Voca Corporation of West Virginia Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $3,655.02 per claim for S5125 (Attendant care services, per 15 min), which is 44.4× the national median of $82.34.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $3,655.02 per claim for S5125 (Attendant care services, per 15 min) — 44.4× the national median of $82.34.
Bills $200.27 per claim for T1016 (Case management, each 15 min) — 4.0× the national median of $49.62.
Bills $163.99 per claim for T1003 (LPN/LVN services, per 15 minutes) — 6.8× the national median of $24.24.
Billing in the top 1% nationally for 3 procedure codes: S5125, T1005, 97530.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinic/Center Developmental Disabilities Peers
Total spending distribution among 10 providers in this specialty
This provider's total spending of $178.3M is at the 50th percentile among 10 Clinic/Center Developmental Disabilities providers.
Total Paid
$178.3M
$178,326,931
Total Claims
142K
Beneficiaries
99K
1.4 claims/patient
Avg Cost/Claim
$1K
#536 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Voca Corporation of West Virginia Inc. is a Clinic/Center Developmental Disabilities provider based in Princeton, WV. From the 2018–2024 period, this provider received $178.3M in Medicaid payments across 142K claims.
Why This Matters
This provider received $178.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,290 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 13 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 90% of total spending.
$160.0M
44K claims
$3,655.02
$82.34
Attendant care services, per 15 min
$160.0M
44K claims · 89.7%
$4.2M
20K claims
$214.64
$150.51
Day habilitation, waiver; per 15 min
$4.2M
20K claims · 2.4%
Case management, each 15 min
$2.8M
14K claims · 1.6%
$2.7M
16K claims
$163.99
$24.24
LPN/LVN services, per 15 minutes
$2.7M
16K claims · 1.5%
RN services, per 15 minutes
$2.7M
16K claims · 1.5%
$1.9M
10K claims
$195.18
$108.80
Coordinated care fee, maintenance period
$1.9M
10K claims · 1.1%
$1.1M
1K claims
$1,013.76
$71.40
Respite care services, per 15 minutes
$1.1M
1K claims · 0.6%
Therapeutic activities, each 15 min
$1.1M
3K claims · 0.6%
$1.1M
8K claims · 0.6%
$454K
8K claims
$57.57
$259.38
Supported employment, waiver, per diem
$454K
8K claims · 0.3%
$174K
2K claims
$90.75
$12.70
Medical nutrition therapy, reassessment, individual, fifteen minutes
$174K
2K claims · 0.1%
Non-emergency mini-bus transport
$119K
597 claims · 0.1%
$17K
38 claims
$435.84
$88.91
Habilitation, prevocational, waiver; per 15 min
$17K
38 claims · 0.0%
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