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.

Richmond Emergency Physicians, Inc. (NPI 1134374978)

Field	Value
Entity Type	Organization
Organization	Richmond Emergency Physicians, Inc.
Address	5801 Bremo Road
City	Richmond
State	VA
ZIP	23226
Taxonomy	Specialist
NPI Enumerated	November 20, 2008

Payer Source	Total Paid
Medicaid	$7.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	44,240	$90	$3.9M
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.	38,650	$60	$2.4M
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.	35,560	$40	$1.2M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,950	$120	$231.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	19,330	$1	$58K
99281	The provider sees a patient for the lowest level emergency department visit.	160	$10	$2.3K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	1,330	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	30	$0	$0
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	70	$0	$0
G9744	Patient not eligible due to active diagnosis of hypertension	820	$0	$0

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

Richmond Emergency Physicians, Inc. — 0 of 6 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	21	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.	49	630	90	$140	$1.1M
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.	43	620	70	$120	$1M
99281	The provider sees a patient for the lowest level emergency department visit.	70	100	610	$160	$242.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	28	130	440	$120	$197K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	25	280	190	$1	$32.3K
G9744	Patient not eligible due to active diagnosis of hypertension	6	30	140	$1	$6K
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	13	20	130	$1	$2.1K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	21	30	50	$1	$1.9K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	57	310	220	$1	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Bartholomew	VA	Emergency Medicine Physician	$57.1K	$2K
John Coyner	VA	Emergency Medicine Physician	$55.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Delivered, Inc.	VA	Durable Medical Equipment & Medical Supplies	$0	$309.5M
Bon Secours St. Mary's Hospital Of Richmond LLC	VA	General Acute Care Hospital	$0	$83.1M
Cep America, LLC	VA	Emergency Medicine Physician	$0	$9.7M
At Home Care Staffing-richmond	VA	Home Health Agency	$0	$5.6M
Virginia Eye Institute Inc	VA	Ambulatory Surgical Clinic/Center	$4.8M	$696.2K
David Jacobs	VA	Ophthalmology Physician	$4M	$0
Byron Ladd	VA	Ophthalmology Physician	$3.8M	$0
Ryan Deasy	VA	Ophthalmology Physician	$3.3M	$0
Jeffrey Slott	VA	Ophthalmology Physician	$2.6M	$0
St. Mary's Ambulatory Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.6M	$0

Richmond Emergency Physicians, Inc. — Billing Profile & Reimbursement Data

Sign up for Richmond Emergency Physicians, Inc. — Billing Profile & Reimbursement Data policy alerts

Richmond Emergency Physicians, Inc. — Billing Profile & Reimbursement Data

Sign up for Richmond Emergency Physicians, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References