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.

Autism Service Center (NPI 1780711291)

Field	Value
Entity Type	Organization
Organization	Autism Service Center
Address	10 6th Ave W
City	Huntington
State	WV
ZIP	25701
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicaid	$59M
Medicare	$0

Key Findings

This provider is effectively single‑payer: it has no Medicare billing on file and reports $59M in lifetime Medicaid revenue, signaling a business model built around Medicaid-funded developmental disability services rather than traditional Medicare patient care. Analysts should treat Medicaid as the primary revenue driver when modeling this entity's financials or network impact.

Revenue is highly concentrated: the precomputed top three Medicaid codes (S5125, T1005, G9002) account for 88.0% of this provider's total Medicaid revenue. S5125 alone contributes $47.6M (80.6% of Medicaid revenue), with T1005 at $2.4M (4.2%) and G9002 at $1.9M (3.2%), indicating an outsized dependence on a single service line.

The code mix signals an operation centered on home‑ and community‑based attendant and support services rather than clinic‑based procedures. S5125 (Attendant care services; per 15 minutes) dominates with 16.5K claims and $2890 avg paid/claim, and complementary services show up as T1005 (Respite care services, up to 15 minutes; 2.6K claims, $948 avg paid/claim) and multiple case management/coordination codes such as G9002 and T1016, consistent with a developmental disabilities clinic/center focused on long‑duration, per‑15‑minute waiver and attendant care delivery.

Despite the very large absolute revenue tied to S5125, the provider's statewide competitive position on that code is unremarkable: S5125 ranks #19 of 43 providers in‑state (57th percentile). In other words, the provider is not a dominant statewide billing outlier for attendant care by ranking, even though S5125 drives the majority of its Medicaid dollars.

The provider holds relatively stronger competitive standing on some coordination and administrative codes: G9002 (Coordinated care fee, maintenance rate) generates $1.9M and ranks #21 of 123 providers in‑state (84th percentile), and T1016 (Case management, each 15 minutes) yields $1.8M and ranks #24 of 96 (76th percentile). These percentiles indicate above‑typical presence in care coordination/case management compared with peers, suggesting established administrative relationships with Medicaid waiver programs.

This NPI has been active for a long period—enumerated on 2007-02-28 (~19 years ago)—which supports interpretation of the billing pattern as a stable, long‑standing operational profile rather than a transient or newly emerged provider. Longevity combined with concentrated Medicaid revenue suggests deep integration into state waiver and attendant care networks.

Beyond the top three revenue drivers, the provider shows meaningful volumes in related service lines that reflect a broader waiver service footprint: T2021 (Day habilitation, waiver; per 15 minutes) has 8.4K claims and $1.6M revenue (59th percentile), A0160 (Non‑emergency transportation: per mile) has 8.1K claims and $1.4M revenue (78th percentile), and T2025 (Waiver services, nos) ranks #1 of 7 providers in‑state with $535.2K (100th percentile). These items indicate the organization also delivers transportation, day habilitation, and other waiver functions that support its attendant/respite services.

From an operational and payer‑strategy perspective, the extremely high share of revenue tied to S5125 (80.6% of Medicaid revenue) creates concentration sensitivity: any changes to attendant care reimbursement, utilization policy, or authorization practices could materially affect overall revenue. Analysts evaluating financial resilience or contract negotiations should account for this concentration and the offsetting presence in coordination and waiver service codes that together make up the remaining billed services.

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	16,460	$2,890	$47.6M
T1005	Respite care services, up to 15 minutes	2,580	$950	$2.4M
G9002	Coordinated care fee, maintenance rate	8,920	$210	$1.9M
T1016	Case management, each 15 minutes	7,820	$230	$1.8M
T2021	Day habilitation, waiver; per 15 minutes	8,420	$190	$1.6M
A0160	Non-emergency transportation: per mile - case worker or social worker	8,080	$180	$1.4M
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	4,630	$140	$642.9K
T2025	Waiver services; not otherwise specified (nos)	2,680	$200	$535.2K
T1002	Rn services, up to 15 minutes	2,830	$150	$433.6K
T2019	Habilitation, supported employment, waiver; per 15 minutes	500	$490	$244K

Showing 1–10 of 14

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

Autism Service Center — 1 of 14 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	19	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	24	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	17	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	21	120	2,950	$150	$901.9K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	4	10	4,740	$140	$560.2K
T1003	Lpn/lvn services, up to 15 minutes	27	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	24	100	2,790	$90	$496.2K
T2019	Habilitation, supported employment, waiver; per 15 minutes	4	10	420	$130	$445.4K
A0160	Non-emergency transportation: per mile - case worker or social worker	25	110	2,030	$50	$278.8K
T2025	Waiver services; not otherwise specified (nos)	1	10	610	$230	$263.7K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Autism Service Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Services Center, Inc.	WV	Behavior Analyst	$0	$2.1M
Autism Services Center	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M

Nearby Providers

Other providers in the same ZIP code as Autism Service Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cabell Huntington Hospital Inc	WV	General Acute Care Hospital	$0	$94.1M
University Physicians & Surgeons, Inc	WV	Internal Medicine Physician	$0	$58.3M
Tri-state Addiction Recovery Resources	WV	Community/Behavioral Health Agency	$0	$29.6M
County Of Cabell	WV	Land Ambulance	$2.6M	$23.3M
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Huntington Treatment Center, LLC	WV	Methadone Clinic	$0	$21M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.4M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.1M
Cabell Huntington Hospital Inc	WV	General Acute Care Hospital	$0	$9.3M

Autism Service Center — Billing Profile & Reimbursement Data

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Autism Service Center — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References