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.

Camc Greenbrier Valley Medical Center Inc (NPI 1588373872)

Camc Greenbrier Valley Medical Center Inc is a cardiovascular disease physician provider located in Ronceverte, West Virginia. This profile covers 0 Medicare and 47 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Camc Greenbrier Valley Medical Center Inc
Address	1320 Maplewood Ave
City	Ronceverte
State	WV
ZIP	24970
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	November 16, 2022

Payer Source	Total Paid
Medicaid	$796.1K
Medicare	$0

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,960	$50	$185.9K
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…	1,540	$90	$135.6K
99203	The provider sees a new 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 provider…	1,770	$60	$111.4K
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…	1,180	$70	$81.5K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	520	$160	$80.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	500	$100	$49.3K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	1,290	$30	$32.2K
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.	230	$90	$19.8K
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.	370	$50	$19.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	380	$40	$14K

Showing 1–10 of 47

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

Camc Greenbrier Valley Medical Center Inc — 0 of 25 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	131	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.	120	160	3,690	$80	$714.8K
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…	382	1,270	1,240	$30	$245K
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…	142	190	660	$40	$226.4K
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…	459	1,030	890	$50	$221K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	48	80	1,660	$50	$218.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	59	100	550	$80	$164.8K
00170	The provider performs anesthesia services for a patient undergoing an intraoral procedure, including biopsy.	10	30	320	$120	$118.8K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	53	80	2,480	$10	$112.1K
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…	44	340	140	$90	$97.5K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Greenbrier Vmc LLC	WV	General Acute Care Hospital	$0	$16.3M
Rainelle Medical Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$14.3M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
Camc Greenbrier Valley Medical Center Inc	WV	General Acute Care Hospital	$0	$2.4M
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Nila Alsheik	IL	Diagnostic Radiology Physician	$332.8K	$300.3K
Frank Mercho	PA	Diagnostic Radiology Physician	$423.9K	$0
Paul Rochon	CO	Vascular & Interventional Radiology Physician	$420.6K	$0
Kuntal Rana	IL	Diagnostic Radiology Physician	$87.3K	$308.2K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Greenbrier Physicians, Inc	WV	Internal Medicine Physician	$0	$5.9M
Family Care Plus PLLC	WV	Family Medicine Physician	$0	$3.1M
Wv Emergency Physician Partners PLLC	WV	Emergency Medicine Physician	$0	$2.7M
Ronceverte Physician Group LLC	WV	Gastroenterology Physician	$0	$1.5M
Charleston Area Medical Center, Inc.	WV	Hospitalist Physician	$0	$1.4M
Greenbrier Valley Physical Therapy, LLC	WV	Specialist	$0	$1.4M
Dermatology Centers Inc.	WV	Dermatology Physician	$0	$808.8K
Laboratory Corporation Of America Holdings	WV	Clinical Medical Laboratory	$98.7K	$142.9K
Debra Crites-sams	WV	Family Medicine Physician	$166.8K	$0
Krista Adams	WV	Optometrist	$150K	$0

Camc Greenbrier Valley Medical Center Inc — Billing Profile & Reimbursement Data

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Camc Greenbrier Valley Medical Center Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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