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.

Ten Up Ministries, Inc (NPI 1609362391)

Field	Value
Entity Type	Organization
Organization	Ten Up Ministries, Inc
Address	2333 Maccorkle Ave Ste 201
City	Saint Albans
State	WV
ZIP	25177
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	July 5, 2018

Payer Source	Total Paid
Medicaid	$19.9M
Medicare	$0

Key Findings

TEN UP MINISTRIES, INC is effectively a single-payer Medicaid billing entity: there is no Medicare billing on file and total Medicaid revenue is $19.9M, indicating Medicaid is the primary — effectively sole — public payer supporting the organization’s operations. The provider’s NPI was enumerated on 2018-07-05 (~8 years ago), so this revenue profile reflects roughly post-enumeration scale since that registration date.

Revenue is highly concentrated in a small set of service types: the precomputed top 3 Medicaid codes account for 88.7% of this provider’s total Medicaid revenue. That concentration is led by two high-volume behavioral codes and a drug-screening code, meaning a few core services drive almost all Medicaid income for the organization.

H0038 (Self-help/peer services, per 15 minutes) is the single largest revenue driver at $11.1M (55.6% of Medicaid revenue) with 82K claims; the provider ranks #3 of 57 in-state (96th percentile) where this code’s utilization is described as notably above typical state volume for this code. This indicates an operational emphasis on peer-support and recovery services delivered at scale, positioning the provider as a major state-level player in peer services.

H0004 (Behavioral health counseling and therapy, per 15 minutes) contributes $6M (30.2% of Medicaid revenue) across 100.2K claims and ranks #5 of 166 providers in-state (98th percentile), also described as notably above typical state volume for this code. Combined with H0038, these two therapeutic/peer-service codes comprise the bulk of the service mix and suggest routine, high-frequency outpatient counseling and peer-support programming as the organization’s core service lines.

80307 (presumptive drug test(s) via instrumented chemistry analyzers) provides $587.2K (2.9% of Medicaid revenue) with 16.3K claims and ranks #15 of 106 in-state (87th percentile), noted as typical, unremarkable volume for this code. The presence of 80307 at measurable volume alongside the counseling and peer-service codes implies routine substance-use screening is embedded in the provider’s care pathway rather than an incidental or rare offering.

Transportation services appear to be a meaningful operational component: A0160 (per mile non-emergency transportation by case worker or social worker) and A0120 (mini-bus or similar transport) together generate $391.8K and $283.8K respectively and rank #3 statewide for both codes (A0160: #3 of 112 providers, 98th percentile; A0120: #3 of 50 providers, 96th percentile), each described as notably above typical state volume for this code. These high transportation volumes signal substantial outreach, client transport, or congregate-service logistics supporting the provider’s behavioral health programming.

Other billed codes such as H0036, H0032, and several E/M and lab codes account for small, incremental revenue shares (each under ~3% of Medicaid revenue) and are generally described as typical or unremarkable volume in-state. This pattern—dominant revenue from peer and counseling codes plus routine supportive services and screening—suggests a focused outpatient behavioral health/service model with ancillary supports rather than a broad multispecialty clinic.

From a competitive-stance perspective, the provider is a major in-state participant for its top service lines: H0038 and H0004 sit in the high percentiles (96th and 98th) and top-five ranks statewide, which supports characterizing TEN UP MINISTRIES as a significant local provider of peer and counseling services. At the same time, the organization’s heavy dependence on a narrow set of Medicaid codes (top 3 = 88.7% of revenue) indicates limited service diversification and potential sensitivity to reimbursement or utilization changes for those core codes.

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0038	Self‑help/peer services, per 15 minutes	82,010	$140	$11.1M
H0004	Behavioral health counseling and therapy, per 15 minutes	100,170	$60	$6M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	16,310	$40	$587.2K
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	1,480	$340	$509K
H0032	Mental health service plan development by non-physician	2,160	$230	$499.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	32,650	$10	$391.8K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	35,470	$10	$283.8K
H0031	Mental health assessment, by non-physician	1,570	$170	$265.7K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	12,900	$10	$103.2K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	1,960	$30	$60.8K

Showing 1–10 of 22

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

Ten Up Ministries, Inc — 4 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	14	20	2,650	$460	$2.9M
H0038	Self‑help/peer services, per 15 minutes	3	60	3,310	$110	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	5	170	8,500	$80	$1.5M
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	15	110	2,080	$50	$537.1K
H0031	Mental health assessment, by non-physician	34	120	620	$160	$312.6K
A0160	Non-emergency transportation: per mile - case worker or social worker	3	110	2,030	$50	$278.8K
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…	977	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…	715	1,030	890	$50	$221K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	3	50	1,390	$30	$183.1K
H0032	Mental health service plan development by non-physician	11	60	280	$80	$141.9K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Ten Up Ministries, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Putnam County Aging, Inc.	WV	Home Health Agency	$0	$26.5M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.7M
Putnam County Aging Program, Inc.	WV	Home Health Agency	$0	$3.4M
Braley & Thompson, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$777.9K
West Virginia Cvs Pharmacy LLC	WV	Pharmacy	$82.1K	$2.7K
Steven Potwin	WV	Optometrist	$72.1K	$0
Ajay Patel	WV	Internal Medicine Physician	$65.3K	$0
Michael Noto	WV	Foot & Ankle Surgery Podiatrist	$60.4K	$0
Stacey Smith	WV	Foot & Ankle Surgery Podiatrist	$35.7K	$0
Gabriel Mckinney	WV	Chiropractor	$22.5K	$0

Ten Up Ministries, 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

Nearby Providers

Frequently Asked Questions

References