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.

Rainelle Medical Center, Inc (NPI 1265068001)

Field	Value
Entity Type	Organization
Organization	Rainelle Medical Center, Inc
Address	149 Goheen St
City	Lewisburg
State	WV
ZIP	24901
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 12, 2020

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	5,730	$220	$1.2M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,920	$10	$11.5K
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…	180	$20	$2.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	210	$10	$2.5K
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…	280	$10	$1.4K
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…	180	$10	$900
90832	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…	30	$0	$0
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	20	$0	$0

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

Rainelle Medical Center, Inc — 0 of 6 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	181	390	4,610	$130	$2.2M
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…	906	1,270	1,240	$30	$245K
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…	759	1,030	890	$50	$221K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	90	310	740	$80	$178.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	67	190	110	$70	$63.4K
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…	127	210	280	$40	$59.2K
90832	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…	183	200	490	$30	$57.7K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	9	10	50	$1	$10

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rainelle Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rainelle Medical Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$14.3M
Rainelle Medical Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.7M
Rainelle Medical Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.5M
Rainelle Medical Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.2M
Rainelle Medical Center, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.2M
Rainelle Medical Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$798.4K
Heather Ratliff	WV	Nephrology Physician	$87.7K	$0
Gary Ross	WV	Internal Medicine Physician	$49.2K	$0
Christopher Martin	WV	Family Medicine Physician	$13.7K	$0
Hannah Davis	WV	Family Nurse Practitioner	$12.7K	$0

Nearby Providers

Other providers in the same ZIP code as Rainelle Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Open Doors For The Developmentally Challenged, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$25.2M
West Virginia School Of Osteopathic Medicine Clinic Inc	WV	Rural Health Clinic/Center	$0	$9.5M
Rebecca Kucera	WV	Pediatric Dentistry	$0	$5.1M
Davis-stuart, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$3.6M
Greenbrier County Emergency Ambulance Service, Inc	WV	Ambulance	$352.4K	$2.6M
Lincare Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$1.8M
West Virginia Radiation Therapy Services Inc	WV	Radiation Oncology Physician	$0	$1.1M
Wecare Medical LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$868.6K
Michael Adkins	WV	Optometrist	$52.2K	$251.2K
Charles Shelton	WV	Radiation Oncology Physician	$157.2K	$0

Rainelle Medical Center, Inc — Billing Profile & Reimbursement Data

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Rainelle Medical Center, Inc — 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