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

Why is the Medicaid comparison limited to 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. 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.

Clinch Valley Physicians Associates LLC (NPI 1104265214)

Clinch Valley Physicians Associates LLC is a cardiovascular disease physician provider located in Richlands, Virginia. This profile covers 0 Medicare and 106 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	Clinch Valley Physicians Associates LLC
Address	1 Clinic Dr
City	Richlands
State	VA
ZIP	24641
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 21, 2013

Payer Source	Total Paid
Medicaid	$8.8M
Medicare	$0

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

106 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	79,060	$50	$4.2M
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…	28,110	$70	$2M
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…	5,290	$80	$397K
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…	5,610	$70	$381.8K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	1,000	$210	$208.2K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	890	$180	$162.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	11,680	$10	$140.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,660	$80	$124.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	12,660	$10	$88.6K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	2,270	$40	$88.3K

Showing 1–10 of 106

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Virginia Distribution

Clinch Valley Physicians Associates LLC — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

106 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	92	150	300	$420	$381.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	65	210	920	$140	$367.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	51	90	150	$520	$281.8K
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…	79	3,520	370	$70	$280.7K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	16	60	140	$250	$272.2K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	106	130	340	$110	$210.5K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	41	100	160	$470	$207K
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…	25	4,010	290	$50	$199.8K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	49	140	160	$70	$144.5K
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…	55	650	150	$80	$115.4K

Showing 1–10 of 106

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Saleeb	PA	Obstetrics & Gynecology Physician	$41K	$0
Jill Matney	VA	Family Nurse Practitioner	$8.3K	$8.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinch Valley Medical Center Inc.	VA	General Acute Care Hospital	$0	$26.2M
Hopkins Medical Association LLC	VA	Family Medicine Physician	$0	$13.1M
Healing Waters Counseling Center	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.9M
Clinch Professional Physician Services LLC	VA	Surgery Physician	$0	$5.7M
Sherif Shoukry	VA	Emergency Medicine Physician	$122.2K	$301.7K
Jamal Sahyouni	VA	Internal Medicine Physician	$145.3K	$0
Ravi Titha	VA	Internal Medicine Physician	$77.1K	$33.4K
Zaven Jabourian	VA	Otolaryngology Physician	$28.7K	$920
Kevin Carter	VA	Audiologist	$7.7K	$0
Keith Melda	VA	Audiologist	$6.6K	$0

Clinch Valley Physicians Associates LLC — Billing Profile & Reimbursement Data

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Clinch Valley Physicians Associates 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

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