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.

Uva Prince William Medical Center (NPI 1417005760)

Uva Prince William Medical Center is a general acute care hospital provider located in Manassas, Virginia. This profile covers 0 Medicare and 265 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	Uva Prince William Medical Center
Address	8700 Sudley Rd
City	Manassas
State	VA
ZIP	20110
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 5, 2007

Payer Source	Total Paid
Medicaid	$45.3M
Medicare	$0

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

265 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	36,070	$240	$8.8M
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.	30,830	$260	$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.	20,220	$290	$5.9M
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.	11,810	$250	$2.9M
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.	6,930	$310	$2.2M
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.	7,340	$230	$1.7M
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.	7,770	$200	$1.6M
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.	7,630	$180	$1.4M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	9,170	$130	$1.2M
0241U	N/A	8,140	$120	$984.8K

Showing 1–10 of 265

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

Uva Prince William Medical Center — 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

265 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.	34	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	60	70	3,200	$110	$2.8M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	20	30	600	$1,370	$1.7M
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.	49	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.	48	630	90	$140	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	106	110	1,830	$220	$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.	39	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	20	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.	54	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.	47	180	2,950	$140	$783.2K

Showing 1–10 of 265

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Home Care Connection, Inc.	VA	Home Health Agency	$0	$24.8M
Amrit Home Healthcare, LLC	VA	Attendant Care Provider	$0	$23.1M
Caring Hands Of America	VA	In Home Supportive Care Agency	$0	$17.6M
Federal Caregivers Home Care LLC	VA	Home Health Agency	$0	$11M
Kids & Family Dental, P.C.	VA	General Practice Dentistry	$0	$10.9M
Victorious Healthcare Services LLC	VA	Home Health Agency	$0	$10M
Pediatricare Of Northern Virginia, P.C.	VA	Pediatrics Physician	$0	$8.6M
Breakthru Autism Services	VA	Community/Behavioral Health Agency	$0	$8.6M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$7.6M
At Home Personal Care Services, LLC	VA	Home Health Agency	$0	$7.2M

Uva Prince William Medical Center — Billing Profile & Reimbursement Data

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Uva Prince William Medical Center — 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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