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.

United Summit Center Inc- Rehab (NPI 1689886558)

Field	Value
Entity Type	Organization
Organization	United Summit Center Inc- Rehab
Address	6 Hospital Plz
City	Clarksburg
State	WV
ZIP	26301
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$32.8M
Medicare	$0

Key Findings

UNITED SUMMIT CENTER INC- REHAB is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $32.8M in lifetime Medicaid revenue. This concentration means Medicaid policy and reimbursement changes will have outsized impact on the organization’s financials and network value.

Revenue is highly concentrated in a small set of codes: the precomputed top three Medicaid codes account for 78.3% of the provider’s Medicaid revenue, with H0040 representing $16.1M (49.2% of this provider's total Medicaid revenue) alone. That concentration implies operational and payer-risk exposure tied to a few service lines rather than a broad, diversified billing mix.

The code mix indicates a programmatic focus on intensive community-based behavioral health services: H0040 (Assertive community treatment program, per diem) is the dominant revenue driver, while H0036 (Community psychiatric supportive treatment, per 15 minutes) and H0004 (Behavioral health counseling and therapy, per 15 minutes) together provide the bulk of remaining revenue. This pattern is consistent with an agency running an ACT model supplemented by frequent short-interval therapeutic and counseling encounters.

Competitive standing on the ACT line is strong: H0040 ranks #1 of 12 providers in-state (100th percentile; notably above typical state volume), signaling market leadership in providing assertive community treatment within West Virginia. Payers considering capacity for high-intensity community outreach should view this provider as a leading in-state ACT resource.

For other high-revenue behavioral codes the provider shows solid but not unique scale: H0036 ($4.8M, 14.6% of Medicaid revenue) ranks #3 of 24 providers in-state (91th percentile; typical, unremarkable volume) and H0004 ($4.7M, 14.4%) ranks #21 of 166 providers in-state (88th percentile; typical, unremarkable volume). These placements indicate the organization has above-average volume in supportive and counseling services compared with many peers, but it is not an outlier outside the ACT line.

The provider also bills material per-diem substance-use treatment and assessment services: H2036 ($4.4M, 13.5% of Medicaid revenue) ranks #20 of 35 providers in-state (44th percentile; typical, unremarkable volume), while H0031 ($1.4M, 4.1%) ranks #7 of 119 providers in-state (95th percentile; notably above typical state volume). This suggests a meaningful, relatively high-intensity assessment capability alongside mid-ranked SUD per-diem programming.

Operational footprint includes telehealth and wraparound supports: Q3014 (telehealth originating site facility fee) shows 6.6K claims and $164.7K in revenue (0.5% of Medicaid revenue) and ranks #11 of 80 providers in-state (87th percentile), indicating active use of telehealth. Modest revenue from transportation codes A0160 and A0120 further signals provision of non-emergency transport and logistical support consistent with community-based service delivery.

The organization has longstanding presence in the market, with its NPI enumerated on 2007-05-04 (~19 years ago), which supports a characterization of an established community behavioral health agency. For payers and contracting teams, the combination of long tenure, dominance in H0040 ACT billing, and a heavy dependence on a small set of per-diem and per-15-minute behavioral health codes should inform negotiations, network capacity planning, and risk-management assessments.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	187,510	$90	$16.1M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	13,600	$350	$4.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	45,520	$100	$4.7M
H2036	Alcohol and/or other drug treatment program, per diem	22,480	$200	$4.4M
H0031	Mental health assessment, by non-physician	8,810	$150	$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…	6,840	$50	$341.9K
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…	4,920	$70	$339.5K
Q3014	Telehealth originating site facility fee	6,590	$30	$164.7K
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…	1,440	$80	$120.5K
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…	960	$110	$106.3K

Showing 1–10 of 26

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

United Summit Center Inc- Rehab — 1 of 24 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	20	40	29,190	$210	$7.8M
H0040	Assertive community treatment program, per diem	1	10	71,630	$80	$6.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	3	20	2,650	$460	$2.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	21	170	8,500	$80	$1.5M
G9002	Coordinated care fee, maintenance rate	120	120	2,950	$150	$901.9K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	5	10	60	$170	$888.7K
H0031	Mental health assessment, by non-physician	7	120	620	$160	$312.6K
A0160	Non-emergency transportation: per mile - case worker or social worker	23	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…	278	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…	190	1,030	890	$50	$221K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with United Summit Center Inc- Rehab, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Summit Center Inc-wavier	WV	Developmental Disabilities Clinic/Center	$0	$25.6M
Jacqueline Channell	CA	Family Nurse Practitioner	$415.6K	$0
Franklin Curry	WV	Professional Counselor	$22.1K	$0

Nearby Providers

Other providers in the same ZIP code as United Summit Center Inc- Rehab, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Harrison County	WV	Community/Behavioral Health Agency	$0	$32.8M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$11M
Harrison County Emergency Squad	WV	Ambulance	$839K	$8M
Genesis Youth Crisis Center	WV	Community/Behavioral Health Agency	$0	$7.4M
Clarksburg Treatment Center, LLC	WV	Methadone Clinic	$67.1K	$6.3M
Dr. Robert Martino, PLLC	WV	Dentist	$0	$5.8M
Clarksburg Treatment Center, LLC	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.7M
Genesis Youth Crisis Center, Inc.	WV	Community/Behavioral Health Agency	$0	$2.4M
Pressley Ridge	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$2.2M
Roger Suter	WV	General Practice Dentistry	$0	$2M

United Summit Center Inc- Rehab — Billing Profile & Reimbursement Data

Sign up for United Summit Center Inc- Rehab — Billing Profile & Reimbursement Data policy alerts

United Summit Center Inc- Rehab — Billing Profile & Reimbursement Data

Sign up for United Summit Center Inc- Rehab — Billing Profile & Reimbursement Data policy alerts

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