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.

Island Medical Bluefield LLC (NPI 1023561248)

Field	Value
Entity Type	Organization
Organization	Island Medical Bluefield LLC
Address	500 Cherry St
City	Bluefield
State	WV
ZIP	24701
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 25, 2016

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	5,730	$90	$492.5K
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.	4,130	$120	$482.7K
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.	3,190	$70	$226.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,300	$100	$127.8K
1036F	N/A	960	$20	$22.2K
G9744	Patient not eligible due to active diagnosis of hypertension	620	$20	$14.9K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	740	$20	$14K
4004F	The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…	740	$20	$13.4K
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…	470	$10	$2.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	90	$10	$850

Showing 1–10 of 13

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

Island Medical Bluefield LLC — 0 of 13 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

13 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.	47	130	2,090	$210	$1.5M
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.	58	170	3,350	$120	$1.1M
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.	88	160	3,690	$80	$714.8K
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…	44	80	580	$60	$182K
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…	90	110	170	$100	$103.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	46	60	160	$60	$67.5K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	55	90	250	$50	$55.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	61	150	810	$10	$45.8K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	3	10	500	$10	$12.1K
G8783	Normal blood pressure reading documented, follow-up not required	14	20	70	$10	$7.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Island Medical Bluefield LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bluefield Hospital Company LLC	WV	General Acute Care Hospital	$0	$12.4M
Bluefield Rescue Squad Inc	WV	Land Ambulance	$770.9K	$7.6M
Community Action South Eastern Wv	WV	Home Health Agency	$0	$2.3M
Bio-medical Applications Of West Virginia, Inc.	WV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2M
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.8M
Icp West Virginia LLC	WV	Emergency Medicine Physician	$0	$1.4M
Stephen Blaydes	WV	Ophthalmology Physician	$406K	$375.8K
George Britton	WV	Optometrist	$66.6K	$109.9K
Khalid Razzaq	WV	Neurology Physician	$115.4K	$11.9K
Shariful Alam	WV	Family Medicine Physician	$81.9K	$0

Island Medical Bluefield LLC — Billing Profile & Reimbursement Data

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Island Medical Bluefield LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References