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.

City Hospital, Inc. (NPI 1336657493)

City Hospital, Inc. is a internal medicine physician provider located in Ranson, West Virginia. This profile covers 0 Medicare and 24 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	City Hospital, Inc.
Address	207 E 5th Ave
City	Ranson
State	WV
ZIP	25438
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 11, 2018

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	9,390	$90	$816.6K
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.	7,310	$50	$387.3K
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.	1,860	$130	$232.1K
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…	2,500	$50	$134.7K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	390	$170	$66.1K
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…	430	$150	$63.8K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	470	$130	$58.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1,030	$30	$31.8K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	170	$170	$27.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	320	$90	$27.5K

Showing 1–10 of 24

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

City Hospital, Inc. — 0 of 24 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

24 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.	72	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.	44	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.	51	160	3,690	$80	$714.8K
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…	898	1,270	1,240	$30	$245K
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…	178	190	660	$40	$226.4K
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…	316	1,030	890	$50	$221K
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…	20	60	170	$130	$189.3K
01967	The provider performs neuraxial anesthesia services for a patient undergoing a planned vaginal delivery.	8	20	310	$200	$140.9K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	59	100	1,200	$50	$135.9K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	11	30	320	$120	$118.8K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Medical Corporation	WV	Family Medicine Physician	$0	$162.1M
City Hospital, Inc	WV	General Acute Care Hospital	$0	$41.1M
Jefferson Memorial Hospital	WV	Critical Access Hospital	$0	$21.6M
Preston Memorial Hospital Corporation	WV	Critical Access Hospital	$0	$20.2M
Reynolds Memorial Hospital, Inc	WV	Emergency Medical Services (Emergency Medicine) Physician	$0	$11.4M
Eric Johnson	KY	Diagnostic Radiology Physician	$78.6K	$3.1M
Preston Memorial Hospital Corporation	WV	Emergency Medicine Physician	$0	$2.6M
Concord Hospital, Inc.	NH	Emergency Medicine Physician	$0	$2.5M
Inderjit Mehmi	CA	Hematology & Oncology Physician	$2.3M	$0
Randall J. Hill, M.d., P.L.L.C.	WV	Specialist	$0	$1.9M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Mountain Health Physicians, Inc.	WV	Urgent Care Clinic/Center	$0	$5.1M
Jmh Emergency Physicians	WV	Emergency Medicine Physician	$0	$2.6M
Jefferson Pharmacy Inc	WV	Pharmacy	$13.8K	$2.1M
Jefferson County Council On Aging	WV	Home Health Agency	$0	$1.5M
Jefferson County Emergency Services Agency	WV	Land Ambulance	$336.8K	$638.2K
Jefferson Memorial Hospital	WV	Internal Medicine Physician	$0	$941.1K
Gagan Singh	WV	Ophthalmology Physician	$449K	$0
Said Sana	WV	Family Medicine Physician	$424.4K	$0
Eric Ingersoll	WV	Orthopaedic Surgery Physician	$18.1K	$69.8K
Alton Temple	WV	Emergency Medicine Physician	$81K	$700

City Hospital, Inc. — Billing Profile & Reimbursement Data

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City Hospital, 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

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