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.

Michael Patrick (NPI 1538109038)

Field	Value
Entity Type	Individual
Organization	Michael Patrick
Address	245 Medical Park Dr Fl 2
City	Marion
State	VA
ZIP	24354
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicare	$65.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	580	$40	$21.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	170	$90	$15.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	230	$60	$13.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	140	$90	$12.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$110	$1.8K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Michael Patrick — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	1,054	4,460	80	$60	$11K
99223	3,030	3,660	40	$130	$9.2K
99239	263	1,610	70	$90	$8.4K
99222	137	3,120	30	$100	$4.4K
99231	8	1,500	40	$40	$2.4K
99238	444	820	20	$60	$2.2K

Nearby Providers

Other providers in the same ZIP code as Michael Patrick, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smyth County Community Hospital	VA	General Acute Care Hospital	$0	$15.3M
Med-trip Express LLC	VA	Non-emergency Medical Transport (VAN)	$0	$13.1M
Richardson Ambulance Service LLC	VA	Land Ambulance	$885.3K	$3.9M
Med-trans Corporation	VA	Air Ambulance	$379.8K	$30.6K
Mary Curtiss	VA	Otolaryngic Allergy Physician	$238.8K	$0
Jennifer Jennings	VA	Family Medicine Physician	$225.5K	$0
Jonathan Shelton	VA	Physician Assistant	$130.9K	$0
James Mcglothlin	VA	Family Medicine Physician	$120.7K	$0
William Kiser	VA	Ophthalmology Physician	$117.7K	$0
Amy Blue	VA	Optometrist	$72K	$34.8K

Michael Patrick — Billing Profile & Reimbursement Data

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Michael Patrick — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References