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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West 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. West 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.

War Memorial Hospital, Inc. (NPI 1013489541)

Field	Value
Entity Type	Organization
Organization	War Memorial Hospital, Inc.
Address	3774 Valley Road
City	Berkeley Springs
State	WV
ZIP	25411
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	December 21, 2018

Payer Source	Total Paid
Medicaid	$751.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	8,520	$90	$749.4K
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…	2,520	$1	$2.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	250	$0	$0
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	200	$0	$0
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$0	$0
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…	3,170	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. West Virginia Distribution

War Memorial Hospital, Inc. — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	155	390	4,610	$130	$2.2M
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…	435	1,270	1,240	$30	$245K
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…	311	1,030	890	$50	$221K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	218	330	790	$10	$64.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	464	540	320	$20	$43.2K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	86	160	220	$10	$26.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with War Memorial Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
War Memorial Hospital, Inc.	WV	Critical Access Hospital	$0	$4.6M
War Memorial Hospital, Inc.	WV	Critical Access Hospital	$0	$1.1M
Brandon Barrett	WA	Cardiovascular Disease Physician	$287.6K	$0
Idean Amirjazil	VA	Cardiovascular Disease Physician	$251.4K	$0
Jeffrey Skiles	VA	Cardiovascular Disease Physician	$250.5K	$0
Daniel Hobbs	VA	Cardiovascular Disease Physician	$243.3K	$0
Karen Severson	IL	Psychiatry Physician	$242K	$0
Saif Al-najafi	VA	Cardiovascular Disease Physician	$237.1K	$0
Daniel Alexander	VA	Clinical Cardiac Electrophysiology Physician	$232.3K	$0
Jeffrey Lessar	VA	Pulmonary Disease Physician	$230.6K	$0

Nearby Providers

Other providers in the same ZIP code as War Memorial Hospital, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Life Services Of Morgan County, Inc.	WV	Home Health Agency	$0	$2.7M
Rankin Physical Therapy LLC	WV	Physical Therapist	$0	$2.2M
Tri-state Community Health Center, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.7M
Morgan County Rescue Service Inc	WV	Land Ambulance	$210.4K	$884.7K
Andrew Berens	WV	Family Medicine Physician	$187.2K	$0
Arin Longfellow	WV	Adult Health Nurse Practitioner	$161.4K	$0
Misty Householder	WV	Physical Therapist	$99.6K	$0
Amanda Michael	WV	Family Medicine Physician	$72K	$0
Joseph Hashem	WV	Internal Medicine Physician	$680	$0

War Memorial Hospital, Inc. — Billing Profile & Reimbursement Data

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War Memorial Hospital, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References