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.

Summers Emergency Physicians LLC (NPI 1225243702)

Field	Value
Entity Type	Organization
Organization	Summers Emergency Physicians LLC
Address	Summers County Arh Hospital
City	Hinton
State	WV
ZIP	25951
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 10, 2007

Payer Source	Total Paid
Medicaid	$977.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 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.	3,110	$150	$450.2K
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.	3,690	$100	$361.9K
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.	2,180	$60	$139.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,180	$20	$25.9K

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

Summers Emergency Physicians LLC — 0 of 4 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

4 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.	57	130	2,090	$210	$1.5M
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.	81	170	3,350	$120	$1.1M
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.	97	160	3,690	$80	$714.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	66	150	810	$10	$45.8K

Nearby Providers

Other providers in the same ZIP code as Summers Emergency Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Appalachian Regional Healthcare, Inc.	WV	Critical Access Hospital	$0	$6.2M
Appalachian Regional Healthcare, Inc	WV	Rural Health Clinic/Center	$0	$6M
Summers County Ems Inc	WV	Land Ambulance	$240.3K	$3.5M
Appalachian Regional Healthcare, Inc.	WV	Rural Health Clinic/Center	$0	$1.7M
Summers County Council On Aging, Inc	WV	Home Health Agency	$0	$1.4M
Mountaineer Healthcare, PLLC	WV	Rural Health Clinic/Center	$0	$801.3K
Hrishi Patel	WV	Internal Medicine Physician	$114.1K	$0
Michael Montgomery	WV	Family Medicine Physician	$29.3K	$0
Kathy Meadows	WV	Family Nurse Practitioner	$4.2K	$0

Summers Emergency Physicians LLC — Billing Profile & Reimbursement Data

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Summers Emergency Physicians 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

Nearby Providers

Frequently Asked Questions

References