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.

Augusta Medical Group (NPI 1245489590)

Augusta Medical Group is a general practice physician provider located in Fishersville, Virginia. This profile covers 0 Medicare and 131 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Augusta Medical Group
Address	78 Medical Center Dr
City	Fishersville
State	VA
ZIP	22939
Taxonomy	General Practice Physician
NPI Enumerated	September 11, 2008

Payer Source	Total Paid
Medicaid	$12.6M
Medicare	$0

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

131 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	106,670	$50	$4.9M
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…	75,780	$60	$4.3M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	7,320	$70	$475.7K
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…	5,220	$70	$354.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	13,020	$30	$351.6K
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…	2,200	$90	$196.1K
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,…	6,470	$30	$187.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,150	$90	$186.6K
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.	2,650	$60	$158.9K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3,380	$40	$128.3K

Showing 1–10 of 131

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

Augusta Medical Group — 4 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

131 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	93	180	2,950	$140	$783.2K
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.	100	170	3,390	$100	$658.8K
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.	74	150	300	$420	$381.2K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	108	130	1,190	$160	$356.6K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	83	90	440	$220	$322.9K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	116	150	1,740	$140	$317.7K
99480	The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.	15	20	40	$80	$309.9K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	37	50	110	$840	$309.8K
0241U	N/A	82	90	1,840	$80	$306.3K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	57	70	190	$570	$297K

Showing 1–10 of 131

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Augusta Health Care, Inc	VA	General Acute Care Hospital	$0	$63.6M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Ashley Blurton	VA	Nuclear Medicine Physician	$2.9M	$0
Benjamin Harris	PA	Diagnostic Radiology Physician	$527.8K	$504.9K
Sainath Gaddam	TX	Interventional Cardiology Physician	$251.9K	$538.3K
Ashkan Karimi	VA	Interventional Cardiology Physician	$775.6K	$0
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K
Sumit Duggal	MD	Cardiovascular Disease Physician	$648.3K	$0
David Wood	CA	Diagnostic Radiology Physician	$641.3K	$2.7K
Todd Blodgett	PA	Diagnostic Radiology Physician	$380.1K	$254K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Emergency Medicine Specialists LLC	VA	Emergency Medicine Physician	$0	$7.5M
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
Yevgeniy Shildkrot	VA	Ophthalmology Physician	$1.5M	$0
Blue Ridge Pathologists PC	VA	Anatomic Pathology Physician	$224.6K	$1.2M
James Tiedeman	VA	Ophthalmology Physician	$782.7K	$0
William Jones	VA	Urology Physician	$468.4K	$0
David Barnes	VA	Specialist	$405.8K	$150
Rachna Patel	VA	Specialist	$377K	$0
Glenn Brammer	VA	Clinical Cardiac Electrophysiology Physician	$375.6K	$0
Brian Stisser	VA	Urology Physician	$326.4K	$0

Augusta Medical Group — Billing Profile & Reimbursement Data

Sign up for Augusta Medical Group — Billing Profile & Reimbursement Data policy alerts

Augusta Medical Group — Billing Profile & Reimbursement Data

Sign up for Augusta Medical Group — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References