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.

Edmond Roberts (NPI 1316367626)

Field	Value
Entity Type	Individual
Organization	Edmond Roberts
Address	1076 E Bethlehem Blvd
City	Wheeling
State	WV
ZIP	26003
Taxonomy	Sleep Medicine (Family Medicine) Physician
NPI Enumerated	April 25, 2014

Payer Source	Total Paid
Medicare	$14.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	50	$90	$4.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	30	$90	$2.9K
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…	30	$90	$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…	40	$50	$2.1K
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…	20	$80	$1.8K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	20	$30	$640

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Edmond Roberts — 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. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,372	2,740	100	$70	$11.8K
95811	9	30	40	$190	$8.2K
99213	1,963	2,860	80	$50	$7.5K
95810	10	30	30	$180	$6.5K
99204	618	1,220	30	$100	$4.1K
95806	10	20	20	$40	$1.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Edmond Roberts, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Devender Batra	OH	Cardiovascular Disease Physician	$309.1K	$0
Jondavid Pollock	WV	Radiation Oncology Physician	$254.7K	$0
Ghassan Ghorayeb	WV	Ophthalmology Physician	$175.8K	$0
Daniel Wilson	WV	Family Medicine Physician	$160K	$420
Walid Gharib	WV	Cardiovascular Disease Physician	$131.2K	$0
Keith Poole	OH	Family Medicine Physician	$116.7K	$0
Vipin Villgran	OH	Pulmonary Disease Physician	$99.4K	$0
Deepak Hooda	WV	Interventional Cardiology Physician	$99.3K	$0
Bradley Schmitt	WV	Family Medicine Physician	$98.2K	$0
Kim Wiley	WV	Colon & Rectal Surgery Physician	$96.3K	$0

Edmond Roberts — Billing Profile & Reimbursement Data

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Edmond Roberts — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References