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.

Marietta Memorial Hospital Of Tyler County Inc (NPI 1437758034)

Field	Value
Entity Type	Organization
Organization	Marietta Memorial Hospital Of Tyler County Inc
Address	1861 N Pleasants Hwy # 101
City	Saint Marys
State	WV
ZIP	26170
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	October 23, 2020

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	7,320	$200	$1.5M
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…	4,830	$1	$9.7K
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…	1,140	$10	$6.8K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	160	$1	$160
1036F	N/A	90	$0	$0
3008F	No Summary found for this code	290	$0	$0
3074F	No Summary found for this code	160	$0	$0
3078F	No Summary found for this code	90	$0	$0
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	210	$0	$0

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

Marietta Memorial Hospital Of Tyler County Inc — 0 of 4 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	161	390	4,610	$130	$2.2M
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…	344	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…	465	1,030	890	$50	$221K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	193	330	320	$20	$24.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	183	310	250	$20	$21.7K
3008F	No Summary found for this code	78	130	480	$10	$9.1K
1036F	N/A	73	110	280	$1	$3.2K
3074F	No Summary found for this code	100	160	360	$1	$2.7K
3078F	No Summary found for this code	115	160	320	$1	$2.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Marietta Memorial Hospital Of Tyler County Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marietta Memorial Hospital	OH	General Acute Care Hospital	$0	$102.2M
Marietta Memorial Hospital Of Tyler County Inc	WV	Critical Access Hospital	$0	$2.7M
City Of Sistersville	WV	Critical Access Hospital	$0	$2.4M
City Of Sistersville	WV	Rural Health Clinic/Center	$0	$1.1M
Marietta Memorial Hospital Of Tyler County Inc	WV	Rural Health Clinic/Center	$0	$956K
David Montgomery	OH	Internal Medicine Physician	$218K	$0
Peter Pantelidis	OH	Interventional Pain Medicine Physician	$176.2K	$0
Gregory D'eramo	OH	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$140.4K	$0
Amy Holdren	OH	Family Nurse Practitioner	$118.7K	$0
Heather Straight	WV	Family Medicine Physician	$91.4K	$0

Nearby Providers

Other providers in the same ZIP code as Marietta Memorial Hospital Of Tyler County Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mindfulness, LLC	WV	Psychiatric/Mental Health Nurse Practitioner	$0	$1.6M
Pleasants County Emergency Ambulance Authority	WV	Land Ambulance	$118K	$194.6K

Marietta Memorial Hospital Of Tyler County Inc — Billing Profile & Reimbursement Data

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Marietta Memorial Hospital Of Tyler County 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