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.

Danville Regional Medical Center LLC (NPI 1386720183)

Danville Regional Medical Center LLC is a general acute care hospital provider located in Martinsville, Virginia. This profile covers 0 Medicare and 252 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	Danville Regional Medical Center LLC
Address	320 Hospital Dr
City	Martinsville
State	VA
ZIP	24112
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicaid	$21M
Medicare	$0

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

252 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.	22,740	$160	$3.7M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	13,440	$270	$3.6M
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.	19,370	$150	$2.8M
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.	10,130	$170	$1.7M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,410	$230	$798.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,460	$180	$785K
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.	5,480	$140	$783.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	5,360	$90	$482.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,990	$230	$449.1K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	2,580	$150	$392.6K

Showing 1–10 of 252

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

Danville Regional Medical Center LLC — 1 of 25 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

252 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	27	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	63	70	3,200	$110	$2.8M
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.	81	340	160	$130	$1.3M
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.	77	630	90	$140	$1.1M
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.	50	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	50	80	3,650	$160	$1M
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.	69	620	70	$120	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	85	180	2,950	$140	$783.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	73	170	3,390	$100	$658.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	38	50	1,760	$120	$514.3K

Showing 1–10 of 252

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danville Regional Medical Center, LLC	VA	Rural Acute Care Hospital	$0	$65.1M
Keshavpal Reddy	NC	Psychiatry Physician	$146.2K	$617K
Francis Walsh	VA	Neurology Physician	$170.8K	$22.7K
Scott Oneil	VA	Specialist	$125.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Piedmont Regional Community Services Board	VA	Community/Behavioral Health Agency	$0	$93.9M
New Heights Community Support, LLC	VA	Community/Behavioral Health Agency	$0	$24M
Resilient Health And Community Support Services, LLC	VA	Community/Behavioral Health Agency	$0	$17.8M
Life Stages Inc.	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M
Trinity Support Services	VA	Community/Behavioral Health Agency	$0	$13.6M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.1M
Spero Health Of Virginia, LLC	VA	Addiction Medicine (Family Medicine) Physician	$0	$9.8M
Acme Therapies Co	VA	Speech-Language Pathologist	$0	$9.1M
A Nurse's Touch	VA	In Home Supportive Care Agency	$0	$8.1M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$7.2M

Danville Regional Medical 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

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