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.

Clean & Clear Advantage, LLC (NPI 1790390839)

Key Findings

Field	Value
Entity Type	Organization
Organization	Clean & Clear Advantage, LLC
Address	425 Juliana St
City	Parkersburg
State	WV
ZIP	26101
Taxonomy	Addiction (Substance Use Disorder) Counselor
NPI Enumerated	September 15, 2020

Payer Source	Total Paid
Medicaid	$18.3M
Medicare	$0

CLEAN & CLEAR ADVANTAGE’s Medicaid activity is overwhelmingly driven by H2036 (Alcohol and/or other drug treatment program, per diem): 92.6K claims, $195 avg paid/claim, $18.1M revenue, which represents 98.8% of this provider's total Medicaid revenue. The dominance of a per‑diem treatment program code indicates the organization primarily operates a Medicaid‑funded substance use disorder treatment program (likely residential or intensive outpatient billed per diem) rather than a general primary care clinic.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes by revenue account for 99.7% of this provider's total Medicaid revenue. This degree of concentration means the provider’s financial performance is highly dependent on continued Medicaid reimbursement for H2036 and the closely related top codes.

This provider effectively operates as a Medicaid‑focused entity: Total Medicare revenue is none (no Medicare billing on file) while total Medicaid revenue is $18.3M. The absence of Medicare billing on file makes CLEAN & CLEAR ADVANTAGE a single‑payer (Medicaid) billing operation in practice, which has implications for payer contracting, regulatory exposure, and revenue risk if state policy or rates change.

Competitive standing on the core service is notable but not an unusual outlier: H2036 ranks #4 of 35 providers in-state (91th percentile; typical, unremarkable volume for this code). In plain terms, CLEAN & CLEAR ADVANTAGE is one of the larger in‑state providers for the per‑diem SUD treatment code but its volume falls within typical patterns observed among peers rather than being flagged as an extreme outlier.

Secondary E/M codes contribute only a small share of Medicaid revenue, signaling that clinic‑style visits are ancillary to the per‑diem program. For example, 99213 produced $113.8K (1.9K claims, $61 avg paid/claim; ranks #552 of 1273 in-state, 57th percentile), 99204 produced $46.2K (491 claims, $94 avg; ranks #87 of 336, 74th percentile), and 99214 produced $32.8K (400 claims, $82 avg; ranks #652 of 1031, 37th percentile).

Ancillary services such as COVID testing and injections appear episodic and low‑revenue relative to the treatment program: 87426 ($18.7K), 96372 ($4.7K), 86769 ($612) and 86328 ($286) are present but together contribute a trivial share of total Medicaid revenue and each ranks within typical peer percentiles. These claims likely reflect occasional testing and procedural care tied to the primary SUD program rather than separate lines of business.

The provider’s NPI was enumerated on 2020-09-15 (~6 years ago), indicating a relatively recent enrollment; achieving $18.3M in Medicaid revenue since enumeration suggests rapid scaling of the Medicaid per‑diem treatment operation. Given the concentrated revenue mix and single‑payer orientation, monitoring state Medicaid policy, enrollment changes, and service authorization practices will be important for understanding future revenue stability.

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 Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	92,600	$200	$18.1M
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…	1,870	$60	$113.8K
99204	The provider sees a new 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 provider…	490	$90	$46.2K
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…	400	$80	$32.8K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	750	$30	$18.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	530	$10	$4.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	130	$20	$3.2K
99203	The provider sees a new 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 provider…	30	$30	$780
86769	The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…	70	$10	$610
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	30	$10	$290

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

Clean & Clear Advantage, LLC — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	4	40	29,190	$210	$7.8M
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…	552	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…	652	1,030	890	$50	$221K
99204	The provider sees a new 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 provider…	87	340	140	$90	$97.5K
99203	The provider sees a new 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 provider…	357	440	110	$60	$57.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	350	540	320	$20	$43.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	147	310	490	$20	$42K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	52	190	190	$30	$35.9K
86328	The lab analyst performs a single–step immunoassay to qualitatively or semiquantitatively evaluate the patient’s specimen for antibodies to the severe acute respiratory syndrome coronavirus 2…	7	10	290	$30	$25.5K
86769	The lab analyst performs a multiple–step immunoassay to evaluate the patient’s serum for antibodies to severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), which causes coronavirus disease…	4	10	30	$20	$2.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rscr West Virginia, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$153.6M
Camden Clark Memorial Hospital Corporation	WV	General Acute Care Hospital	$0	$56.2M
St. Joseph Recovery Center, LLC	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$49.5M
Westbrook Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$42.5M
Westbrook Health Services, Inc.	WV	Community/Behavioral Health Agency	$0	$32.6M
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Wv Family Support And Rehabilitation Services	WV	Community/Behavioral Health Agency	$0	$19.4M
Mjs Enterprises Inc	WV	Land Ambulance	$960.2K	$8.7M
Camden Clark Memorial Hospital Corporation	WV	Land Ambulance	$874.9K	$5.3M
Evergreen Therapeutic Treatment Centers LLC	WV	Adolescent and Children Mental Health Clinic/Center	$0	$3.3M

Clean & Clear Advantage, LLC — Billing Profile & Reimbursement Data

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Clean & Clear Advantage, LLC — 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