Rscr West Virginia Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $3,362.37 per claim for S5125 (Attendant care services, per 15 min), which is 40.8× 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 $3,362.37 per claim for S5125 (Attendant care services, per 15 min) — 40.8× the national median of $82.34.
Bills $200.66 per claim for T1003 (LPN/LVN services, per 15 minutes) — 8.3× the national median of $24.24.
Bills $104.46 per claim for A0160 — 8.3× the national median of $12.60.
Billing in the top 1% nationally for 3 procedure codes: S5125, 97530, 92507.
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 $153.6M is at the 25th percentile among 10 Clinic/Center Developmental Disabilities providers.
Total Paid
$153.6M
$153,607,410
Total Claims
114K
Beneficiaries
74K
1.6 claims/patient
Avg Cost/Claim
$1K
#697 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Rscr West Virginia Inc. is a Clinic/Center Developmental Disabilities provider based in Parkersburg, WV. From the 2018–2024 period, this provider received $153.6M in Medicaid payments across 114K claims.
Why This Matters
This provider received $153.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,200 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 12 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 94% of total spending.
$144.1M
43K claims
$3,362.37
$82.34
Attendant care services, per 15 min
$144.1M
43K claims · 93.8%
$2.9M
14K claims
$200.66
$24.24
LPN/LVN services, per 15 minutes
$2.9M
14K claims · 1.9%
$1.6M
15K claims
$107.45
$150.51
Day habilitation, waiver; per 15 min
$1.6M
15K claims · 1.1%
Case management, each 15 min
$1.3M
9K claims · 0.8%
$1.2M
12K claims · 0.8%
$1.1M
6K claims
$189.26
$108.80
Coordinated care fee, maintenance period
$1.1M
6K claims · 0.7%
RN services, per 15 minutes
$1.1M
11K claims · 0.7%
$252K
5K claims
$52.99
$259.38
Supported employment, waiver, per diem
$252K
5K claims · 0.2%
Therapeutic activities, each 15 min
$34K
133 claims · 0.0%
Non-emergency mini-bus transport
$32K
206 claims · 0.0%
Speech/hearing/language treatment
$8K
51 claims · 0.0%
$1K
33 claims
$45.45
$12.70
Medical nutrition therapy, reassessment, individual, fifteen minutes
$1K
33 claims · 0.0%
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