV	Retina Specialist (Ophthalmology) Physician	$0	$13.6M
Dolan & Kalaskey Ltd	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8.3M
Mindoula Health Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M

Children's Home Society Of West Virginia — Billing Profile & Reimbursement Data

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Children's Home Society Of West Virginia — 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