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.

Minuteclinic Diagnostic Of Virginia LLC (NPI 1417076829)

Minuteclinic Diagnostic Of Virginia LLC is a family nurse practitioner provider located in Leesburg, Virginia. This profile covers 0 Medicare and 83 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	Minuteclinic Diagnostic Of Virginia LLC
Address	19305 Ruby Dr
City	Leesburg
State	VA
ZIP	20176
Taxonomy	Family Nurse Practitioner
NPI Enumerated	March 28, 2007

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.

83 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	174,620	$10	$2.1M
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	56,490	$30	$1.4M
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…	21,120	$50	$1.1M
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…	14,480	$60	$912.1K
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…	10,670	$70	$704K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	8,490	$40	$356.5K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	17,680	$10	$194.4K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	6,330	$30	$189.8K
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,…	6,340	$30	$183.7K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	5,530	$20	$121.7K

Showing 1–10 of 83

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

Minuteclinic Diagnostic Of Virginia LLC — 17 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

83 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	232	3,520	370	$70	$280.7K
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…	148	4,010	290	$50	$199.8K
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…	197	970	100	$100	$87.1K
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…	15	1,000	100	$70	$81.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	14	90	380	$50	$76.5K
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,…	30	980	140	$70	$70.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2	440	170	$30	$67.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	54	230	300	$40	$65.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	3	340	440	$20	$58K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	7	90	490	$20	$46.2K

Showing 1–10 of 83

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Warrow	MD	Ophthalmology Physician	$15.1M	$8.3K
Hermon Mesfin	VA	Nurse Practitioner	$155.2K	$0
Mariana Cervantes	VA	Family Nurse Practitioner	$83.2K	$0
Carole Nguekam	VA	Family Nurse Practitioner	$76.4K	$0
David Memmoli	NC	Family Nurse Practitioner	$68.2K	$0
Ellie Harrison	VA	Family Nurse Practitioner	$46.9K	$0
Zahra Hussain	VA	Family Nurse Practitioner	$38K	$0
Colleen Decato	NC	Nurse Practitioner	$24.4K	$0
Meagan Noble	DC	Family Nurse Practitioner	$22.1K	$0
Okasha Naqvi	TN	Family Nurse Practitioner	$12K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$46.9M
County Of Loudoun, Virginia	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$34.9M
Loudoun Medical Group, PC	VA	Internal Medicine Physician	$0	$12.4M
Commonwealth Emergency Physicians PC	VA	Emergency Medicine Physician	$0	$12M
Amor Home Health Care LLC	VA	Home Health Agency	$0	$9.6M
Northspring Behavioral Healthcare, Inc.	VA	Psychiatric Residential Treatment Facility	$0	$7.8M
Inova Loudoun Ambulatory Surgery	VA	Ambulatory Surgical Clinic/Center	$1.3M	$82.6K
Ajay Dar	VA	Medical Oncology Physician	$1.3M	$0
Rangappa Rajendra	VA	Medical Oncology Physician	$1.3M	$0
Xiaoping Zhou	VA	Anatomic Pathology & Clinical Pathology Physician	$968.4K	$59.3K

Minuteclinic Diagnostic Of Virginia LLC — Billing Profile & Reimbursement Data

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Minuteclinic Diagnostic Of Virginia 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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