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.

Chapmanville Primary Care Clinic (NPI 1396284428)

Field	Value
Entity Type	Organization
Organization	Chapmanville Primary Care Clinic
Address	462 Main Street
City	Chapmanville
State	WV
ZIP	25508
Taxonomy	General Practice Physician
NPI Enumerated	February 22, 2017

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	25,350	$70	$1.7M
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…	13,850	$50	$734.3K
Q3014	Telehealth originating site facility fee	17,260	$20	$397K
99407	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than 10 minutes.	7,430	$40	$260.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	2,360	$90	$215.1K
99442	N/A	4,800	$30	$129.5K
99443	N/A	4,920	$20	$108.3K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	2,250	$40	$87.6K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	1,830	$40	$75.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,170	$30	$69.3K

Showing 1–10 of 36

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

Chapmanville Primary Care Clinic — 7 of 25 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	20	20	690	$80	$346.6K
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…	166	1,270	1,240	$30	$245K
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…	33	1,030	890	$50	$221K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	76	310	740	$80	$178.2K
Q3014	Telehealth originating site facility fee	5	80	580	$20	$104.1K
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…	94	340	140	$90	$97.5K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	77	100	380	$30	$61.5K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	67	210	280	$40	$59.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	162	200	490	$30	$57.7K
99203	The provider sees a new 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 provider…	142	440	110	$60	$57.2K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Chapmanville Primary Care Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Codispoti	WV	Family Nurse Practitioner	$79.6K	$0

Nearby Providers

Other providers in the same ZIP code as Chapmanville Primary Care Clinic, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rural Health Access Corporation	WV	Federally Qualified Health Center (FQHC)	$0	$6.5M
All About Care Inc.	WV	Homemaker	$0	$2.3M
Aspire Occupational Rehabilitation	WV	Clinical Psychologist	$0	$1M
Tomas Vigo Paredes	WV	General Practice Physician	$44.2K	$109.3K
Patrick Ellis	WV	Physical Therapist	$42.2K	$0
Brian Mcdevitt	WV	Family Medicine Physician	$10.4K	$10.7K

Chapmanville Primary Care Clinic — Billing Profile & Reimbursement Data

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Chapmanville Primary Care Clinic — 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