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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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.

Valley Medical Facilities Inc (NPI 1063422053)

Field	Value
Entity Type	Organization
Organization	Valley Medical Facilities Inc
Address	1000 Dutch Ridge Rd
City	Beaver
State	PA
ZIP	15009
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 9, 2006

Payer Source	Total Paid
Medicaid	$10.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

303 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.	24,570	$100	$2.5M
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.	17,040	$70	$1.2M
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.	9,330	$120	$1.1M
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	7,180	$90	$646K
T1015	Clinic visit/encounter, all-inclusive	10,220	$40	$378.2K
G0378	Hospital observation service, per hour	1,490	$250	$374.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	25,520	$10	$255.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,160	$170	$199.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	6,500	$30	$169K
D2930	N/A	170	$850	$146K

Showing 1–10 of 303

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Pennsylvania Distribution

Valley Medical Facilities Inc — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

303 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0378	Hospital observation service, per hour	46	150	510	$870	$1.4M
T1015	Clinic visit/encounter, all-inclusive	218	1,690	760	$170	$1.2M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	54	130	310	$60	$769.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	76	210	730	$40	$689.7K
U0004	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…	15	70	620	$60	$464.8K
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.	50	1,600	270	$120	$409.7K
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.	54	1,060	150	$130	$405.4K
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.	71	1,230	250	$130	$284K
D2930	N/A	128	200	290	$200	$223.1K
A6209	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	10	10	860	$110	$184.8K

Showing 1–10 of 303

Related Providers

Other providers that share a Tax Identification Number (TIN) with Valley Medical Facilities Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Medical Facilities, Inc.	PA	Case Management Agency	$0	$19.3M
Sarmad Ashfaq	PA	Hospitalist Physician	$347K	$97K
Jared Strait	OH	Physician Assistant	$35K	$100.6K
Thomas Doyle	OH	Phlebology Physician	$124.4K	$0
Calin Gorun-gorunescu	CT	Anesthesiology Physician	$28K	$0
Joshua Friedman	PA	Anesthesiology Physician	$21.6K	$0
Brett Anderson	OH	Anesthesiology Physician	$18.4K	$0
Carmen Andreescu	PA	Psychiatry Physician	$13.7K	$0
Nasim Shajihan	VI	Child & Adolescent Psychiatry Physician	$0	$5.9K

Nearby Providers

Other providers in the same ZIP code as Valley Medical Facilities Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adapthealth Patient Care Solutions LLC	PA	Durable Medical Equipment & Medical Supplies	$0	$93.6M
Western Pennsylvania Psych Care, Inc.	PA	Psychiatry Physician	$0	$8.1M
Non Profit Emergency Services Of Beaver County	PA	Land Ambulance	$694.7K	$5.7M
Arthur Brant	PA	Ophthalmology Physician	$370.5K	$107.1K
Felice Esposito	PA	Diagnostic Radiology Physician	$153.2K	$212.3K
Carolyn Chen	PA	Anatomic Pathology & Clinical Pathology Physician	$105.4K	$71K
Upmc/hvhs Cancer Center	PA	Mobile Radiology Clinic/Center	$153.8K	$0
Samuel Yakish	PA	Cardiovascular Disease Physician	$113.9K	$15.4K
Frank Grisafi	PA	Orthopaedic Surgery of the Spine Physician	$44.5K	$0
John Guzzetti	PA	Optometrist	$41K	$0

Valley Medical Facilities Inc — Billing Profile & Reimbursement Data

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Valley Medical Facilities 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