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.

Johnston Memorial Hospital, Inc (NPI 1104812684)

Field	Value
Entity Type	Organization
Organization	Johnston Memorial Hospital, Inc
Address	16000 Johnston Memorial Dr
City	Abingdon
State	VA
ZIP	24211
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 21, 2005

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

365 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.	27,170	$140	$3.7M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	12,510	$200	$2.5M
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.	20,610	$110	$2.3M
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.	17,750	$120	$2.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2,080	$940	$1.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	19,160	$80	$1.5M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1,150	$1,130	$1.3M
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.	7,170	$180	$1.3M
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…	3,310	$260	$865.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	18,730	$50	$861.6K

Showing 1–10 of 365

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

Johnston Memorial Hospital, Inc — 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

365 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	31	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	17	70	3,200	$110	$2.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	30	600	$1,370	$1.7M
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	340	160	$130	$1.3M
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.	81	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	56	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	35	80	3,650	$160	$1M
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.	61	620	70	$120	$1M
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.	45	180	2,950	$140	$783.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	108	260	3,950	$80	$769.6K

Showing 1–10 of 365

Related Providers

Other providers that share a Tax Identification Number (TIN) with Johnston Memorial Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$31.3M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$15.5M
Mountain States Health Alliance	VA	General Acute Care Hospital	$0	$11.4M
Mountain States Health Alliance	VA	Critical Access Hospital	$0	$8.3M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$8.1M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$7.2M
Mountain States Health Alliance	TN	Critical Access Hospital	$0	$3M
Charlotte Townsend	VA	Family Medicine Physician	$227.2K	$33.9K
Timothy Mcgarry	VA	Orthopaedic Surgery Physician	$241.1K	$0
Dane Lee	VA	Family Medicine Physician	$59.9K	$88.1K

Nearby Providers

Other providers in the same ZIP code as Johnston Memorial Hospital, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chilhowie Ambulance Service Inc	VA	Ambulance	$706.2K	$1.8M
Alison Whitman	VA	Family Medicine Physician	$386.8K	$0
Candace Moore	VA	Physical Therapist	$190.9K	$0
Maung Kyi	VA	Nephrology Physician	$189.4K	$0
Kareem Zaki	VA	Urology Physician	$170K	$0
Roger Emory	VA	Plastic and Reconstructive Surgery Physician	$106K	$0
Gregory Miller	VA	Cardiovascular Disease Physician	$89K	$0
Haytham Adada	VA	Pulmonary Disease Physician	$85.3K	$0
John Mann	VA	Adult Reconstructive Orthopaedic Surgery Physician	$78K	$0
Eduardo Fernandez	VA	Cardiovascular Disease Physician	$75.3K	$0

Johnston Memorial Hospital, Inc — Billing Profile & Reimbursement Data

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Johnston Memorial Hospital, 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