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.

West Virginia University Hospitals, Inc. (NPI 1417412743)

Field	Value
Entity Type	Organization
Organization	West Virginia University Hospitals, Inc.
Address	751 Benefactor Drive
City	Morgantown
State	WV
ZIP	26506
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	January 31, 2019

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2036	Alcohol and/or other drug treatment program, per diem	57,780	$270	$15.3M
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	340	$100	$35.4K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	570	$40	$22.1K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	1,070	$10	$10.7K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	530	$20	$9K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	1,080	$10	$8.6K
87522	A lab tests a patient’s specimen to measure the amount of hepatitis C virus present. This may be referred to as viral load.	190	$30	$6K
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…	70	$70	$4.9K
86706	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for hepatitis B surface antibody.	510	$10	$4K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	480	$10	$3.3K

Showing 1–10 of 17

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

West Virginia University Hospitals, Inc. — 0 of 16 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	9	40	29,190	$210	$7.8M
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.	83	110	2,080	$50	$537.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	90	110	5,530	$20	$344.8K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	25	30	2,810	$100	$340.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	102	140	3,080	$20	$243.1K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	19	40	550	$40	$193.8K
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…	30	40	440	$70	$73.2K
83735	The lab analyst performs a test to measure the amount of magnesium in a patient specimen.	60	100	880	$10	$58K
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	26	50	560	$50	$57.6K
87522	A lab tests a patient’s specimen to measure the amount of hepatitis C virus present. This may be referred to as viral load.	16	20	540	$50	$51.9K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with West Virginia University Hospitals, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Medical Corporation	WV	Family Medicine Physician	$0	$162.1M
West Virginia University Hospitals, Inc	WV	General Acute Care Hospital	$0	$124.1M
West Virginia University Hospitals, Inc	WV	Emergency Medicine Physician	$0	$3M
Bethany Honce	WV	Physical Medicine & Rehabilitation Physician	$86K	$0
Brian Richardson	WV	Emergency Medicine Physician	$80K	$0
Joseph Nnadike	DC	Emergency Medicine Physician	$70.2K	$0
Brandon Wilson	WV	General Practice Physician	$62.3K	$6.4K
Chad Anderson	WV	Emergency Medicine Physician	$53.2K	$0
Makenzie Bartsch	WY	General Practice Physician	$40.5K	$0
Brittany Allen	WV	Family Nurse Practitioner	$31.2K	$0

Nearby Providers

Other providers in the same ZIP code as West Virginia University Hospitals, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Dental Corporation	WV	Dentist	$0	$5.9M
Heather Boo	WV	Neuroradiology Physician	$596.8K	$0
Arijit Chakravarty	WV	Nephrology Physician	$281K	$0
Adeem Akbar	WV	Nephrology Physician	$162.7K	$0
Robert Marsh	WV	Neurological Surgery Physician	$152.1K	$0
Mark Lisle	WV	Diagnostic Radiology Physician	$150.1K	$710
Brian Hamlin	WV	Adult Reconstructive Orthopaedic Surgery Physician	$148.2K	$0
David Tingler	WV	Cardiovascular Disease Physician	$145.7K	$0
Charles Moore	WV	Ophthalmology Physician	$145.3K	$0
Parvez Shaikh	WV	Radiation Oncology Physician	$137.8K	$0

West Virginia University Hospitals, Inc. — Billing Profile & Reimbursement Data

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West Virginia University Hospitals, Inc. — 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