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.

Geps Physician Group Of West Virginia PC (NPI 1457729212)

Field	Value
Entity Type	Organization
Organization	Geps Physician Group Of West Virginia PC
Address	840 Lee Rd
City	Follansbee
State	WV
ZIP	26037
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	September 10, 2015

Payer Source	Total Paid
Medicaid	$923.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	89,480	$10	$715.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	23,970	$10	$167.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	910	$20	$14.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,360	$10	$10.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1,420	$1	$4.3K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	200	$20	$4.2K
99356	N/A	190	$10	$1.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	440	$1	$1.3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	250	$10	$1.2K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	60	$10	$660

Showing 1–10 of 16

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

Geps Physician Group Of West Virginia PC — 4 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1	80	310	$10	$37.1K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1	90	370	$10	$15.9K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	5	20	200	$20	$13.3K
99356	N/A	1	10	190	$30	$4.1K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	2	20	70	$20	$4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	24	60	280	$10	$3.7K
99315	The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.	3	10	20	$50	$3.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	12	30	210	$10	$3.1K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	9	20	50	$10	$2.1K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	3	30	40	$30	$1.9K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Geps Physician Group Of West Virginia PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alignmed Partners, PC	AL	Geriatric Medicine (Internal Medicine) Physician	$0	$16.8M
Sanjay Bharti	WV	Internal Medicine Physician	$934.5K	$5.9K
James Toothman	WV	Internal Medicine Physician	$528.3K	$19.8K
Said Sana	WV	Family Medicine Physician	$424.4K	$0
Zaveen Kureishy	WV	Internal Medicine Physician	$295.1K	$0
Cynthia Pinson	WV	Family Medicine Physician	$206.4K	$0
Saad Zafar	WV	Internal Medicine Physician	$198.5K	$0
Jeffrey Holmes	WV	Internal Medicine Physician	$176.8K	$0
Anthony Saweikis	WV	Family Medicine Physician	$146.3K	$0
John Neville	WV	Family Medicine Physician	$134.3K	$0

Nearby Providers

Other providers in the same ZIP code as Geps Physician Group Of West Virginia PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Pipo	WV	General Practice Dentistry	$0	$910.5K
Follansbee Pharmacy, Inc	WV	Pharmacy	$77.2K	$73.9K
Stephen Mascio	WV	Family Medicine Physician	$87.6K	$0
Amy Mihellis	WV	Family Nurse Practitioner	$61.4K	$0

Geps Physician Group Of West Virginia PC — Billing Profile & Reimbursement Data

Sign up for Geps Physician Group Of West Virginia PC — Billing Profile & Reimbursement Data policy alerts

Geps Physician Group Of West Virginia PC — 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