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.

Wv Asthma And Allergy Centers, Inc. (NPI 1114005477)

Wv Asthma And Allergy Centers, Inc. is a allergy & immunology physician provider located in Charleston, West Virginia. This profile covers 0 Medicare and 15 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	Wv Asthma And Allergy Centers, Inc.
Address	208 Maccorkle Ave Se
City	Charleston
State	WV
ZIP	25314
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	7,760	$160	$1.2M
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…	11,050	$50	$552.6K
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…	7,250	$70	$514.5K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	3,300	$100	$323K
99204	The provider sees a new 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 provider…	2,880	$100	$294.1K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	37,070	$10	$259.5K
95024	The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.	1,510	$150	$232.7K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	3,010	$30	$102.3K
94010	The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…	3,490	$20	$76.7K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	940	$40	$41.5K

Showing 1–10 of 15

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

Wv Asthma And Allergy Centers, Inc. — 6 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	20	1,150	$130	$261.7K
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…	201	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…	132	1,030	890	$50	$221K
99204	The provider sees a new 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 provider…	27	340	140	$90	$97.5K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	1	20	340	$110	$96.1K
95024	The provider introduces allergenic extracts into the skin to determine if the patient has an immediate allergic response, interprets the results and writes a report specifying the number of tests.	3	10	320	$80	$81.7K
95117	The provider injects the patient with allergenic extracts to desensitize the patient to the allergen; the patient receives 2 or more injections at a single visit.	1	30	1,900	$10	$47K
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,…	438	540	320	$20	$43.2K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	3	10	600	$70	$37.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	64	160	220	$10	$26.9K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stevenson, LLC	WV	Community/Behavioral Health Agency	$0	$42.4M
David J. Patton, Md., Inc.	WV	Obstetrics & Gynecology Physician	$0	$10.4M
Q Labs Inc	WV	Clinical Medical Laboratory	$139.5K	$8.8M
Timothy Spears	WV	General Practice Dentistry	$0	$3.5M
Professional Therapy Services, Inc.	WV	Speech-Language Pathologist	$0	$1.6M
Mallinath Kayi	WV	Pulmonary Disease Physician	$78.8K	$110.2K
Ghali Ibrahim Bacha	WV	Internal Medicine Physician	$121.4K	$0
Samar Sankari	WV	Endocrinology, Diabetes & Metabolism Physician	$83.4K	$0
John Lewis	WV	Family Medicine Physician	$73.2K	$0
Ahmad Bali	WV	Surgery Physician	$44.6K	$0

Wv Asthma And Allergy Centers, Inc. — Billing Profile & Reimbursement Data

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Wv Asthma And Allergy Centers, 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wv Asthma And Allergy Centers, Inc.	WV	Allergy & Immunology Physician	$0	$3.1M
Wv Asthma And Allergy Centers, Inc.	WV	Allergy & Immunology Physician	$0	$1.8M
Chandra Kumar	WV	Allergy & Immunology Physician	$104.6K	$0
Siwat Kiratiseavee	WV	Allergy & Immunology Physician	$89.2K	$0
Melissa Gamponia	WV	Family Medicine Physician	$63K	$0
Krystal Smithers	WV	Medical Physician Assistant	$13.4K	$0
Jason Trusty	WV	Physician Assistant	$11.4K	$0
Cristina Eddy	WV	Physician Assistant	$8.5K	$0