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.

Ohio Valley Physicians, Inc (NPI 1104220409)

Field	Value
Entity Type	Organization
Organization	Ohio Valley Physicians, Inc
Address	557 Main St
City	Logan
State	WV
ZIP	25601
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 15, 2014

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,180	$100	$2.9M
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…	26,120	$1	$78.4K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	7,780	$1	$31.1K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	7,450	$1	$29.8K
H0004	Behavioral health counseling and therapy, per 15 minutes	200	$90	$18.1K
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…	480	$1	$1.9K
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,…	910	$1	$1.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	10	$20	$260
99203	The provider sees a new 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 provider…	20	$10	$130
1034F	No Summary found for this code	1,880	$0	$0

Showing 1–10 of 14

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

Ohio Valley Physicians, Inc — 1 of 9 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	74	390	4,610	$130	$2.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	151	170	8,500	$80	$1.5M
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…	87	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…	625	1,030	890	$50	$221K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	32	40	900	$20	$214.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	194	330	790	$10	$64.1K
99203	The provider sees a new 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 provider…	382	440	110	$60	$57.2K
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,…	180	540	320	$20	$43.2K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	15	200	360	$20	$33.8K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	86	100	100	$50	$29.9K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio Valley Physicians Inc	WV	Family Medicine Physician	$0	$43M
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Ohio Valley Physicians Inc	OH	Substance Abuse Rehabilitation Facility	$0	$12.9M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$4.2M
Ohio Valley Physicians	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$2.4M
Jonathan Hess	OH	Family Medicine Physician	$272.3K	$0
Robert Hess	WV	Family Medicine Physician	$187K	$0
Hussein Kashk	OH	Emergency Medicine Physician	$98.9K	$0
Brian Hornsby	WV	Internal Medicine Physician	$88.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Logan General Hospital LLC	WV	General Acute Care Hospital	$0	$43.5M
Logan-mingo Area Mental Health, Inc.	WV	Community/Behavioral Health Agency	$0	$18M
Logan County Emergency Ambulance Service	WV	Land Ambulance	$1.1M	$11.6M
Logan-mingo Area Mental Health, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$6.7M
Logan Pediatrics, Inc	WV	Specialist	$0	$6.6M
Logan General Hospital LLC	WV	Podiatrist	$0	$4.9M
Alpha Omega Medical PLLC	WV	Obstetrics Physician	$0	$3.5M
Logan-mingo Area Mental Health, Inc	WV	Developmental Disabilities Clinic/Center	$0	$2.8M
Logan Professional Counseling Services	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
White Eye Care Center Inc.	WV	Optometrist	$0	$2.1M

Ohio Valley Physicians, Inc — Billing Profile & Reimbursement Data

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Ohio Valley Physicians, 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