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.

Patient First Pennsylvania Medical Group PLLC (NPI 1194039560)

Field	Value
Entity Type	Organization
Organization	Patient First Pennsylvania Medical Group PLLC
Address	5000 Cox Rd
City	Glen Allen
State	VA
ZIP	23060
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	July 28, 2010

Payer Source	Total Paid
Medicaid	$14.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9083	Global fee urgent care centers	111,180	$130	$14.6M
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	340	$20	$5.7K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	5,060	$1	$5.1K
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…	4,940	$1	$4.9K
99203	The provider sees a new 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 provider…	2,140	$1	$2.1K
99204	The provider sees a new 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 provider…	930	$1	$1.9K
99441	N/A	50	$40	$1.7K
99201	Deleted code, effective Jan. 1, 2021	10	$20	$230
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	440	$0	$0
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	520	$0	$0

Showing 1–10 of 24

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

Patient First Pennsylvania Medical Group PLLC — 0 of 8 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	743	760	17,620	$150	$5.5M
S9083	Global fee urgent care centers	2	20	150	$100	$1.5M
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…	485	3,520	370	$70	$280.7K
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…	393	4,010	290	$50	$199.8K
99204	The provider sees a new 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 provider…	160	970	100	$100	$87.1K
99203	The provider sees a new 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 provider…	91	1,000	100	$70	$81.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	738	980	140	$70	$70.9K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	15	200	370	$30	$58.8K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	68	340	440	$20	$58K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	170	460	150	$10	$43.7K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Patient First Pennsylvania Medical Group PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Pennsylvania Medical Group PLLC	PA	Family Medicine Physician	$0	$5.6M
Allen Samuels	PA	Rheumatology Physician	$594.5K	$820
Keith Williams	PA	Family Medicine Physician	$144.7K	$1.8K
Paul Kolecki	PA	Emergency Medicine Physician	$130.7K	$0
Nicholas Wunder	MD	Medical Physician Assistant	$122.4K	$0
Simon Boulattouf	PA	Family Medicine Physician	$111.8K	$0
Melissa Denham Gage	PA	Family Medicine Physician	$111.7K	$0
John Junod	PA	Family Medicine Physician	$103.2K	$6.7K
George Geisler	PA	Emergency Medicine Physician	$109.4K	$0
James Lacey	MD	Family Medicine Physician	$108.6K	$0

Nearby Providers

Other providers in the same ZIP code as Patient First Pennsylvania Medical Group PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Richmond Medical Group PLLC	VA	Family Medicine Physician	$0	$75.4M
Henrico Area Mental Heatlh And Developmental Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$64.7M
Rca Laboratory Services, LLC	VA	Clinical Medical Laboratory	$5.3M	$17.1M
Virginia Center For Addiction Medicine	VA	Addiction Medicine (Internal Medicine) Physician	$0	$19.7M
Patient First Maryland Medical Group, PLLC	VA	Family Medicine Physician	$0	$19.5M
Family Integrated Counseling Services	VA	Community/Behavioral Health Agency	$0	$17.8M
Patient First Richmond Physician's Group PC	VA	Urgent Care Clinic/Center	$0	$11.1M
Renewing Stability LLC	VA	Community/Behavioral Health Agency	$0	$8.4M
Patient First Maryland Physician's Group PC	VA	Family Medicine Physician	$0	$7M
Tidewater Physical Therapy, LLC	VA	Physical Therapist	$0	$6.4M

Patient First Pennsylvania Medical Group PLLC — Billing Profile & Reimbursement Data

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Patient First Pennsylvania Medical Group PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References