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.

West Virginia School Of Osteopathic Medicine Clinic Inc (NPI 1013496991)

West Virginia School Of Osteopathic Medicine Clinic Inc is a rural health clinic/center provider located in Lewisburg, West Virginia. This profile covers 0 Medicare and 90 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	West Virginia School Of Osteopathic Medicine Clinic Inc
Address	1464 Jefferson St N
City	Lewisburg
State	WV
ZIP	24901
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	August 10, 2018

Payer Source	Total Paid
Medicaid	$9.5M
Medicare	$0

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

90 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	83,750	$110	$8.8M
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…	45,420	$1	$181.7K
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…	13,500	$10	$81K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,620	$10	$38.1K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	700	$40	$30.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	2,590	$10	$25.9K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	1,140	$20	$25.2K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,910	$10	$23.4K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	5,700	$1	$22.8K
96110	The provider screens the patient for a developmental disorder using a standardized instrument (such as a recognized form) focused on areas such as developmental milestones and age–appropriate…	5,240	$1	$21K

Showing 1–10 of 90

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

West Virginia School Of Osteopathic Medicine Clinic Inc — 6 of 25 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

90 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	12	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…	40	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…	64	1,030	890	$50	$221K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	71	80	2,960	$20	$198.8K
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…	87	310	740	$80	$178.2K
99204	The provider sees a new 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 provider…	250	340	140	$90	$97.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	17	150	520	$50	$76.2K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	28	90	170	$60	$72.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	18	140	550	$50	$67.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	299	330	790	$10	$64.1K

Showing 1–10 of 90

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belinda Smith	WV	Family Medicine Physician	$58.2K	$0
Jawad Zafar	WV	Psychiatry Physician	$46.1K	$4.8K
Gary Ross	WV	Internal Medicine Physician	$49.2K	$0
Stephanie Brown	WV	Neuromusculoskeletal Medicine & OMM Physician	$41.1K	$0
Carolyn Morrison	WV	Family Medicine Physician	$35.1K	$0
Pamela Dewilde	WV	Neuromusculoskeletal Medicine & OMM Physician	$8K	$0
Sabrina Walker	WV	Family Nurse Practitioner	$3.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Open Doors For The Developmentally Challenged, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$25.2M
Rebecca Kucera	WV	Pediatric Dentistry	$0	$5.1M
Davis-stuart, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.6M
Greenbrier County Emergency Ambulance Service, Inc	WV	Ambulance	$352.4K	$2.6M
Lincare Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Rainelle Medical Center, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.3M
Rainelle Medical Center, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.2M
West Virginia Radiation Therapy Services Inc	WV	Radiation Oncology Physician	$0	$1.1M
Wecare Medical LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$868.6K
Rainelle Medical Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$798.4K

West Virginia School Of Osteopathic Medicine Clinic Inc — Billing Profile & Reimbursement Data

Sign up for West Virginia School Of Osteopathic Medicine Clinic Inc — Billing Profile & Reimbursement Data policy alerts

West Virginia School Of Osteopathic Medicine Clinic Inc — Billing Profile & Reimbursement Data

Sign up for West Virginia School Of Osteopathic Medicine Clinic Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References