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.

Living Waters Medical Center (NPI 1114585619)

Field	Value
Entity Type	Organization
Organization	Living Waters Medical Center
Address	100 Main Ave
City	Logan
State	WV
ZIP	25601
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	May 31, 2019

Payer Source	Total Paid
Medicaid	$779.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,480	$70	$240.1K
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,…	6,010	$30	$174.1K
Q3014	Telehealth originating site facility fee	5,130	$20	$107.8K
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…	1,960	$50	$101.9K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	1,140	$50	$54.5K
99441	N/A	2,960	$10	$41.5K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	530	$30	$18K
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…	100	$90	$9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	170	$50	$8.5K
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…	130	$50	$6.1K

Showing 1–10 of 24

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

Living Waters Medical Center — 1 of 22 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	16	30	1,020	$50	$438.2K
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…	545	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…	247	1,030	890	$50	$221K
Q3014	Telehealth originating site facility fee	14	80	580	$20	$104.1K
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…	189	340	140	$90	$97.5K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	133	200	490	$30	$57.7K
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…	201	440	110	$60	$57.2K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	23	20	140	$20	$44.3K
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,…	46	540	320	$20	$43.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	246	310	490	$20	$42K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Living Waters Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Philip Galapon	PA	Family Medicine Physician	$72.4K	$0
Amber Ellis	WV	Family Nurse Practitioner	$39.8K	$0

Nearby Providers

Other providers in the same ZIP code as Living Waters Medical Center, 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
Ohio Valley Physicians, Inc	WV	Rural Health Clinic/Center	$0	$3.1M
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

Living Waters Medical Center — Billing Profile & Reimbursement Data

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Living Waters Medical Center — 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