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.

Burlington United Methodist Family Services, Inc. (NPI 1841323201)

Field	Value
Entity Type	Organization
Organization	Burlington United Methodist Family Services, Inc.
Address	Rr 3 Box 3122
City	Keyser
State	WV
ZIP	26726
Taxonomy	Emotionally Disturbed Childrens' Residential Treatment Facility
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicaid	$8.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	71,440	$120	$8.6M
H2010	Comprehensive medication services, per 15 minutes	80	$20	$1.5K
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…	10	$50	$600
G9008	Coordinated care fee, physician coordinated care oversight services	10	$40	$470
H0004	Behavioral health counseling and therapy, per 15 minutes	29,310	$0	$0
H0032	Mental health service plan development by non-physician	210	$0	$0
T1017	Targeted case management, each 15 minutes	800	$0	$0

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

Burlington United Methodist Family Services, Inc. — 0 of 4 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	3	40	12,160	$150	$4M
H0004	Behavioral health counseling and therapy, per 15 minutes	35	170	8,500	$80	$1.5M
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…	1,260	1,270	1,240	$30	$245K
H0032	Mental health service plan development by non-physician	32	60	280	$80	$141.9K
T1017	Targeted case management, each 15 minutes	60	110	970	$20	$95.3K
G9008	Coordinated care fee, physician coordinated care oversight services	8	10	90	$40	$39.7K
H2010	Comprehensive medication services, per 15 minutes	6	10	80	$10	$1.2K

Nearby Providers

Other providers in the same ZIP code as Burlington United Methodist Family Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sycamore Run, LLC	WV	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Potomac Valley Hospital Of W Va , Inc	WV	Critical Access Hospital	$0	$11M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$7.4M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$6.6M
Recovery Care LLC	WV	Specialist	$0	$3.5M
Developmental Center & Workshop, Inc.	WV	Developmentally Disabled Services Day Training Agency	$0	$2.7M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$2.6M
Potomac Valley Hospital Of W Va , Inc	WV	Emergency Medicine Physician	$0	$2.3M
Aging And Family Services Of Mineral County, Inc.	WV	Community/Behavioral Health Agency	$0	$1.6M
Recovery Care LLC	WV	Community/Behavioral Health Agency	$0	$1.3M

Burlington United Methodist Family Services, Inc. — Billing Profile & Reimbursement Data

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Burlington United Methodist Family Services, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References