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.

Amy West (NPI 1174138515)

Field	Value
Entity Type	Individual
Organization	Amy West
Address	5883 Black Diamond Highway
City	Gary
State	WV
ZIP	24836
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 12, 2020

Payer Source	Total Paid
Medicare	$27.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	110	$150	$16.2K
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…	90	$50	$4.7K
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.	60	$60	$3.4K
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…	50	$70	$3.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Amy West — 0 of 5 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G2087	1	10	110	$150	$16.2K
99214	1,884	2,740	100	$70	$11.8K
80307	18	30	70	$60	$9.4K
99213	1,328	2,860	80	$50	$7.5K
36415	297	340	80	$10	$1.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Amy West, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hopkins Medical Association LLC	VA	Family Medicine Physician	$0	$13.1M
Tug River Health Association, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$2.2M
Tug River Health Association, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.2M
Tug River Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$910.1K
Jason Della Vecchia	TN	Addiction Medicine (Internal Medicine) Physician	$108.8K	$623.2K
Denny Goss	VA	Emergency Medicine Physician	$91.8K	$0
Ramona Boyd	VA	Family Nurse Practitioner	$44.1K	$0
Natasha Stanley	VA	Family Nurse Practitioner	$41.8K	$0
Ginger Collins	VA	Nurse Practitioner	$32.7K	$0
Cynthia Taylor	VA	Nurse Practitioner	$25.7K	$0

Amy West — Billing Profile & Reimbursement Data

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Amy West — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References