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.

Greenbrier Emergency Services, Inc. (NPI 1568401461)

Field	Value
Entity Type	Organization
Organization	Greenbrier Emergency Services, Inc.
Address	100 Hoylman Dr
City	Gassaway
State	WV
ZIP	26624
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicaid	$18.1M
Medicare	$0

Key Findings

GREENBRIER EMERGENCY SERVICES, INC. is effectively a Medicaid-focused billing entity with no Medicare billing on file; lifetime Medicaid revenue is $18.1M and Total Medicare revenue is listed as none, indicating a single-payer footprint in the available claims data. This payer concentration suggests the provider’s operational and contracting focus is principally on Medicaid populations rather than Medicare beneficiaries.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 96.3% of the provider’s total Medicaid revenue, with 99285 (48.1%), 99284 (35.6%), and 99283 (12.7%) as the dominant drivers. Those three emergency department E/M codes form the bulk of the $18.1M Medicaid revenue, leaving relatively little revenue tied to other procedures.

The code mix shows an emergency-department–centric operation: 99285, 99284, and 99283 are all ED E/M codes representing high, moderate, and low levels of medical decision making respectively, and together they dominate revenue and claim volume (68.7K claims for 99285 at $127 avg paid/claim; 60.3K claims for 99284 at $107 avg paid/claim; 33.4K claims for 99283 at $69 avg paid/claim). This pattern indicates the organization primarily bills for ED visits across a range of acuity, with a notable tilt toward higher-acuity visits given the large share of 99285.

Competitive standing within West Virginia is strong and concentrated: 99285 ranks #2 of 132 providers in-state (99th percentile; extreme outlier) and 99284 ranks #4 of 168 (98th percentile; extreme outlier), signaling volumes far above typical state peers for those codes. 99283 ranks #10 of 163 (94th percentile; notably above typical), and 99053 (overnight services) ranks #1 of 9 (100th percentile; notably above typical), reinforcing that this provider is a major outlier in ED visit volume and around-the-clock service among in-state peers.

Operational capacity indicators support a continuous ED operation: 99053 has 19.9K claims at $31 avg paid/claim generating $618K (3.4% of Medicaid revenue), which, combined with the high volumes of ED E/M codes, implies 24-hour service and substantial overnight patient throughput. The presence of 99053 as a non-trivial revenue contributor aligns with the billed ED visit mix and suggests staffing and facility patterns consistent with a continuous emergency service.

High-acuity critical care billing is limited relative to ED volume: 99291 shows 154 claims at $239 avg paid/claim for $36.8K (0.2% of Medicaid revenue) and ranks #32 of 58 providers in-state (46th percentile; typical), indicating that while the provider manages some critical care episodes, most billed encounters are ED E/M rather than extended critical care. This implies the practice’s case mix is weighted toward ED evaluation and management rather than prolonged critical care services.

Several lower-acuity and diagnostic codes are present but represent minimal revenue: 99282 has 377 claims for $10.6K (0.1% of Medicaid revenue; rank #74 of 101, 27th percentile) and 93010 appears with 2.9K claims but only $2.9K revenue (0.0% of Medicaid revenue; rank #34 of 152, 78th percentile), showing that the financial profile is dominated by ED visit codes while routine diagnostics and straightforward visits contribute little to top-line Medicaid revenue. These patterns suggest revenue risk is concentrated in the ED E/M portfolio rather than ancillary services.

The provider has long tenure in NPI enrollment, enumerated on 2006-06-06 (~20 years ago), which along with the concentrated, high-volume Medicaid billing profile suggests an established regional ED service rather than a recent or transient billing entity. Analysts should interpret the combination of long tenure and extreme in-state volume for major ED codes as indicative of an entrenched emergency services operation serving predominantly Medicaid patients.

Medicaid: Complete Services Breakdown

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

7 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.	68,680	$130	$8.7M
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.	60,310	$110	$6.5M
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.	33,400	$70	$2.3M
99053	The provider renders overnight services at a 24 hour facility.	19,930	$30	$618K
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…	150	$240	$36.8K
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.	380	$30	$10.6K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2,920	$1	$2.9K

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

Greenbrier Emergency Services, Inc. — 3 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. West Virginia median

7 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.	2	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.	4	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.	10	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…	32	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.	74	100	1,200	$50	$135.9K
99053	The provider renders overnight services at a 24 hour facility.	1	10	250	$30	$99K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	34	150	810	$10	$45.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Greenbrier Emergency Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cherokee Emergency Services, Inc.	WV	Emergency Medicine Physician	$0	$854.1K
Christian Bosquet	WV	Emergency Medicine Physician	$107.8K	$1.2K
Philip Bailey	WV	Physician Assistant	$67.6K	$0
Misty Dillow	WV	Family Nurse Practitioner	$3.7K	$0

Nearby Providers

Other providers in the same ZIP code as Greenbrier Emergency Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Braxton County Memorial Hospital	WV	Critical Access Hospital	$0	$4.9M
Braxton County Memorial Hospital	WV	Rural Health Clinic/Center	$0	$2.8M
Braxton County Memorial Hospital	WV	Critical Access Hospital	$0	$2.2M
Chad Lancaster	WV	General Practice Dentistry	$0	$1.2M

Greenbrier Emergency Services, Inc. — Billing Profile & Reimbursement Data

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Greenbrier Emergency Services, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References