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.

Panhandle Support Services, Inc. (NPI 1740298355)

Field	Value
Entity Type	Organization
Organization	Panhandle Support Services, Inc.
Address	6441 Farmdale Rd
City	Barboursville
State	WV
ZIP	25504
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$29.1M
Medicare	$0

Key Findings

PANHANDLE SUPPORT SERVICES, INC. has no Medicare billing on file and reports $29.1M in lifetime Medicaid revenue, making its Medicaid business effectively the sole payer relationship reflected in the available claims data. The absence of Medicare activity positions the provider as Medicaid-centric for payers and analysts evaluating its revenue exposure and contracting footprint.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.0% of this provider's total Medicaid revenue, with a single code dominating receipts. S5130 alone represents $28.1M in revenue, or 96.8% of total Medicaid revenue, signaling that almost the entire Medicaid revenue stream is driven by one service line.

The code mix indicates an operational focus on in-home supportive and time-based homemaker services: S5130 (Homemaker service, per 15 minutes) is the primary revenue driver, while supporting services reported include nursing visits (T1002, Rn services; T1001, nursing assessment), non-emergency transportation (A0160), and emergency response systems (S5161). This combination suggests a core business model built around ongoing, time-based homemaker care supplemented by clinical assessments, transportation, and monthly monitoring services.

S5130 is an extreme statistical outlier within the state: the provider ranks #1 of 72 in-state for this code and sits at the 100th percentile, described in the source data as an "extreme outlier, far above typical state volume for this code." That ranking indicates market dominance in delivering homemaker services relative to other in-state providers and makes S5130 the defining service in the provider’s Medicaid footprint.

For other reported codes the provider is a high-volume but less singular player: T1002 (21.2K claims, $338.6K revenue) ranks #6 of 151 in-state at the 97th percentile, and T1001 (1.7K claims, $192.2K revenue) ranks #7 of 60 at the 90th percentile, while A0160 (6.2K claims, $304.4K revenue) sits at #31 of 112 in the 73th percentile and S5161 (2.1K claims, $104.4K revenue) is #6 of 47 at the 89th percentile. These positions show above-average engagement across several ancillary clinical and support services, even though none approach the scale of the S5130 homemaker line.

Service volume data reinforce the scale of the homemaker operation: the provider reported 244.8K S5130 claims, dwarﬁng other code claim counts (for example, 21.2K claims for T1002 and 6.2K claims for A0160). The very high claim count for a 15-minute, time-based code is consistent with intensive, recurring in-home support delivery rather than infrequent episodic care.

The extreme concentration in a single revenue code creates business concentration exposure: changes to coverage policy, reimbursement rates, or utilization management around S5130 could materially affect the provider’s Medicaid revenue. Analysts and payers should note that despite presence in multiple service lines, the provider’s financial profile depends overwhelmingly on time-based homemaker services.

PANHANDLE SUPPORT SERVICES, INC. has an NPI enumeration date of 2006-08-03 (~20 years ago), indicating long tenure in the market. That longevity combined with the observed scale in S5130 suggests an established regional operation with deep operational experience in delivering in-home supportive care services.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	244,770	$120	$28.1M
T1002	Rn services, up to 15 minutes	21,160	$20	$338.6K
A0160	Non-emergency transportation: per mile - case worker or social worker	6,210	$50	$304.4K
T1001	Nursing assessment / evaluation	1,720	$110	$192.2K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2,130	$50	$104.4K

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

Panhandle Support Services, Inc. — 2 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	1	70	6,710	$330	$6.6M
A0160	Non-emergency transportation: per mile - case worker or social worker	31	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	6	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	7	60	200	$110	$90.3K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	6	50	460	$50	$63.1K

Nearby Providers

Other providers in the same ZIP code as Panhandle Support Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prestera Center For Mental Health Services Inc	WV	Community/Behavioral Health Agency	$0	$75.4M
Village Caregiving, LLC	WV	In Home Supportive Care Agency	$0	$16.7M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$2.7M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.3M
S. Glenn Bailey O.d., Inc.	WV	Optometrist	$0	$2.1M
Amy Vaughan	WV	Dermatology Physician	$312.5K	$0
Cynthia Pinson	WV	Family Medicine Physician	$206.4K	$0
Walgreen Co	WV	Pharmacy	$99.1K	$0
Suzanne Celdran	WV	Family Nurse Practitioner	$78.2K	$0
David Humphreys	WV	Psychiatry Physician	$69.6K	$0

Panhandle Support Services, Inc. — Billing Profile & Reimbursement Data

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Panhandle Support 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

Nearby Providers

Frequently Asked Questions

References