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.

Potomac Comprehensive Diagnostic And Guidance Center Inc (NPI 1972692655)

Field	Value
Entity Type	Organization
Organization	Potomac Comprehensive Diagnostic And Guidance Center Inc
Address	One Blue Street
City	Romney
State	WV
ZIP	26757
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$761.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9002	Coordinated care fee, maintenance rate	2,960	$210	$630.3K
T1016	Case management, each 15 minutes	1,340	$90	$124.6K
T2021	Day habilitation, waiver; per 15 minutes	100	$70	$6.6K

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

Potomac Comprehensive Diagnostic And Guidance Center Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	54	60	6,490	$120	$2.2M
G9002	Coordinated care fee, maintenance rate	61	120	2,950	$150	$901.9K
T1016	Case management, each 15 minutes	62	100	2,790	$90	$496.2K

Nearby Providers

Other providers in the same ZIP code as Potomac Comprehensive Diagnostic And Guidance Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hampshire Memorial Hospital, Inc.	WV	Critical Access Hospital	$0	$9.6M
Hampshire Co. Special Services Center	WV	Developmentally Disabled Services Day Training Agency	$0	$5.7M
Hampshire Memorial Hospital, Inc.	WV	Rural Health Clinic/Center	$0	$4.2M
E. A. Hawse Health Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$3.3M
Mountaineer Mental Health, LLC	WV	Professional Counselor	$0	$2.3M
Hampshire County Committee On Aging	WV	In Home Supportive Care Agency	$0	$1.8M
Trinity Family Health Care, LLC	WV	Family Nurse Practitioner	$0	$1.4M
Jerry Hahn	WV	Procedural Dermatology Physician	$1.1M	$0
Pulmonary Associates Inc	WV	Durable Medical Equipment & Medical Supplies	$0	$966.3K
County Of Hampshire	WV	Land Ambulance	$123.7K	$198.7K

Potomac Comprehensive Diagnostic And Guidance Center Inc — Billing Profile & Reimbursement Data

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Potomac Comprehensive Diagnostic And Guidance Center Inc — 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