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.

Allied West Virginia Emergency Physicians PLLC (NPI 1487109104)

Field	Value
Entity Type	Organization
Organization	Allied West Virginia Emergency Physicians PLLC
Address	2900 1st Ave
City	Huntington
State	WV
ZIP	25702
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 23, 2016

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	47,320	$110	$5.2M
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.	21,660	$80	$1.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5,210	$130	$671.8K
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.	8,850	$50	$460.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	8,530	$10	$42.7K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	500	$60	$30.1K
G9744	Patient not eligible due to active diagnosis of hypertension	410	$50	$19.6K
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.	70	$30	$2K
G8783	Normal blood pressure reading documented, follow-up not required	70	$20	$1.3K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	10	$30	$380

Showing 1–10 of 11

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

Allied West Virginia Emergency Physicians PLLC — 1 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	5	130	2,090	$210	$1.5M
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.	22	170	3,350	$120	$1.1M
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.	45	160	3,690	$80	$714.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	5	60	170	$130	$189.3K
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.	88	100	1,200	$50	$135.9K
99053	The provider renders overnight services at a 24 hour facility.	4	10	250	$30	$99K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	14	150	810	$10	$45.8K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	4	10	500	$10	$12.1K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	26	30	70	$50	$11.6K
G8783	Normal blood pressure reading documented, follow-up not required	11	20	70	$10	$7.6K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Allied West Virginia Emergency Physicians PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brandon Wilkinson	WV	Emergency Medicine Physician	$135.9K	$0
Robert Fumento	DE	Emergency Medicine Physician	$129.3K	$0
Kenneth Pearson	WV	Family Medicine Physician	$101.2K	$0
Justin French-kazee	WV	Emergency Medicine Physician	$91.2K	$0
Chijioke Kalu	IN	Family Medicine Physician	$89.2K	$0
Timothy Walbridge	IN	Internal Medicine Physician	$84.3K	$0
Leah Willing	WV	Emergency Medicine Physician	$74.7K	$0
Christopher Valle	TX	Emergency Medicine Physician	$65.6K	$0
Wayne Jones	PA	Emergency Medicine Physician	$49.3K	$1.8K
Kathy Short	KY	Family Medicine Physician	$44.4K	$0

Nearby Providers

Other providers in the same ZIP code as Allied West Virginia Emergency Physicians PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Medical Center Inc	WV	General Acute Care Hospital	$0	$47.5M
Huntington Hospitalist Group Inc	WV	Hospitalist Physician	$0	$26M
St. Mary's Medical Management, LLC	WV	Family Medicine Physician	$0	$7.6M
Valley Health Systems Inc	WV	Clinical Medical Laboratory	$299.4K	$7M
St Mary's Hospitalist Services, LLC	WV	Internal Medicine Physician	$0	$2.5M
Wecare Medical, LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$1.9M
Abbe Education And Staffing, LLC	WV	In Home Supportive Care Agency	$0	$1.2M
Robin Arora	WV	Nephrology Physician	$392.5K	$0
Rudy Malayil	WV	Interventional Pain Medicine Physician	$295.1K	$0
Sanjeev Sharma	WV	Radiation Oncology Physician	$269K	$0

Allied West Virginia Emergency Physicians PLLC — Billing Profile & Reimbursement Data

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Allied West Virginia Emergency Physicians PLLC — 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