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.

Justine Pagenhardt (NPI 1346506524)

Field	Value
Entity Type	Individual
Organization	Justine Pagenhardt
Address	800 Wheeling Ave
City	Glen Dale
State	WV
ZIP	26038
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 2, 2012

Payer Source	Total Paid
Medicare	$47.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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.	150	$140	$21K
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.	160	$90	$14.6K
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…	50	$160	$8.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	300	$10	$1.8K
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.	20	$60	$1.2K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	20	$20	$400
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	20	$20	$340
76604	The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum.	20	$20	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Justine Pagenhardt — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	113	420	90	$130	$15.5K
99291	160	420	40	$160	$9.8K
99284	75	450	80	$90	$8.2K
99283	214	310	30	$50	$1.9K
93010	83	400	110	$10	$1.5K
76705	103	130	60	$20	$1.3K
93308	54	70	30	$20	$1K
76604	7	10	20	$20	$540

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Josephs Hospital Of Buckhannon Inc	WV	Critical Access Hospital	$0	$41.8M
West Virginia Health Care Cooperative Inc	WV	Critical Access Hospital	$0	$19.2M
Reynolds Memorial Hospital, Inc	WV	General Acute Care Hospital	$0	$14.9M
Grant Memorial Hospital	WV	Critical Access Hospital	$0	$13M
Reynolds Memorial Hospital, Inc	WV	Emergency Medical Services (Emergency Medicine) Physician	$0	$11.4M
Potomac Valley Hospital Of W Va , Inc	WV	Critical Access Hospital	$0	$11M
Braxton County Memorial Hospital	WV	Critical Access Hospital	$0	$4.9M
St Josephs Hospital Of Buckhannon	WV	Internal Medicine Physician	$0	$4.5M
Summersville Regional Medical Center	WV	Critical Access Hospital	$0	$3.4M
West Virginia Health Care Cooperative Inc	WV	Hospitalist Physician	$0	$3.1M

Nearby Providers

Other providers in the same ZIP code as Justine Pagenhardt, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Michael Wayt	WV	Family Medicine Physician	$350.9K	$0
Zaveen Kureishy	WV	Internal Medicine Physician	$295.1K	$0
Melvin Saludes	WV	Pulmonary Disease Physician	$155.3K	$0
David Romano	WV	Foot Surgery Podiatrist	$89.9K	$0
Cody Larsen	WV	Emergency Medicine Physician	$80.9K	$0
Brandon Wilson	WV	General Practice Physician	$62.3K	$6.4K
Reima El Naili	WV	Anatomic Pathology & Clinical Pathology Physician	$59.7K	$0
Dakota Brooker	WV	Physician Assistant	$53.9K	$0
Renee Rennick	WV	Physician Assistant	$52.9K	$0

Justine Pagenhardt — Billing Profile & Reimbursement Data

Sign up for Justine Pagenhardt — Billing Profile & Reimbursement Data policy alerts

Justine Pagenhardt — Billing Profile & Reimbursement Data

Sign up for Justine Pagenhardt — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References