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.

Halifax Regional Hospital, Inc. (NPI 1588668842)

Halifax Regional Hospital, Inc. is a general acute care hospital provider located in South Boston, Virginia. This profile covers 0 Medicare and 310 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	Halifax Regional Hospital, Inc.
Address	2204 Wilborn Ave
City	South Boston
State	VA
ZIP	24592
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 2, 2005

Payer Source	Total Paid
Medicaid	$23.3M
Medicare	$0

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

310 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	28,650	$140	$4.1M
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.	21,360	$130	$2.7M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	8,840	$230	$2M
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.	10,340	$130	$1.3M
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.	8,820	$130	$1.1M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,490	$430	$1.1M
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…	3,990	$230	$910.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	6,000	$140	$821.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,210	$190	$804.9K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	15,610	$40	$608.9K

Showing 1–10 of 310

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Halifax Regional Hospital, Inc. — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

310 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	47	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	61	70	3,200	$110	$2.8M
T4541	Incontinence product, disposable underpad, large, each	3	10	480	$30	$1.9M
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.	80	340	160	$130	$1.3M
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.	56	630	90	$140	$1.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	94	110	1,830	$220	$1.1M
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.	37	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	61	80	3,650	$160	$1M
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.	73	620	70	$120	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	78	180	2,950	$140	$783.2K

Showing 1–10 of 310

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Habib Bassil	VA	Cardiovascular Disease Physician	$375.9K	$0
Suresh Jayatilaka	VA	Gastroenterology Physician	$226.9K	$0
Anne Lombardi	GA	Pediatrics Physician	$0	$149.5K
Arash Chehrazi	VA	Diagnostic Radiology Physician	$146.3K	$1.8K
Elmer San Pedro	VA	Diagnostic Radiology Physician	$137.6K	$2.4K
Janardhan Srinivasan	VA	Interventional Cardiology Physician	$78.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.7M
Galax Treatment Center, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$8.5M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$5.6M
Halifax County Rescue Squad, Inc	VA	Land Ambulance	$428.8K	$710.6K
Pawanjit Sarna	VA	Pulmonary Disease Physician	$848K	$0
Babita Patel	VA	Internal Medicine Physician	$570.3K	$0
Terrance Truitt	VA	Pulmonary Disease Physician	$385.4K	$0
James Witko	VA	Pulmonary Disease Physician	$383.9K	$0
Bakul Patel	VA	Gastroenterology Physician	$234.5K	$0
Brooklin Callahan	VA	Family Nurse Practitioner	$98.4K	$0

Halifax Regional Hospital, Inc. — Billing Profile & Reimbursement Data

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Halifax Regional Hospital, 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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