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.

Lake Spring Emergency Group, LLC (NPI 1215429600)

Field	Value
Entity Type	Organization
Organization	Lake Spring Emergency Group, LLC
Address	1900 Electric Rd
City	Salem
State	VA
ZIP	24153
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 1, 2018

Payer Source	Total Paid
Medicaid	$11.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	54,970	$100	$5.2M
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.	76,090	$60	$4.7M
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.	39,040	$30	$1.2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	22,040	$10	$110.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	330	$110	$34.6K
99281	The provider sees a patient for the lowest level emergency department visit.	100	$10	$1.3K

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

Lake Spring Emergency Group, LLC — 2 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	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.	43	630	90	$140	$1.1M
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.	15	620	70	$120	$1M
99281	The provider sees a patient for the lowest level emergency department visit.	77	100	610	$160	$242.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	76	130	440	$120	$197K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	21	280	190	$1	$32.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lake Spring Emergency Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alex Hamidi	VA	Emergency Medicine Physician	$131K	$0
Crystal Poff	VA	Family Nurse Practitioner	$33.5K	$0

Nearby Providers

Other providers in the same ZIP code as Lake Spring Emergency Group, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lewis-gale Medical Center, LLC	VA	General Acute Care Hospital	$0	$51.8M
Virginia Baptist Children's Home & Family Services	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Innovative Community Solutions, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Lewis Gale Physicians LLC	VA	Internal Medicine Physician	$0	$20.6M
Phc Of Virginia, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$10.6M
Roanoke Valley Center For Sight LLC	VA	Ambulatory Surgical Clinic/Center	$8.4M	$1.7M
Care Advantage, Inc.	VA	Home Health Agency	$0	$8.4M
Springhealth Behavioral Health And Integrated Care Virginia, LLC	VA	Community/Behavioral Health Agency	$0	$8M
Kimberly Aderhold	VA	Hematology & Oncology Physician	$1.8M	$0
Roanoke Surgery Center, LP	VA	Ambulatory Surgical Clinic/Center	$1.3M	$122.8K

Lake Spring Emergency Group, LLC — Billing Profile & Reimbursement Data

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Lake Spring Emergency Group, LLC — 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