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.

United Hospital Center, Inc (NPI 1184606600)

Key Findings

Field	Value
Entity Type	Organization
Organization	United Hospital Center, Inc
Address	327 Medical Park Drive
City	Bridgeport
State	WV
ZIP	26330
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 18, 2005

Payer Source	Total Paid
Medicaid	$63.3M
Medicare	$0

This provider is effectively single‑payer in the available data: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $63.3M, indicating its reported revenue footprint is concentrated in Medicaid rather than Medicare. With an NPI enumerated (registered) on 2005-11-18 (~21 years ago), UNITED HOSPITAL CENTER, INC is an established facility with two decades of billing history in the dataset.

Revenue concentration is high in emergency department E/M services: the precomputed top 3 Medicaid codes account for 44.8% of the provider’s total Medicaid revenue, driven by 99284 ($5.8M, 17.9%), 99285 ($5.5M, 17.0%), and 99283 ($3.2M, 9.9%). This concentration shows that nearly half of Medicaid dollars are coming from ED evaluation-and-management activity, signaling ED throughput and acuity as primary revenue drivers.

The code mix and volumes point to a high-throughput emergency department with a range of acuity: 99284 appears 33.5K claims ($172 avg, $5.8M) and ranks #14 of 168 in-state (92th percentile; notably above typical state volume for this code), 99283 has 32.6K claims ($98 avg, $3.2M) and ranks #11 of 163 (94th percentile; notably above typical state volume), and 99285 has 14.5K claims ($378 avg, $5.5M) and ranks #18 of 132 (87th percentile). Together these figures indicate substantial ED volume across low, moderate, and high medical decision-making levels rather than concentration in only low-acuity visits.

The provider also bills heavily for core hospital diagnostics and imaging, indicating comprehensive inpatient/outpatient services: 85025 (118K claims, $1.8M, 5.5%) ranks #4 of 138 (98th percentile; notably above typical state volume), 80053 (86.1K claims, $1.7M, 5.3%) ranks #4 of 111 (97th percentile), and 74177 (9.8K claims, $1.7M, 5.4%) ranks #8 of 76 (91th percentile). Notably, 72148 (MRI lumbar without contrast) is 3.5K claims for $580.3K (1.8%) and ranks #2 of 44 providers in-state (98th percentile; extreme outlier), suggesting specialized imaging capacity that is far above typical state peers.

There is a visible oncology/infusion service-line component: chemotherapy administration 96413 (6.7K claims, $818.6K, 2.5%) ranks #4 of 20 (84th percentile), and infusion/IV administration codes 96365, 96374, and 96375 together contribute material revenue (96365: $611.2K, 1.9%; 96374: $718.1K, 2.2%; 96375: $705.3K, 2.2%). These volumes and the presence of high‑cost diagnostic nuclear/PET codes such as A9552 ($743.8K, 2.3%) and 78815 ($536.1K, 1.7%) are consistent with active oncology diagnostics and outpatient infusion services alongside ED and inpatient care.

Operational signals in supply and procedural support are strong: J7120 (Ringers lactate) shows 21.1K claims for $824.1K (2.6%) and ranks #2 of 23 (95th percentile; notably above typical state volume), while high volumes of EKGs 93005 (38.3K claims, $574K, 1.8%) and contrast supplies Q9967 (16.3K claims, $536.5K, 1.7%) indicate steady throughput of acute care and imaging procedures. These line-item patterns reinforce that the hospital supports substantial acute/ED care and associated diagnostics and consumables.

Competitive standing in-state is strong across many service lines: multiple codes are in top quartile or higher — for example 85025 and 72148 are at the 98th percentile, 80053 and 80048 are at the 97th percentile, and 93005 and J7120 are at the 95th percentile — which collectively characterize UNITED HOSPITAL CENTER, INC as a major Medicaid provider for ED, lab, and imaging services within West Virginia. While some specialty codes (e.g., 96413, A9552, 78815) are more typical or modest versus peers, the consistent high percentiles and ranks for core ED, lab, and imaging codes mark the provider as a prominent in-state performer in those categories.

Medicaid: Complete Services Breakdown

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

519 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.	33,470	$170	$5.8M
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.	14,470	$380	$5.5M
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.	32,590	$100	$3.2M
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…	118,030	$20	$1.8M
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.	9,750	$180	$1.7M
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.	86,110	$20	$1.7M
J7120	Ringers lactate infusion, up to 1000 cc	21,130	$40	$824.1K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	6,710	$120	$818.6K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	25,570	$30	$792.6K
A9552	Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	1,150	$650	$743.8K

Showing 1–10 of 519

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

United Hospital Center, Inc — 9 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

519 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	4	10	470	$4,910	$2.4M
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	10	10	230	$40	$1.9M
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.	18	130	2,090	$210	$1.5M
87661	The lab analyst performs a test for Trichomonas vaginalis using nucleic acid amplified probe technique.	20	20	270	$20	$1.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	11	10	580	$1,120	$1.3M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	17	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.	17	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.	14	170	3,350	$120	$1.1M
J1459	Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg	2	10	970	$820	$790.7K
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.	15	20	720	$20	$721.7K

Showing 1–10 of 519

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Hospital Center, Inc.	WV	Internal Medicine Physician	$0	$13.7M
United Hospital Center	WV	Internal Medicine Physician	$0	$1.5M
Sathyanarayan Reddy	WV	Cardiovascular Disease Physician	$521.3K	$0
Vasil Parousis	MD	Urology Physician	$468.1K	$0
Jeramie Rosales Rodriguez	MO	Psychiatry Physician	$2.1K	$289.9K
John Adeniyi	WV	Vascular Surgery Physician	$278.1K	$0
Abdulmalek Sabbagh	WV	Cardiovascular Disease Physician	$208.6K	$0
David Clump	PA	Radiation Oncology Physician	$181.4K	$0
Mazen Nashed	WV	Cardiovascular Disease Physician	$177.1K	$0
Ghassan Ghorayeb	WV	Ophthalmology Physician	$175.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Specialists, Inc.	WV	Infectious Disease Physician	$0	$11.3M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$9.3M
Bridgeport Behavioral Clinic	WV	Psychiatry Physician	$0	$5.7M
Doctors Specialty Care	WV	Addiction Medicine (Family Medicine) Physician	$0	$4.1M
Delta Lifestyle Solutions	WV	Family Medicine Physician	$0	$4.1M
Lincare Inc	WV	Durable Medical Equipment & Medical Supplies	$0	$4M
Cornerstone Pediatric Therapy Center, LLC	WV	Pediatric Occupational Therapist	$0	$3.7M
Mountain State Medical Specialties, PLLC	WV	Dermatology Physician	$0	$3.6M
Seyed Momen	WV	Pediatric Dentistry	$0	$3.2M
Community Care Of West Virginia, Inc.	WV	Community/Behavioral Health Agency	$0	$2.6M

United Hospital Center, Inc — 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