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.

Central West Virginia Aging Services Inc (hmkr) (NPI 1881782019)

Field	Value
Entity Type	Organization
Organization	Central West Virginia Aging Services Inc (hmkr)
Address	186 North Spring Street
City	Buckhannon
State	WV
ZIP	26201
Taxonomy	Home Health Agency
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$61.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and all recorded federal program revenue is Medicaid, totaling $61.8M in lifetime Medicaid revenue. The absence of Medicare claims indicates the organization operates primarily within the Medicaid home- and community‑based services market rather than traditional Medicare home health programs.

Revenue is extremely concentrated in a very small set of Medicaid codes: the precomputed top 3 codes account for 98.3% of this provider's total Medicaid revenue. In particular, S5130 alone represents $58.6M (94.8% of total Medicaid revenue), while A0160 contributes $1.2M (2.0%) and T1002 contributes $930.4K (1.5%).

The code mix and volumes indicate a business model centered on non‑clinical homemaker and support services rather than episodic skilled Medicare home health care: S5130 (Homemaker service, per 15 minutes) reports 162.3K claims at $361 avg paid/claim for $58.6M, signaling that routine personal care and homemaking are the core service line. High volumes for S5130 suggest operations optimized for repeated, time‑based in‑home assistance rather than primarily short, intensive clinical visits.

Operationally the provider also runs a substantial transportation and nursing-support component: A0160 (Non‑emergency transportation: per mile - case worker or social worker) shows 58.2K claims at $21 avg paid/claim for $1.2M, and T1002 (Rn services, up to 15 minutes) shows 51.7K claims at $18 avg paid/claim for $930.4K. The presence of T1001 (Nursing assessment / evaluation) at $552.6K and S5161 (Emergency response system; service fee, per month) at $481.4K further indicates a mixed model that pairs homemaker supports with clinical nursing touchpoints and remote response services.

Competitive standing within West Virginia is outsized for several codes: for S5130 the provider ranks #3 of 72 providers in-state (97th percentile; extreme outlier), and for A0160 it ranks #1 of 112 providers in-state (100th percentile; extreme outlier), marking it as a dominant statewide supplier of non‑emergency transportation and among the largest providers of homemaker services. T1002 ranks #3 of 151 providers (99th percentile), T1001 ranks #3 of 60 (97th percentile), and S5161 ranks #2 of 47 (98th percentile), all indicating materially higher activity than typical in‑state peers for those service lines.

The dataset flags multiple statistical outliers: S5130 and A0160 are labeled “extreme outlier,” while T1002, T1001, and S5161 are described as “notably above typical” — this aligns with the provider’s very high claim counts (e.g., 162.3K S5130 claims and 58.2K A0160 claims) and above‑median state rankings. These labels suggest the provider is operating at scale for specific Medicaid service categories relative to other in‑state organizations.

The heavy reliance on a single revenue driver creates concentration risk: with S5130 equal to $58.6M (94.8% of Medicaid revenue) and the top three codes totaling 98.3% of Medicaid revenue, the provider’s financial performance is highly sensitive to any policy, reimbursement, or utilization changes affecting homemaker services or the two other top codes. Analysts should treat the provider as specialized and potentially vulnerable to shifts in state Medicaid coverage rules or rate adjustments for those specific codes.

The provider is long‑tenured in the national enrollment system, with an NPI enumeration date of 2006-10-11 (~20 years ago), which supports the interpretation of an established operational footprint in West Virginia rather than a recent entrant; that tenure likely underpins the high volumes and state rankings observed across its dominant Medicaid codes.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	162,340	$360	$58.6M
A0160	Non-emergency transportation: per mile - case worker or social worker	58,190	$20	$1.2M
T1002	Rn services, up to 15 minutes	51,690	$20	$930.4K
T1001	Nursing assessment / evaluation	4,640	$120	$552.6K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	10,030	$50	$481.4K

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

Central West Virginia Aging Services Inc (hmkr) — 5 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5130	Homemaker service, nos; per 15 minutes	3	70	6,710	$330	$6.6M
A0160	Non-emergency transportation: per mile - case worker or social worker	1	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	3	150	1,980	$40	$232.6K
T1001	Nursing assessment / evaluation	3	60	200	$110	$90.3K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	2	50	460	$50	$63.1K

Nearby Providers

Other providers in the same ZIP code as Central West Virginia Aging Services Inc (hmkr), ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Josephs Hospital Of Buckhannon Inc	WV	Critical Access Hospital	$0	$41.8M
Central West Virginia Aging Services, Inc. (cm)	WV	Case Management Agency	$0	$8.6M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$6.3M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$5.1M
St Josephs Hospital Of Buckhannon	WV	Internal Medicine Physician	$0	$4.5M
Drs Martino & Wilson, PLLC	WV	General Practice Dentistry	$0	$4.1M
Upshur County Emergency Medical Services Inc	WV	Land Ambulance	$336.2K	$3.6M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$3.5M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$3M
St. Joseph's Hospital Of Buckhannon, Inc.	WV	Rural Health Clinic/Center	$0	$2.2M

Central West Virginia Aging Services Inc (hmkr) — Billing Profile & Reimbursement Data

Sign up for Central West Virginia Aging Services Inc (hmkr) — Billing Profile & Reimbursement Data policy alerts

Central West Virginia Aging Services Inc (hmkr) — Billing Profile & Reimbursement Data

Sign up for Central West Virginia Aging Services Inc (hmkr) — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References