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    OpenPayerNPI Medicare & MedicaidFmrs Health Systems Inc
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    Fmrs Health Systems Inc — Billing Profile & Reimbursement Data

    NPI 1740406404 · Beckley, WV · Developmental Disabilities Clinic/Center

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    Fmrs Health Systems Inc is a developmental disabilities clinic/center provider located in Beckley, West Virginia. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFmrs Health Systems Inc
    Address101 S Eisenhower Dr
    CityBeckley
    StateWV
    ZIP25801
    TaxonomyDevelopmental Disabilities Clinic/Center
    NPI EnumeratedApril 18, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S5125Attendant care services; per 15 minutes2,630$1,160$3M
    G9002Coordinated care fee, maintenance rate4,640$210$955.4K
    T1005Respite care services, up to 15 minutes650$1,130$735.6K
    T1016Case management, each 15 minutes3,500$130$447.9K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.860$430$370.7K
    A0160Non-emergency transportation: per mile - case worker or social worker10,890$20$217.7K
    T2021Day habilitation, waiver; per 15 minutes970$60$57.1K
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems2,830$20$45.2K
    T1002Rn services, up to 15 minutes250$110$27.7K
    T2024Service assessment/plan of care development, waiver140$60$9.2K

    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.

    Full comparison — all codes billed, vs. West Virginia median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S5125Attendant care services; per 15 minutes414014,820$750$30.5M
    T2021Day habilitation, waiver; per 15 minutes51606,490$120$2.2M
    T1005Respite care services, up to 15 minutes25302,980$250$1.5M
    G9002Coordinated care fee, maintenance rate421202,950$150$901.9K
    T1016Case management, each 15 minutes431002,790$90$496.2K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.67140790$90$469.7K
    A0160Non-emergency transportation: per mile - case worker or social worker201102,030$50$278.8K
    T1002Rn services, up to 15 minutes1301501,980$40$232.6K
    A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems19501,390$30$183.1K
    T2024Service assessment/plan of care development, waiver3650760$50$95.5K

    Nearby Providers

    Other providers in the same ZIP code as Fmrs Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raleigh General Hospital LLCWVGeneral Acute Care Hospital$0$36.4M
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$35M
    Fmrs Health Systems IncWVCommunity/Behavioral Health Agency$0$27M
    Health Care Alliance, Inc.WVEmergency Medicine Physician$0$25M
    Jan-care Ambulance Of Raleigh County IncWVLand Ambulance$1.9M$20.8M
    Appalachian Regional Healthcare, IncWVGeneral Acute Care Hospital$0$18.3M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$16.7M
    Mountain State Home Health Care IncWVNursing Care Agency$0$16.5M
    Family Options Providers, LLC.WVCommunity/Behavioral Health Agency$0$16.1M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$13.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Fmrs Health Systems Inc — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia