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.

Reynolds Memorial Hospital, Inc (NPI 1144228305)

Reynolds Memorial Hospital, Inc is a general acute care hospital provider located in Glen Dale, West Virginia. This profile covers 0 Medicare and 242 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	Reynolds Memorial Hospital, Inc
Address	800 Wheeling Ave
City	Glen Dale
State	WV
ZIP	26038
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2005

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

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

242 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.	11,780	$140	$1.6M
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.	4,970	$270	$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.	13,680	$90	$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.	2,330	$360	$830.7K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	29,870	$20	$537.7K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	6,660	$80	$506.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8,040	$60	$474.1K
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…	28,210	$10	$338.5K
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…	1,210	$270	$323.9K
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.	3,990	$70	$275.1K

Showing 1–10 of 242

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

Reynolds Memorial Hospital, Inc — 1 of 25 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

242 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.	40	130	2,090	$210	$1.5M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	16	40	820	$30	$1.2M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	16	40	820	$30	$1.2M
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.	37	170	3,350	$120	$1.1M
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	8	20	70	$20	$832.7K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	16	20	720	$20	$721.7K
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.	32	160	3,690	$80	$714.8K
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.	27	80	950	$140	$559.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	55	110	2,080	$50	$537.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	22	50	800	$70	$504.4K

Showing 1–10 of 242

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reynolds Memorial Hospital, Inc	WV	Emergency Medical Services (Emergency Medicine) Physician	$0	$11.4M
E. Ronald Salvitti, M.d., Inc.	PA	Ambulatory Surgical Clinic/Center	$986.7K	$20.9K
Nadeem Malik	OH	Anatomic Pathology & Clinical Pathology Physician	$249.5K	$79.3K
John Cherian	PA	Cardiovascular Disease Physician	$320.7K	$0
Zaveen Kureishy	WV	Internal Medicine Physician	$295.1K	$0
Daniel Funsch	FL	Emergency Medicine Physician	$180K	$0
Melvin Saludes	WV	Pulmonary Disease Physician	$155.3K	$0
Vipin Villgran	OH	Pulmonary Disease Physician	$99.4K	$0
Ramazan Peker	WV	Anatomic Pathology & Clinical Pathology Physician	$48.7K	$40.7K
Brian Richardson	WV	Emergency Medicine Physician	$80K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Michael Wayt	WV	Family Medicine Physician	$350.9K	$0
David Romano	WV	Foot Surgery Podiatrist	$89.9K	$0
Cody Larsen	WV	Emergency Medicine Physician	$80.9K	$0
Brandon Wilson	WV	General Practice Physician	$62.3K	$6.4K
Reima El Naili	WV	Anatomic Pathology & Clinical Pathology Physician	$59.7K	$0
Dakota Brooker	WV	Physician Assistant	$53.9K	$0
Renee Rennick	WV	Physician Assistant	$52.9K	$0
Yekaterina Brown	WV	Family Medicine Physician	$39.5K	$12.5K
Justine Pagenhardt	WV	Emergency Medicine Physician	$47.7K	$0

Reynolds 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

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