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.

C & C Recovery, LLC (NPI 1689203911)

Field	Value
Entity Type	Organization
Organization	C & C Recovery, LLC
Address	225 Augustine Ave
City	Charles Town
State	WV
ZIP	25414
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 7, 2020

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,260	$50	$453.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,840	$80	$322.2K
T1017	Targeted case management, each 15 minutes	3,520	$40	$151.5K
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…	1,110	$60	$69.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2,380	$20	$35.7K
H0031	Mental health assessment, by non-physician	150	$180	$26.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	240	$60	$14.3K
H0038	Self‑help/peer services, per 15 minutes	300	$30	$9.5K
90832	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…	200	$40	$7.1K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$140	$1.7K

Showing 1–10 of 11

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

C & C Recovery, LLC — 0 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	46	60	3,310	$110	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	146	170	8,500	$80	$1.5M
H0031	Mental health assessment, by non-physician	87	120	620	$160	$312.6K
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…	228	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…	470	1,030	890	$50	$221K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	52	310	740	$80	$178.2K
T1017	Targeted case management, each 15 minutes	27	110	970	$20	$95.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	97	100	120	$100	$69.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	29	100	940	$20	$62.4K
90832	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…	131	200	490	$30	$57.7K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as C & C Recovery, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Valley Medical System,inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.8M
Jefferson Urgent Care, LLC	WV	General Practice Physician	$0	$906.1K
Amanda Barnhouse	WV	Gerontology Nurse Practitioner	$131.3K	$0
Alfret Shakesprere	WV	Internal Medicine Physician	$87.2K	$0
Jason Lincoln	WV	Physician Assistant	$75.4K	$0
Kimberly Cavill	WV	Family Nurse Practitioner	$74.1K	$0
West Virginia Cvs Pharmacy LLC	WV	Pharmacy	$73.2K	$0
Garth Wright	WV	Orthopaedic Surgery Physician	$71.8K	$0
Michael Matela	WV	Family Medicine Physician	$25.5K	$19.5K
Kerry Cole	WV	Family Nurse Practitioner	$34.8K	$0

C & C Recovery, LLC — Billing Profile & Reimbursement Data

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C & C Recovery, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References