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.

Philip Basala (NPI 1558376137)

Field	Value
Entity Type	Individual
Organization	Philip Basala
Address	Potomac Valley Hospital
City	Keyser
State	WV
ZIP	26726
Taxonomy	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicare	$31.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100	$90	$9.7K
99204	The provider sees a new 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 provider…	80	$100	$8.1K
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…	90	$70	$5.9K
51701	In this procedure, the provider places a non–indwelling catheter into the bladder via the urethra for the purpose of intermittent catheterization or catheterization to obtain residual urine left…	100	$30	$2.9K
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	20	$150	$2.6K
51700	Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter. These medications are usually anti–inflammatory agents used to treat infection or…	20	$60	$1.4K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	30	$50	$1.2K
J1644	Injection, heparin sodium, per 1000 units	440	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Philip Basala — 1 of 7 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. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,294	2,740	100	$70	$11.8K
99213	1,357	2,860	80	$50	$7.5K
52000	35	40	60	$70	$4.7K
58558	1	10	10	$300	$4.6K
99204	127	1,220	30	$100	$4.1K
51700	2	10	20	$50	$1000
51701	1	10	30	$20	$870
J1644	1	10	440	$1	$80

Related Providers

Other providers that share a Tax Identification Number (TIN) with Philip Basala, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Potomac Valley Hospital Of W Va , Inc	WV	Critical Access Hospital	$0	$11M
Potomac Valley Hospital Of W Va , Inc	WV	Emergency Medicine Physician	$0	$2.3M
Potomac Valley Hospital Of W Va , Inc	WV	Rural Health Clinic/Center	$0	$855K
Nachiket Patel	AZ	Interventional Cardiology Physician	$582.5K	$0
Mohamed Ahmed	AZ	Cardiovascular Disease Physician	$324.4K	$0
Malik Rahim	AZ	Interventional Cardiology Physician	$228.9K	$0
Salahadin Gharad	KY	Cardiovascular Disease Physician	$225.6K	$0
Terrance Kwiatkowski	NV	Otology & Neurotology Physician	$189.7K	$26.2K
Rabie Zalzal	WV	Internal Medicine Physician	$189.1K	$17.9K
Harshad Bokil	WV	Internal Medicine Physician	$146.5K	$58.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sycamore Run, LLC	WV	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.6M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$7.4M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$6.6M
Recovery Care LLC	WV	Specialist	$0	$3.5M
Developmental Center & Workshop, Inc.	WV	Developmentally Disabled Services Day Training Agency	$0	$2.7M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$2.6M
Aging And Family Services Of Mineral County, Inc.	WV	Community/Behavioral Health Agency	$0	$1.6M
Recovery Care LLC	WV	Community/Behavioral Health Agency	$0	$1.3M
Heather Rosen-turley	WV	Family Medicine Physician	$41.8K	$635.7K

Philip Basala — Billing Profile & Reimbursement Data

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Philip Basala — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References