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.

Hca Health Services Of Virginia Inc (NPI 1194762294)

Field	Value
Entity Type	Organization
Organization	Hca Health Services Of Virginia Inc
Address	1602 Skipwith Rd
City	Richmond
State	VA
ZIP	23229
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$64.5M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $64.5M in lifetime Medicaid revenue, making Medicaid the sole operative payer in the available claims dataset for this entity. The lack of Medicare activity means any payer-mix conclusions should treat this profile as effectively single-payer (Medicaid) within the accessible records.

Revenue is highly concentrated in a small set of emergency department evaluation-and-management codes: the precomputed top 3 Medicaid codes by revenue account for 61.5% of this provider's total Medicaid revenue. Those three codes are 99283 ($20.9M, 37.0%), 99284 ($10M, 17.6%), and 99282 ($3.9M, 6.9%), indicating that ED visits drive the majority of reimbursed Medicaid dollars.

The code mix—dominated by 99283/99284/99282 and supported by observation and higher-level ED codes like G0378 and 99285—points to a high-volume emergency department and observation service operation. Substantial paid-claim volumes for imaging codes commonly used in acute presentations (70450: $2.5M; 74177: $2M; 71275: $996.6K) reinforce that these services are being delivered in an acute/ED setting rather than a purely ambulatory clinic.

On statewide competitive standing for core ED codes, the provider is a clear outlier and a major market participant: 99283 ranks #6 of 626 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code), 99284 ranks #21 of 620 (97th percentile; notably above typical state volume), and 99282 ranks #8 of 139 (95th percentile; notably above typical state volume). These ranks indicate this hospital is one of the largest Medicaid ED service providers in Virginia for these code categories.

Wound care and debridement capacity appears unusually large relative to peers: 97597 is reported as $344.6K (0.6% of Medicaid revenue) but ranks #1 of 44 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code). This suggests an outsized procedural volume or specialized service line for wound debridement compared with other in-state hospitals.

Obstetrics and prenatal imaging are meaningful service lines: high-volume ultrasound and fetal monitoring codes are present with elevated state ranks—76816 $899.9K (1.6%) ranks #8 of 142 (95th percentile), 76818 $855.3K (1.5%) ranks #3 of 33 (94th percentile), and 76811 $400.3K (0.7%) ranks #5 of 61 (93rd percentile). These data indicate a busy maternal-fetal services throughput within the Medicaid population.

Cardiac and advanced diagnostic procedures show moderate supporting volumes consistent with an acute-care hospital: 93306 (echocardiography) accounts for $762K (1.3%) and ranks #56 of 211 providers in-state (74th percentile), and endoscopic diagnostic work like 43239 accounts for $1.6M (2.9%) and ranks #12 of 146 (92nd percentile). Together these codes support the interpretation that the facility provides broad inpatient and ED diagnostic capabilities beyond basic emergency care.

The provider has an established operating history in the NPI registry, enumerated 2006-05-31 (~20 years ago), which is consistent with an established acute-care hospital that has built steady Medicaid-facing volumes over time. Given the tenure and the concentrated Medicaid revenue mix, strategic or competitive assessments should treat this entity as an established, Medicaid-focused acute-care provider with a high-volume ED and select specialty service lines (wound care, obstetrics, imaging).

Medicaid: Complete Services Breakdown

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

317 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	123,150	$170	$20.9M
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.	64,310	$160	$10M
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.	23,600	$170	$3.9M
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.	14,700	$170	$2.5M
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.	12,710	$160	$2.1M
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.	11,320	$180	$2M
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.	5,610	$320	$1.8M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,660	$610	$1.6M
99281	The provider sees a patient for the lowest level emergency department visit.	8,510	$170	$1.5M
G0378	Hospital observation service, per hour	13,090	$90	$1.2M

Showing 1–10 of 317

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

Hca Health Services Of Virginia Inc — 8 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

317 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	60	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	50	70	3,200	$110	$2.8M
H0035	Mental health partial hospitalization, treatment, less than 24 hours	133	150	5,420	$110	$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.	70	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.	6	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.	8	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	9	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.	21	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.	22	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…	146	260	3,950	$80	$769.6K

Showing 1–10 of 317

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hca Health Services Of Virginia Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chippenham & Johnston-willis Hospitals Inc	VA	General Acute Care Hospital	$0	$103.7M
Columbia/hca John Randolph, Inc.	VA	General Acute Care Hospital	$0	$49.1M
El Paso Healthcare System Ltd	TX	General Acute Care Hospital	$0	$38.5M
Spotsylvania Medical Center Inc	VA	General Acute Care Hospital	$0	$31M
Mission Health Community Multispecialty Providers, LLC	NC	Internal Medicine Physician	$0	$24.1M
Columbia Medical Center Of Arlington Subsidiary LP	TX	General Acute Care Hospital	$0	$21.8M
Columbia Hospital At Medical City Dallas Subsidiary LP	TX	General Acute Care Hospital	$0	$21.5M
Lewis Gale Physicians LLC	VA	Internal Medicine Physician	$0	$20.6M
Reston Hospital Center LLC	VA	General Acute Care Hospital	$0	$14.9M
Hca Health Services Of Florida, Inc.	FL	General Acute Care Hospital	$0	$11.4M

Nearby Providers

Other providers in the same ZIP code as Hca Health Services Of Virginia Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clearr Vission Support Services, Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.9M
Graceful Hearts Home Care Services LLC	VA	In Home Supportive Care Agency	$0	$5.8M
Virginia Cardiovascular Specialists	VA	Ambulatory Surgical Clinic/Center	$1.9M	$0
Joshua Mcfarlane	VA	Hematology & Oncology Physician	$1.5M	$0
Purvi Shah	VA	Hospice and Palliative Medicine (Internal Medicine) Physician	$1.3M	$0
James Khatcheressian	VA	Hematology & Oncology Physician	$1.1M	$0
Reed Mitchell	VA	Hematology & Oncology Physician	$1M	$0
Christine Browning	VA	Cardiovascular Disease Physician	$816.3K	$0
Rachit Kumar	VA	Hematology & Oncology Physician	$802.4K	$0
Ashwani Kumar	VA	Interventional Cardiology Physician	$675.7K	$0

Hca Health Services Of Virginia Inc — Billing Profile & Reimbursement Data

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Hca Health Services Of Virginia 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