Agency
The ARC of the Three Rivers, INC.
The ARC of the Three Rivers, INC. was paid $15.55M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 57% of everything it billed.
33Billing provider infoTHE ARC OF THE THREE RIVERS, INC.
CHARLESTON, WV 25301
CHARLESTON, WV 25301
33aNPI1992898225assigned 09/30/2006
33bProvider typeCase Management Agency
28Total paid$15.55M
24GClaims79,360
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in West Virginia
Rank by total paid#4 of 72
Median peer was paid$365K
This provider vs. median43×
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 | 18,594 | $2.93M | |
| 2019 | 15,179 | $2.66M | |
| 2020 | 12,361 | $2.36M | |
| 2021 | 10,317 | $2.15M | |
| 2022 | 10,295 | $2.45M | |
| 2023 | 7,553 | $2.23M | |
| 2024incomplete | 5,061 | $782K |
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 | 57% | 9,566 | 1,322 | $8.82M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | 19% | 21,047 | 5,109 | $2.88M |
| G9002 | Coordinated care fee, maintenance rate | 8.0% | 6,094 | 6,090 | $1.24M |
| T1005 | Respite care services, up to 15 minutes | 7.1% | 3,786 | 968 | $1.11M |
| T1016 | Case management, each 15 minutes | 5.5% | 15,867 | 5,651 | $849K |
| A0160 | Non-emergency transportation: per mile - case worker or social worker | 1.7% | 17,592 | 1,549 | $264K |
| T1002 | Rn services, up to 15 minutes | <1% | 2,786 | 1,758 | $144K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 1,166 | 849 | $74K |
| T1003 | Lpn/lvn services, up to 15 minutes | <1% | 633 | 230 | $59K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 351 | 349 | $58K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 241 | 191 | $45K |
| A0120 | Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems | <1% | 231 | 78 | $8K |
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 officialFACEMYRE, HERSHEL (EXECUTIVE DIRECTOR)