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.

The Arc Of The Three Rivers, Inc. (NPI 1992898225)

Field	Value
Entity Type	Organization
Organization	The Arc Of The Three Rivers, Inc.
Address	1021 Quarrier St
City	Charleston
State	WV
ZIP	25301
Taxonomy	Case Management Agency
NPI Enumerated	September 30, 2006

Payer Source	Total Paid
Medicaid	$15.6M
Medicare	$0

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	9,570	$920	$8.8M
T2021	Day habilitation, waiver; per 15 minutes	21,050	$140	$2.9M
G9002	Coordinated care fee, maintenance rate	6,090	$200	$1.2M
T1005	Respite care services, up to 15 minutes	3,790	$290	$1.1M
T1016	Case management, each 15 minutes	15,870	$50	$856.8K
A0160	Non-emergency transportation: per mile - case worker or social worker	17,590	$20	$263.9K
T1002	Rn services, up to 15 minutes	2,790	$50	$144.9K
T2024	Service assessment/plan of care development, waiver	1,170	$60	$73.5K
T1003	Lpn/lvn services, up to 15 minutes	630	$90	$59.5K
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…	350	$160	$57.6K

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

The Arc Of The Three Rivers, Inc. — 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	28	40	14,820	$750	$30.5M
T2021	Day habilitation, waiver; per 15 minutes	11	60	6,490	$120	$2.2M
T1005	Respite care services, up to 15 minutes	11	30	2,980	$250	$1.5M
G9002	Coordinated care fee, maintenance rate	32	120	2,950	$150	$901.9K
T1003	Lpn/lvn services, up to 15 minutes	28	30	2,070	$90	$522.7K
T1016	Case management, each 15 minutes	10	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.	99	140	790	$90	$469.7K
A0160	Non-emergency transportation: per mile - case worker or social worker	9	110	2,030	$50	$278.8K
T1002	Rn services, up to 15 minutes	58	150	1,980	$40	$232.6K
A0120	Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems	44	50	1,390	$30	$183.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as The Arc Of The Three Rivers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Wv Birth To Three	WV	Early Intervention Provider Agency	$0	$59.9M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Children's Home Society Of West Virginia	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$44.1M
Kanawha County Emergency Ambulance Authority	WV	Land Ambulance	$2.3M	$31.9M
Maxim Healthcare Services, Inc.	WV	Home Health Agency	$0	$19.9M
All-aid Services, Inc.	WV	Home Health Agency	$0	$16.3M
Retina Consultants, PLLC	WV	Retina Specialist (Ophthalmology) Physician	$0	$13.6M
Dolan & Kalaskey Ltd	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8.3M
Mindoula Health Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M

The Arc Of The Three Rivers, Inc. — Billing Profile & Reimbursement Data

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The Arc Of The Three Rivers, 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