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.

Eastern Shore Rural Health System Incorporated. (NPI 1174502967)

Field	Value
Entity Type	Organization
Organization	Eastern Shore Rural Health System Incorporated.
Address	20280 Market St
City	Onancock
State	VA
ZIP	23417
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 11, 2006

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,350	$50	$1.3M
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…	13,570	$60	$787.1K
D1120	Prophylaxis–child	24,790	$30	$719K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	33,670	$20	$606K
D0120	Periodic oral evaluation - established patient	28,460	$20	$483.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	9,730	$40	$369.7K
D1351	Sealant - per tooth	4,530	$30	$136K
D2392	Post 2 surface resin‑based composite	1,700	$80	$135.9K
D0272	N/A	5,810	$20	$104.6K
D2391	Resin‑based composite – one surface, posterior	1,260	$70	$91.6K

Showing 1–10 of 82

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

Eastern Shore Rural Health System Incorporated. — 7 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	102	110	1,150	$40	$331.1K
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…	187	3,520	370	$70	$280.7K
D2930	N/A	119	150	330	$120	$226.8K
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…	122	4,010	290	$50	$199.8K
G9002	Coordinated care fee, maintenance rate	30	50	490	$100	$162.9K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	202	650	150	$80	$115.4K
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…	184	330	270	$40	$112.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	247	580	150	$70	$109K
D2392	Post 2 surface resin‑based composite	111	690	280	$70	$88.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	166	420	370	$50	$84.1K

Showing 1–10 of 82

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eastern Shore Rural Health System Incorporated., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colette Lo	VA	Family Medicine Physician	$115.9K	$1.5K
Crystal Harris	VA	Acute Care Nurse Practitioner	$65.9K	$0
David Hoshino	VA	Family Medicine Physician	$9.9K	$0

Nearby Providers

Other providers in the same ZIP code as Eastern Shore Rural Health System Incorporated., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shore Health Services Inc.	VA	Rural Acute Care Hospital	$0	$24.7M
Jefferson Moulds	VA	Radiation Oncology Physician	$825.2K	$0
Wayne Chin	VA	Podiatrist	$99.1K	$1.7K
Terry Parsons	VA	Anesthesiology Physician	$3.9K	$0

Eastern Shore Rural Health System Incorporated. — Billing Profile & Reimbursement Data

Sign up for Eastern Shore Rural Health System Incorporated. — Billing Profile & Reimbursement Data policy alerts

Eastern Shore Rural Health System Incorporated. — Billing Profile & Reimbursement Data

Sign up for Eastern Shore Rural Health System Incorporated. — 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