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.

Danville Regional Medical Center, LLC (NPI 1154419737)

Field	Value
Entity Type	Organization
Organization	Danville Regional Medical Center, LLC
Address	142 S Main St
City	Danville
State	VA
ZIP	24541
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	October 10, 2006

Payer Source	Total Paid
Medicaid	$65.1M
Medicare	$0

Key Findings

This provider is effectively single-payer at scale: there is no Medicare billing on file and total Medicaid revenue is $65.1M, indicating the hospital’s outpatient and acute activity in this dataset is driven entirely by Medicaid payors. Analysts should treat Medicaid as the dominant and only billed public payer for profiling and risk/volume comparisons.

Revenue concentration is high: the top three Medicaid codes 99284, 99283, and 96361 together account for 47.9% of the provider’s total Medicaid revenue. Individually these codes generate $8.6M (16.4%), $8.3M (15.9%), and $8.2M (15.7%) respectively, showing a reliance on a narrow set of high-volume ED and infusion services.

The code mix strongly indicates an emergency-department–centric operation with substantial observation and imaging support: high-volume E/M ED codes 99284 and 99283 are the top revenue drivers, and 99285/99282/99281 also appear on the top-25 list. 99284 ranks #19 of 620 providers in-state (97th percentile; notably above typical state volume for this code) and 99283 ranks #25 of 626 (96th percentile; notably above typical state volume for this code), signaling above-typical ED patient throughput compared with in-state peers.

There is a significant infusion and IV-therapy workload: 96361 ($8.2M revenue, 35.4K claims, $231 avg paid/claim) ranks #3 of 90 providers in-state (98th percentile; notably above typical state volume), while related infusion codes 96365 and 96366 are also high-volume (96365 ranks #2 of 111, 99th percentile, labeled an extreme outlier). These patterns point to frequent treatment of dehydration/IV medication administration in the ED or short-stay setting.

Diagnostic imaging and ancillary services contribute meaningfully to outpatient revenue and support the acute-care profile: 70450 (CT head without contrast) generates $2.7M (5.1%) and ranks #10 of 174 (95th percentile), 74177 and 74176 (CT abdomen/pelvis with/without contrast) contribute $1.8M (3.4%) and $1.3M (2.5%) respectively, and 71275 (CTA chest) contributes $720.1K (1.4%). High volumes across multiple CT codes indicate substantial imaging capacity tied to ED and acute diagnostic workflows.

The provider is a statewide high-volume or dominant performer on several specific services: beyond the top-3, 0241U (23.6K claims, $1.5M) ranks #2 of 90 (99th percentile; extreme outlier), 80053 (138.2K claims, $553K) ranks #5 of 231 (98th percentile; extreme outlier), and C9803 (20.4K claims, $447.9K) ranks #1 of 24 (100th percentile; extreme outlier). These rankings suggest the hospital is an outlier in throughput for select lab and outpatient services relative to state peers.

Observation services and throughput metrics are consistent with ED-focused care pathways: G0378 (hospital observation service, per hour) accounts for $1.4M (2.7%) with 9.9K claims and ranks #15 of 80 providers in-state (82nd percentile; typical, unremarkable volume). Combined with the ED E/M and infusion volumes, this implies frequent use of observation status for cases that do not convert to inpatient admission.

The provider’s NPI has been enumerated since 2006-10-10 (~20 years ago), indicating a long-established rural acute care hospital presence in Danville, VA. This tenure, together with concentrated Medicaid revenue and repeated high-rank appearances across ED, infusion, imaging, and lab codes, points to an entrenched role in delivering acute outpatient and observation care to Medicaid populations in-state.

Medicaid: Complete Services Breakdown

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

491 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.	65,400	$130	$8.6M
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.	61,940	$130	$8.3M
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.	35,440	$230	$8.2M
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.	36,760	$120	$4.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	20,400	$130	$2.7M
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.	18,490	$140	$2.6M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	25,850	$90	$2.3M
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.	11,130	$160	$1.8M
0241U	N/A	23,640	$60	$1.5M
G0378	Hospital observation service, per hour	9,920	$140	$1.4M

Showing 1–10 of 491

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

Danville Regional Medical Center, LLC — 11 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

491 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	9	10	800	$5,190	$4.6M
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.	3	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	26	70	3,200	$110	$2.8M
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.	26	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.	25	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.	17	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	15	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.	19	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.	23	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…	253	260	3,950	$80	$769.6K

Showing 1–10 of 491

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danville Regional Medical Center LLC	VA	General Acute Care Hospital	$0	$21M
Keshavpal Reddy	NC	Psychiatry Physician	$146.2K	$617K
Francis Walsh	VA	Neurology Physician	$170.8K	$22.7K
Scott Oneil	VA	Specialist	$125.9K	$0

Nearby Providers

Other providers in the same ZIP code as Danville Regional Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crossroads Treatment Center Of Danville, PC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$173.7K	$18.6M
Danville Physician Practices LLC	VA	Anesthesiology Physician	$0	$13M
L&g Support And Resources Co.	VA	Community/Behavioral Health Agency	$0	$12M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.3M
Calm Source, LLC	VA	Community/Behavioral Health Agency	$0	$10.1M
Royal Care Incorporated	VA	Home Health Agency	$0	$9.8M
Piedmont Access To Health Services, Inc	VA	Federally Qualified Health Center (FQHC)	$0	$9.1M
Prince Charles Home Healthcare Agency, LLC	VA	Home Health Agency	$0	$8.6M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$7.9M
Virginia In-home Partner-xi, LLC	VA	Home Health Agency	$0	$7.7M

Danville Regional Medical Center, LLC — Billing Profile & Reimbursement Data

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Danville Regional Medical Center, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References