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.

Westbrook Health Services, Inc. (NPI 1952357568)

Field	Value
Entity Type	Organization
Organization	Westbrook Health Services, Inc.
Address	2121 7th St
City	Parkersburg
State	WV
ZIP	26101
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 25, 2006

Payer Source	Total Paid
Medicaid	$32.6M
Medicare	$0

Key Findings

WESTBROOK HEALTH SERVICES, INC. reports no Medicare billing on file and $32.6M in lifetime Medicaid revenue, making its operations effectively single-payer (Medicaid) at scale; analysts should treat Medicaid reimbursement trends as the primary financial driver for this entity rather than Medicare dynamics. This payer concentration means any Medicaid policy, rate, or utilization change will disproportionately affect the provider’s financial profile.

The provider’s NPI was enumerated on 2006-05-25 (~20 years ago), indicating long tenure in the market and an established presence in West Virginia’s community/behavioral health ecosystem; this longevity supports continuity of relationships with state Medicaid programs and local referral sources.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 88.4% of the provider’s total Medicaid revenue, creating material dependency on a small set of services. Specifically, S5125 generates $21.9M (67.4% of Medicaid revenue), T2021 generates $5.4M (16.6%), and G9002 generates $1.4M (4.4%), so shifts in reimbursement or utilization for any of these codes would materially move overall revenue.

The code mix indicates an operational focus on hands-on, Medicaid-waiver services rather than clinical procedural care: S5125 is attendant care services billed per 15 minutes and dominates revenue, while T2021 is day habilitation (waiver) per 15 minutes and G9002 is a coordinated care fee (maintenance rate), together pointing to a service model built around personal attendant supports, day habilitation programming, and care coordination for waiver populations.

Competitive standing varies by code: for its top revenue driver S5125 the provider ranks #3 of 43 in-state (95th percentile) and is described as notably above typical state volume, signaling it is a major in-state provider of attendant care; by contrast T2021 ranks #5 of 57 (93th percentile) and G9002 ranks #27 of 123 (79th percentile) and are characterized as typical, unremarkable volumes, so WESTBROOK is exceptionally strong on attendant-care volume but more middle-tier on other waiver/coordination fees.

Beyond the top three, the Medicaid billing profile includes nursing and supportive services at much smaller scale — for example, T1003 (Lpn/lvn services) produced $1.2M (3.5%), T1016 (case management) produced $906.1K (2.8%), and T1002 (Rn services) produced $684.1K (2.1%) — plus non-emergency transportation lines such as A0120 ($482.3K, 1.5%) and A0160 ($200.8K, 0.6%). These secondary lines indicate the organization supplies a broader bundle of community supports around its core attendant/day habilitation business rather than relying solely on a single service type.

For payers and network managers, the operational implication is that contracting and utilization management should prioritize S5125 (attendant care) practices and authorization workflows, because this single code accounts for the majority of billings and sits in the 95th percentile statewide; monitoring of per-15-minute billing patterns and authorization integrity will have outsized impact on cost and quality oversight.

Strategically, because no Medicare activity is reported, WESTBROOK’s negotiating leverage and growth opportunities are concentrated within Medicaid markets and waiver programs; with 88.4% of Medicaid revenue coming from the top three codes, any state-level changes to attendant care, day habilitation, or coordinated care fee structures could materially alter the provider’s revenue base and should be tracked closely by payer analysts.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	212,900	$100	$21.9M
T2021	Day habilitation, waiver; per 15 minutes	60,870	$90	$5.4M
G9002	Coordinated care fee, maintenance rate	6,880	$210	$1.4M
T1003	Lpn/lvn services, up to 15 minutes	4,310	$270	$1.2M
T1016	Case management, each 15 minutes	8,240	$110	$906.1K
T1002	Rn services, up to 15 minutes	3,310	$210	$684.1K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	4,160	$120	$482.3K
T1005	Respite care services, up to 15 minutes	730	$290	$212K
A0160	Non-emergency transportation: per mile - case worker or social worker	4,100	$50	$200.8K
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.	670	$140	$90.8K

Showing 1–10 of 11

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

Westbrook Health Services, Inc. — 1 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	3	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	5	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	24	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	27	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	12	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	22	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.	76	140	790	$90	$469.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	37	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	51	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	14	50	1,390	$30	$183.1K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Westbrook Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$42.5M
Cindy Dugan	WV	Psychiatry Physician	$46.3K	$0
Ryan Kalakewich	WV	Clinical Psychologist	$31.4K	$0

Nearby Providers

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

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
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Wv Family Support And Rehabilitation Services	WV	Community/Behavioral Health Agency	$0	$19.4M
Clean & Clear Advantage, LLC	WV	Addiction (Substance Use Disorder) Counselor	$0	$18.3M
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
Parkersburg Radiology Services, Inc.	WV	Diagnostic Radiology Physician	$0	$2.4M

Westbrook Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Westbrook Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Westbrook Health Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Westbrook Health Services, Inc. — Billing Profile & Reimbursement Data policy alerts

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