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.

Birth-babies & Beyond LLC (NPI 1972041689)

Field	Value
Entity Type	Organization
Organization	Birth-babies & Beyond LLC
Address	5321 Morning Dove Ln
City	Cross Lanes
State	WV
ZIP	25313
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	February 2, 2017

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1016	Case management, each 15 minutes	32,650	$40	$1.3M
S5190	Wellness assessment, performed by non-physician	420	$90	$37.8K
S9444	Parenting classes, non-physician provider, per session	20	$20	$330
S9442	Birthing classes, non-physician provider, per session	30	$10	$320

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

Birth-babies & Beyond LLC — 2 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1016	Case management, each 15 minutes	3	100	2,790	$90	$496.2K
S5190	Wellness assessment, performed by non-physician	1	10	60	$90	$12.4K
S9444	Parenting classes, non-physician provider, per session	9	10	100	$30	$6.8K
S9442	Birthing classes, non-physician provider, per session	1	10	30	$10	$320

Nearby Providers

Other providers in the same ZIP code as Birth-babies & Beyond LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro Careers, Inc	WV	Home Health Agency	$0	$41M
Hope Drug Rehabilitation LLC	WV	Community/Behavioral Health Agency	$0	$9.1M
First Care Services Inc.	WV	Case Management Agency	$0	$2.4M
Southern Home Care Services, Inc.	WV	Personal Care Attendant	$0	$1.8M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.6M
Meditelecare Of West Virginia PLLC	WV	Clinical Psychologist	$0	$962.6K
Wv Primary Care Inc	WV	Internal Medicine Physician	$0	$752.6K
Ashish Sheth	WV	Internal Medicine Physician	$168K	$0
Arvind Viradia	WV	Internal Medicine Physician	$116.7K	$0
David Briscoe	WV	Physical Therapist	$84.6K	$0

Birth-babies & Beyond LLC — Billing Profile & Reimbursement Data

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Birth-babies & Beyond LLC — 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