Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Evms Academic Physicians And Surgeons Health Services Foundation (NPI 1003887118)

Evms Academic Physicians And Surgeons Health Services Foundation is a internal medicine physician provider located in Norfolk, Virginia. This profile covers 0 Medicare and 153 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Evms Academic Physicians And Surgeons Health Services Foundation
Address	4111 Monarch Way
City	Norfolk
State	VA
ZIP	23508
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicaid	$33.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

153 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	130,530	$60	$8.1M
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	38,940	$90	$3.5M
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	23,600	$140	$3.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	72,670	$40	$3.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	64,370	$30	$2.2M
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	22,210	$80	$1.7M
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	44,130	$40	$1.6M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10,630	$90	$999.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	15,700	$50	$816.1K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	11,160	$70	$725.1K

Showing 1–10 of 153

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Evms Academic Physicians And Surgeons Health Services Foundation — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

153 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	223	340	160	$130	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	170	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	117	140	3,240	$160	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	129	620	70	$120	$1M
J0585	Injection, onabotulinumtoxina, 1 unit	15	20	750	$540	$871.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	16	3,520	370	$70	$280.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	672	1,340	710	$90	$245K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	39	60	110	$530	$242.3K
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	2	10	300	$490	$212.5K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	1	130	340	$110	$210.5K

Showing 1–10 of 153

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Onufer	VA	Clinical Cardiac Electrophysiology Physician	$497.5K	$0
Jennifer Ragi	VA	Dermatology Physician	$452K	$0
Edwin Crandley	VA	Radiation Oncology Physician	$315.3K	$0
Peng Bai	NC	Physical Medicine & Rehabilitation Physician	$264.6K	$0
Victor Brugh	VA	Urology Physician	$228K	$0
Michael Ho	VA	Diagnostic Radiology Physician	$136.7K	$220
Nripendra Devanath	IN	Diagnostic Radiology Physician	$72.6K	$62.9K
Abby Van Voorhees	VA	Dermatology Physician	$134K	$0
Scott Whitlock	AZ	Dermatology Physician	$133.2K	$0
John Agola	VA	Vascular & Interventional Radiology Physician	$132.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality 1st	VA	Home Health Aide	$0	$12.2M
A Touch Of Loving Care, LLC	VA	Home Health Agency	$0	$5.8M

Evms Academic Physicians And Surgeons Health Services Foundation — Billing Profile & Reimbursement Data

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Evms Academic Physicians And Surgeons Health Services Foundation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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