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.

Warren Memorial Hospital, Inc. (NPI 1427085232)

Warren Memorial Hospital, Inc. is a general acute care hospital provider located in Front Royal, Virginia. This profile covers 0 Medicare and 222 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	Warren Memorial Hospital, Inc.
Address	1000 North Shenandoah Ave
City	Front Royal
State	VA
ZIP	22630
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 27, 2006

Payer Source	Total Paid
Medicaid	$23.5M
Medicare	$0

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

222 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.	19,750	$180	$3.5M
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.	17,020	$190	$3.3M
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.	12,220	$190	$2.3M
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.	8,560	$250	$2.1M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	28,580	$60	$1.6M
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…	16,470	$90	$1.4M
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.	3,440	$290	$983.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	13,400	$50	$696.9K
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.	3,650	$180	$659.7K
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.	4,370	$140	$598.6K

Showing 1–10 of 222

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

Warren Memorial Hospital, Inc. — 0 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

222 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.	48	90	9,030	$280	$3.2M
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.	56	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.	76	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.	65	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	47	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.	99	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.	84	180	2,950	$140	$783.2K
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…	40	260	3,950	$80	$769.6K
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.	83	170	3,390	$100	$658.8K
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.	51	80	1,510	$220	$512K

Showing 1–10 of 222

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randy Becker	MD	Diagnostic Radiology Physician	$462.3K	$0
Brandon Barrett	WA	Cardiovascular Disease Physician	$287.6K	$0
Manish Lakhani	VA	Cardiovascular Disease Physician	$277.7K	$0
Idean Amirjazil	VA	Cardiovascular Disease Physician	$251.4K	$0
Jeffrey Skiles	VA	Cardiovascular Disease Physician	$250.5K	$0
Daniel Hobbs	VA	Cardiovascular Disease Physician	$243.3K	$0
Saif Al-najafi	VA	Cardiovascular Disease Physician	$237.1K	$0
Jeffrey Lessar	VA	Pulmonary Disease Physician	$230.6K	$0
Michael Rolen	VA	Diagnostic Radiology Physician	$141.3K	$80K
Yusuf Akpolat	VA	Diagnostic Radiology Physician	$221K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwestern Community Services Board	VA	Community/Behavioral Health Agency	$0	$53.5M
Keri Ayres-coutts	VA	Case Manager/Care Coordinator	$0	$18.2M
Moms In Motion, Inc.	VA	Case Management Agency	$0	$17.6M
Warren Co Board Of Supervisors	VA	Ambulance	$594K	$698.9K
Yevgeny Kats	VA	Foot & Ankle Surgery Podiatrist	$169.2K	$56.1K
Virginia Cvs Pharmacy LLC	VA	Pharmacy	$134.4K	$0
Abigail Scheerschmidt	VA	Speech-Language Pathologist	$81.3K	$0
Sona Kalra	VA	Optometrist	$60.9K	$2.1K
Edward Schrank	VA	Physical Therapist	$29.2K	$0
Glenn Mcclaugherty	VA	Psychiatry Physician	$20.9K	$0

Warren Memorial Hospital, 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

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