Mainstream Services, Incorporated

Mainstream Services, Incorporated was paid $14.08M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 77% of everything it billed.

33Billing provider infoMAINSTREAM SERVICES, INCORPORATED
LAVALETTE, WV 25535

33aNPI1902801426assigned 06/21/2005

33bProvider typeCase Management Agency

28Total paid$14.08M

24GClaims79,083

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Case Management Agency providers in West Virginia

Rank by total paid#5 of 72

Median peer was paid$365K

This provider vs. median39×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	30,090	$2.57M
2019	26,420	$2.38M
2020	9,267	$2.15M
2021	3,647	$1.85M
2022	3,288	$1.70M
2023	3,411	$1.79M
2024incomplete	2,960	$1.64M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5125	Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes	77%	42,216	2,969	$10.81M
T2021	Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes	13%	13,630	2,790	$1.85M
G9002	Coordinated care fee, maintenance rate	3.2%	2,221	2,173	$453K
T1005	Respite care services, up to 15 minutes	3.2%	6,957	547	$452K
T1016	Case management, each 15 minutes	2.4%	8,643	2,171	$344K
T1002	Rn services, up to 15 minutes	<1%	2,778	1,071	$77K
A0160	Non-emergency transportation: per mile - case worker or social worker	<1%	356	350	$56K
T1003	Lpn/lvn services, up to 15 minutes	<1%	2,074	142	$26K
T2024	Service assessment/plan of care development, waiver	<1%	208	131	$12K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPRINCE, DEANA (SERVICE COORDINATOR)