Business phone system for home health care agencies in West Virginia
126 home health care agencies operated in West Virginia in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 126CBP 2023
- Employees
- 3,468mid-March 2023
- Per 100k residents
- 7.1U.S. 12.0
- State rank
- 40th of 51by count
The home health agency industry in West Virginia
West Virginia had 126 home health care agencies in 2023, according to Census County Business Patterns (NAICS 621610, Home Health Care Services). They employed 3,468 people in mid-March and reported $165.8 million in annual payroll. That is the 40th highest count among the 51 states and DC with published figures. Home health care agencies make up 0.35% of the 35,839 business establishments in the state.
Per 100,000 residents (2024 estimate) West Virginia has 7.1 home health care agencies, 40.6% below the national rate of 12.0. The average establishment has 27.5 employees against 39.7 nationally. Payroll per employee is $47,818, 25.5% above the U.S. figure of $38,091.
| Measure | West Virginia | United States |
|---|---|---|
| Establishments | 126 | 40,762 |
| Mid-March employees | 3,468 | 1,618,759 |
| Annual payroll | $165,833,000 | $61,660,393,000 |
| Employees per establishment | 27.5 | 39.7 |
| Payroll per employee | $47,818 | $38,091 |
| Establishments per 100,000 residents | 7.1 | 12.0 |
Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.
Where home health care agencies in West Virginia are concentrated
Census published home health agency counts for 15 metro or micropolitan areas that include part of West Virginia. The largest is Washington, DC-VA-MD-WV, with 965 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 52% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Washington, DC-VA-MD-WV | 965 | 34,342 | 15.0 |
| Huntington, WV-KY-OH | 27 | 1,114 | 7.4 |
| Charleston, WV | 22 | 697 | 10.9 |
| Bluefield, WV-VA | 19 | 309 | 19.7 |
| Morgantown, WV | 14 | 492 | 9.8 |
| Hagerstown, MD-WV | 13 | 311 | 4.2 |
| Winchester, VA-WV | 13 | 315 | 8.7 |
| Wheeling, WV-OH | 13 | 362 | 9.6 |
| Weirton, WV-OH | 12 | 283 | 10.6 |
| Beckley, WV | 10 | 401 | 9.0 |
| Cumberland, MD-WV | 9 | 323 | 9.6 |
| Parkersburg, WV | 8 | 206 | 9.1 |
| Clarksburg, WV | 4 | — | 4.5 |
| Elkins, WV | 4 | 168 | 14.7 |
| Fairmont, WV | 3 | — | 5.4 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at home health care agencies in West Virginia
23.8% of West Virginia's home health care agencies with employees had fewer than five people in March 2023, compared with 35.7% nationally. 34.1% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 30 | 23.8% | 35.7% |
| 5–9 employees | 13 | 10.3% | 11.8% |
| 10–19 employees | 27 | 21.4% | 14.8% |
| 20–49 employees | 40 | 31.7% | 20.2% |
| 50 or more employees | 16 | 12.7% | 17.6% |
Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.
What home health care agencies in West Virginia use the phone for
Home health agencies coordinate clinicians in the field with patients, families, physicians and payers, so the office phone is a dispatch line as much as a reception desk. Clinicians need to make calls from their own cell phones without exposing personal numbers.
Typical inbound and outbound calls for home health care agencies in West Virginia:
- The office calls to confirm next week's visit schedule.
- A patient calls to report a missed visit.
- A family member calls to ask what time the nurse will arrive.
After-hours calls
Agencies typically need an after-hours path to an on-call staff member, with routine messages captured for the morning.
Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.
Phone system pricing for a 28-person home health agency
Home health care agencies in West Virginia average 27.5 employees, so the comparison uses a 28-person team. On a per-user plan that headcount sets the bill: $698.60 a month on Ooma Office Pro or $840.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 28 people cost $559.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $3,372. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $559.00 | $6,708.00 |
| Quo (Starter) | $19.00 per user | $532.00 | $6,384.00 |
| Nextiva (Core) | $23.00 per user | $644.00 | $7,728.00 |
| Ooma (Office Pro) | $24.95 per user | $698.60 | $8,383.20 |
| Dialpad (Standard) | $27.00 per user | $756.00 | $9,072.00 |
| RingCentral (RingEX Core) | $30.00 per user | $840.00 | $10,080.00 |
Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.
Area codes in West Virginia
West Virginia has 2 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your patients and families know, subject to carrier inventory, or port your current number for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 304 | 785 | Eastern | 1947 | 681 |
| 681 | 499 | Eastern | 2009 | 304 |
Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.
How Callata works for home health care agencies in West Virginia
Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.
If you already have a number in West Virginia, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.
Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.
Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.
Frequently asked questions
How many home health care agencies are in West Virginia?
126 in 2023, according to Census County Business Patterns. They employed 3,468 people in mid-March.
Which West Virginia metro area has the most home health care agencies?
Washington, DC-VA-MD-WV, with 965 establishments in 2023.
What does a phone system cost a 28-person home health agency?
$840.00 a month on RingCentral RingEX Core or $698.60 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $559.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a West Virginia number?
Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.