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.

Right Path Treatment Center LLC (NPI 1356778138)

Right Path Treatment Center LLC is a addiction medicine (internal medicine) physician provider located in Virginia Beach, Virginia. This profile covers 0 Medicare and 22 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	Right Path Treatment Center LLC
Address	101 N Lynnhaven Rd
City	Virginia Beach
State	VA
ZIP	23452
Taxonomy	Addiction Medicine (Internal Medicine) Physician
NPI Enumerated	October 11, 2013

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9012	Other specified case management service not elsewhere classified	12,180	$240	$2.9M
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…	19,090	$70	$1.3M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	15,390	$70	$1.1M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	17,920	$60	$1.1M
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…	10,650	$70	$766.6K
H0005	Alcohol and/or drug services; group counseling by a clinician	24,320	$30	$656.5K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	35,270	$10	$352.6K
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…	4,200	$50	$213.9K
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	37,250	$1	$149K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	1,420	$100	$140.3K

Showing 1–10 of 22

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

Right Path Treatment Center LLC — 6 of 22 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9012	Other specified case management service not elsewhere classified	23	120	2,160	$220	$1.6M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3	20	3,960	$130	$730.9K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	12	20	1,220	$110	$459.9K
H0004	Behavioral health counseling and therapy, per 15 minutes	70	100	3,280	$40	$455.8K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	119	170	3,790	$40	$415.2K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	14	20	1,790	$70	$347.5K
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…	124	3,520	370	$70	$280.7K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	5	100	2,220	$40	$214.2K
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…	609	4,010	290	$50	$199.8K
H0014	Alcohol and/or drug services; ambulatory detoxification	52	50	410	$130	$117.7K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Support Services Of Virginia, Inc.	VA	Developmentally Disabled Services Day Training Agency	$0	$76.1M
Crescent Counseling & Casework Services Inc.	VA	Community/Behavioral Health Agency	$0	$25.3M
Hope Care & Love Home Healthcare Services LLC	VA	Home Health Agency	$0	$19M
Rehabilitation Associates Inc	VA	Pediatric Physical Therapist	$0	$18.2M
Family First Home Healthcare ,LLC	VA	Home Health Agency	$0	$17.4M
Seven Summits Family Services, LLC	VA	Community/Behavioral Health Agency	$0	$9.9M
Circle Of Life, LLC	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.3M
Reign Integrated Services	VA	Behavior Analyst	$0	$8.3M
C & R Divine Hands Of Care	VA	Home Health Agency	$0	$8.1M
Atlantic Homecare Services	VA	Home Health Agency	$0	$7.7M

Right Path Treatment Center LLC — Billing Profile & Reimbursement Data

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Right Path Treatment Center LLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frances Williams	VA	Addiction Medicine (Internal Medicine) Physician	$149.2K	$0
David Munter	VA	Emergency Medicine Physician	$51.4K	$0