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.

Clinch Professional Physician Services LLC (NPI 1609994284)

Clinch Professional Physician Services LLC is a surgery physician provider located in Richlands, Virginia. This profile covers 0 Medicare and 93 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	Clinch Professional Physician Services LLC
Address	6719 Gov G. C. Peery Hwy
City	Richlands
State	VA
ZIP	24641
Taxonomy	Surgery Physician
NPI Enumerated	March 26, 2007

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

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

93 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…	51,810	$50	$2.4M
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…	30,270	$50	$1.6M
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…	5,360	$60	$321.4K
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…	2,790	$80	$229.1K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	9,560	$20	$143.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,810	$70	$123.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	3,750	$30	$104.9K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	7,930	$10	$95.1K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	1,410	$60	$77.3K
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…	1,880	$40	$73.3K

Showing 1–10 of 93

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

Clinch Professional Physician Services LLC — 3 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

93 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	136	180	2,950	$140	$783.2K
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.	141	170	3,390	$100	$658.8K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	24	30	50	$1,670	$401.7K
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.	43	150	300	$420	$381.2K
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…	74	210	920	$140	$367.6K
71275	In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…	116	130	1,190	$160	$356.6K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	140	150	1,740	$140	$317.7K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	26	90	150	$520	$281.8K
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…	75	3,520	370	$70	$280.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	34	100	160	$470	$207K

Showing 1–10 of 93

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kathryn Kirk	MD	Gastroenterology Physician	$431.9K	$0
Walid Alami	VA	Interventional Cardiology Physician	$222K	$0
Vijay Ramakrishnan	VA	Diagnostic Radiology Physician	$153.3K	$4.3K
David Pfeffer	VA	Urology Physician	$151.5K	$0
Jamal Sahyouni	VA	Internal Medicine Physician	$145.3K	$0
Kenneth Musana	VA	Gastroenterology Physician	$132.6K	$0
John Long	VA	Gastroenterology Physician	$117.1K	$0
Bruce Miller	TN	Orthopaedic Surgery Physician	$97.4K	$4.2K
Amir Butt	WI	Gastroenterology Physician	$68.1K	$0
Shelley Miller	VA	Family Nurse Practitioner	$63.5K	$2.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinch Valley Medical Center Inc.	VA	General Acute Care Hospital	$0	$26.2M
Hopkins Medical Association LLC	VA	Family Medicine Physician	$0	$13.1M
Healing Waters Counseling Center	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.9M
Clinch Valley Physicians Associates LLC	VA	Cardiovascular Disease Physician	$0	$8.8M
Sherif Shoukry	VA	Emergency Medicine Physician	$122.2K	$301.7K
Ravi Titha	VA	Internal Medicine Physician	$77.1K	$33.4K
Zaven Jabourian	VA	Otolaryngology Physician	$28.7K	$920
Jill Matney	VA	Family Nurse Practitioner	$8.3K	$8.3K
Kevin Carter	VA	Audiologist	$7.7K	$0
Keith Melda	VA	Audiologist	$6.6K	$0

Clinch Professional Physician Services LLC — 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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