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.

United Summit Center Inc-wavier (NPI 1891907788)

Field	Value
Entity Type	Organization
Organization	United Summit Center Inc-wavier
Address	6 Hospital Plz
City	Clarksburg
State	WV
ZIP	26301
Taxonomy	Developmental Disabilities Clinic/Center
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$25.6M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and Total Medicaid revenue is $25.6M. The absence of Medicare volume means analyses of payer mix and risk exposure should treat UNITED SUMMIT CENTER INC-WAVIER as a Medicaid-centric entity.

Medicaid revenue is extremely concentrated: the top three Medicaid codes account for 92.9% of this provider's total Medicaid revenue. Those codes are S5125 ($21.4M, 83.5% of Medicaid revenue), T2021 ($1.5M, 6.0%), and G9002 ($883.7K, 3.5%), indicating a heavy dependence on a very small set of services for the majority of revenue.

The code mix points to a service model focused on direct support and habilitation for people with developmental disabilities: S5125 (Attendant care services; per 15 minutes) and T2021 (Day habilitation, waiver; per 15 minutes) dominate revenue, while G9002 (Coordinated care fee, maintenance rate) suggests structured care coordination. Supporting codes billed in meaningful volume—T1016 (case management), T1005 (respite), A0160 (non-emergency transportation), and 97530 (therapeutic activities)—further indicate the provider delivers wraparound home- and community-based services rather than acute medical care.

Despite S5125 representing $21.4M (83.5% of Medicaid revenue), the provider is not a statewide volume leader on that code: S5125 ranks #34 of 43 providers in-state (21th percentile; typical, unremarkable volume for this code). In other words, much of the provider’s revenue concentration comes from a single high-revenue code, but peer-ranked volume for that code is modest.

Peer rankings for the next two top codes are also middling: T2021 ranks #38 of 57 (34th percentile; typical, unremarkable volume for this code) and G9002 ranks #48 of 123 (61th percentile; typical, unremarkable volume for this code). These percentiles suggest the provider occupies a modest to mid-tier competitive position across its principal service lines rather than being a dominant statewide provider.

Claim-level economics vary sharply across the top codes: S5125 shows 4.8K claims with an avg paid/claim of $4474, while T2021 shows 4K claims with an avg paid/claim of $377 and G9002 shows 4.3K claims with an avg paid/claim of $206. This combination—high-dollar S5125 claims alongside lower-dollar, higher-frequency habilitation and coordination claims—indicates revenue concentration driven by high-paying attendant-care claim events supported by routine habilitation and coordination activity.

Operational footprint is broad across nonclinical supports: A0160 (Non-emergency transportation: per mile) shows 10K claims with $47 avg paid/claim and ranks #21 of 112 in-state (82th percentile; typical, unremarkable volume for this code), while T1016 (4.2K claims) and T1005 (3.3K claims) reflect sustained case management and respite activity. These volumes imply an operational emphasis on daily service delivery and logistics (transportation, case management, respite) that complements their attendant-care and day habilitation work.

The provider has an established billing history: NPI enumerated 2007-05-04 (~19 years ago), indicating long tenure in the Medicaid market and suggesting the observed billing pattern is likely stable rather than a short-term fluctuation. Analysts should treat current code concentration and rank positions as representative of a long-standing service profile.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	4,780	$4,470	$21.4M
T2021	Day habilitation, waiver; per 15 minutes	4,040	$380	$1.5M
G9002	Coordinated care fee, maintenance rate	4,290	$210	$883.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	9,960	$50	$468.2K
T1016	Case management, each 15 minutes	4,180	$110	$455.6K
T1005	Respite care services, up to 15 minutes	3,260	$120	$380.8K
T1002	Rn services, up to 15 minutes	1,600	$110	$172.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	680	$210	$144.8K
T1003	Lpn/lvn services, up to 15 minutes	190	$440	$82K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	910	$70	$60.2K

Showing 1–10 of 12

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

United Summit Center Inc-wavier — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	34	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	38	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	13	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	48	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	31	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	38	100	2,790	$90	$496.2K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	75	140	790	$90	$469.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	21	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	87	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	33	50	1,390	$30	$183.1K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with United Summit Center Inc-wavier, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Summit Center Inc- Rehab	WV	Community/Behavioral Health Agency	$0	$32.8M
Jacqueline Channell	CA	Family Nurse Practitioner	$415.6K	$0
Franklin Curry	WV	Professional Counselor	$22.1K	$0

Nearby Providers

Other providers in the same ZIP code as United Summit Center Inc-wavier, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Of Harrison County	WV	Community/Behavioral Health Agency	$0	$32.8M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$11M
Harrison County Emergency Squad	WV	Ambulance	$839K	$8M
Genesis Youth Crisis Center	WV	Community/Behavioral Health Agency	$0	$7.4M
Clarksburg Treatment Center, LLC	WV	Methadone Clinic	$67.1K	$6.3M
Dr. Robert Martino, PLLC	WV	Dentist	$0	$5.8M
Clarksburg Treatment Center, LLC	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.7M
Genesis Youth Crisis Center, Inc.	WV	Community/Behavioral Health Agency	$0	$2.4M
Pressley Ridge	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$2.2M
Roger Suter	WV	General Practice Dentistry	$0	$2M

United Summit Center Inc-wavier — 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