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.

Fmrs Health Systems Inc (NPI 1881733616)

Field	Value
Entity Type	Organization
Organization	Fmrs Health Systems Inc
Address	101 S Eisenhower Dr
City	Beckley
State	WV
ZIP	25801
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$27M
Medicare	$0

Key Findings

FMRS HEALTH SYSTEMS appears to operate primarily as a community-based behavioral health agency focused on intensive outpatient and community services: its largest revenue drivers are H0040 (Assertive community treatment program, per diem), H0004 (Behavioral health counseling and therapy, per 15 minutes), and H0036 (Community psychiatric supportive treatment, face-to-face, per 15 minutes), and the claim mix also includes telehealth originating site fees (Q3014), medical home care coordination (S0281), and case management (T1016), which together indicate a service model built around community outreach, therapy sessions, and coordinated care rather than inpatient or physician-driven specialty services.

Revenue concentration is high: the provider reports $27M in Medicaid revenue and the top 3 Medicaid codes by revenue account for 65.7% of this provider's total Medicaid revenue, led by H0040 at $9.9M (36.6%), followed by H0004 at $4.9M (18.2%) and H0036 at $3M (10.9%). This concentration means a majority of Medicaid dollars flow through a small set of per‑diem and per‑15‑minute community behavioral health services.

This entity is effectively single‑payer in scale: there is no Medicare billing on file, so its entire documented federal revenue footprint is concentrated in Medicaid ($27M) with no Medicare revenue to balance payer mix risk. That makes Medicaid policy, rate changes, and state program participation particularly material to the provider's financial stability and contracting leverage.

Competitive standing on its largest lines is mixed: H0040 ranks #3 of 12 in-state (82th percentile; typical, unremarkable volume for this code), H0004 ranks #16 of 166 (91th percentile; typical, unremarkable volume for this code), and H0036 ranks #7 of 24 (74th percentile; typical, unremarkable volume for this code), suggesting the provider is a meaningful regional participant in assertive community treatment and high‑volume therapy but not a statewide dominance outlier on those per‑diem community programs.

The provider is a clear outlier on several diagnostic and evaluation codes that point to strong clinic evaluation capacity: 99213 (45.7K claims, $2.3M revenue) ranks #39 of 1273 in-state (97th percentile; notably above typical state volume for this code), H0031 (11.3K claims, $1.8M revenue) ranks #5 of 119 (97th percentile; notably above typical state volume for this code), and 90792 (4.9K claims, $593.1K revenue) ranks #2 of 98 (99th percentile; notably above typical state volume for this code), indicating unusually high throughput of outpatient evaluation and non‑physician mental health assessment relative to peers.

Telehealth and care coordination show material but not dominant activity: Q3014 (16.5K claims, $413.1K revenue) ranks #7 of 80 (92th percentile; typical, unremarkable volume for this code), and S0281 and T1016 appear among the top 25 codes at smaller revenue shares, signaling that telehealth origination and care coordination are established parts of the delivery model but not the primary revenue base.

Participation in certified community behavioral health clinic services appears limited; T1040 (Medicaid certified community behavioral health clinic services, per diem) accounts for $295.8K (1.1% of Medicaid revenue) and ranks #5 of 6 in-state (20th percentile; typical, unremarkable volume for this code), which suggests either a low-volume CCBHC footprint or limited use of that payment pathway despite a large overall Medicaid behavioral health presence.

FMRS HEALTH SYSTEMS is a long‑tenured provider with its NPI enumerated on 2007-02-06 (~19 years ago). Combined with $27M in Medicaid revenue and a concentrated code mix emphasizing per‑diem community treatment and high-volume counseling, the profile is consistent with an established regional behavioral health organization that depends heavily on state Medicaid program payments and community-based service lines.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0040	Assertive community treatment program, per diem	116,470	$90	$9.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	53,430	$90	$4.9M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7,470	$400	$3M
H2036	Alcohol and/or other drug treatment program, per diem	11,750	$220	$2.6M
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…	45,690	$50	$2.3M
H0031	Mental health assessment, by non-physician	11,320	$160	$1.8M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	4,900	$120	$593.1K
Q3014	Telehealth originating site facility fee	16,520	$30	$413.1K
H2015	Comprehensive community support services, per 15 minutes	5,880	$60	$323.6K
T1040	Medicaid certified community behavioral health clinic services, per diem	1,020	$290	$295.8K

Showing 1–10 of 21

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

Fmrs Health Systems Inc — 3 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	24	40	29,190	$210	$7.8M
H0040	Assertive community treatment program, per diem	3	10	71,630	$80	$6.8M
H0036	Community psychiatric supportive treatment, face-to-face, per 15 minutes	7	20	2,650	$460	$2.9M
H2015	Comprehensive community support services, per 15 minutes	4	10	14,470	$50	$1.6M
H0038	Self‑help/peer services, per 15 minutes	30	60	3,310	$110	$1.6M
H0004	Behavioral health counseling and therapy, per 15 minutes	16	170	8,500	$80	$1.5M
T1040	Medicaid certified community behavioral health clinic services, per diem	5	10	3,100	$270	$790.4K
T1016	Case management, each 15 minutes	46	100	2,790	$90	$496.2K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	7	30	1,020	$50	$438.2K
H0031	Mental health assessment, by non-physician	5	120	620	$160	$312.6K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fmrs Health Systems Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahmed Faheem	WV	Psychiatry Physician	$125.8K	$0
Christina Phares	WV	Psychiatric/Mental Health Nurse Practitioner	$42.7K	$0
Edward Bez	WV	Psychiatry Physician	$20K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Raleigh General Hospital LLC	WV	General Acute Care Hospital	$0	$36.4M
Community Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$35M
Health Care Alliance, Inc.	WV	Emergency Medicine Physician	$0	$25M
Jan-care Ambulance Of Raleigh County Inc	WV	Land Ambulance	$1.9M	$20.8M
Appalachian Regional Healthcare, Inc	WV	General Acute Care Hospital	$0	$18.3M
Raleigh County Commission On Aging, Inc.	WV	Home Health Agency	$0	$16.7M
Mountain State Home Health Care Inc	WV	Nursing Care Agency	$0	$16.5M
Family Options Providers, LLC.	WV	Community/Behavioral Health Agency	$0	$16.1M
Raleigh County Commission On Aging, Inc.	WV	Home Health Agency	$0	$13.8M
Community Health Systems, Inc.	WV	Obstetrics & Gynecology Physician	$0	$11.9M

Fmrs Health Systems 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

Related Providers

Nearby Providers

Frequently Asked Questions

References