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.

Lewis-gale Medical Center, LLC (NPI 1619914785)

Field	Value
Entity Type	Organization
Organization	Lewis-gale Medical Center, LLC
Address	1900 Electric Rd
City	Salem
State	VA
ZIP	24153
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$51.8M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $51.8M, indicating Medicaid accounts for the entirety of reported public payor activity for this NPI. Analysts should treat Medicaid trends as the primary driver of the hospital's publicly visible volume and revenue profile.

Revenue is highly concentrated in emergency department evaluation and management codes: the top three Medicaid codes 99283 ($17.3M revenue, 37.2%), 99284 ($8.2M revenue, 17.7%), and 99282 ($4.3M revenue, 9.3%) together account for 64.2% of this provider's total Medicaid revenue. This concentration means a majority of Medicaid dollars flow from ED visits coded at low-to-moderate acuity levels.

The code mix signals an ED-centric acute care operation supported by in-hospital observation and diagnostic imaging: the provider bills high volumes of ED E/M codes (99283, 99284, 99282) plus hospital observation G0378 (10.6K claims, $1.3M revenue), frequent CT imaging such as 74177 (10.6K claims, $1.9M revenue) and 70450 (8.4K claims, $1.4M revenue), and MRI 70553 ($306.9K). Together these codes indicate the facility manages large numbers of unscheduled emergency presentations and uses imaging and observation to support ED throughput and disposition.

On statewide competitive standing the provider is a dominant outlier for at least one ED code: 99283 ranks #10 of 626 providers in-state (99th percentile; extreme outlier), indicating unusually high statewide volume for that specific ED E/M level. Nearby ED codes also show elevated position—99282 ranks #9 of 139 (94th percentile; notably above typical) and 99284 ranks #30 of 620 (95th percentile; typical, unremarkable volume)—all of which point to above-average market share in emergency care within Virginia.

High absolute claim counts underline operational scale: 99283 has 95.8K claims and 99284 has 51.5K claims (with 99282 at 23.2K claims), reflecting large patient throughput through the ED rather than a small number of high-dollar procedures. IV hydration/infusion activity tied to ED care is also visible — 96361 (4.9K claims, $1.5M revenue) and 96360 (1.5K claims, $233.5K revenue) — indicating frequent treatment for dehydration or short-term IV therapy in the acute-care setting.

Ancillary specialty services contribute meaningful but smaller shares of Medicaid revenue: cardiac SPECT 78452 ($819.1K, 1.8%) and coronary imaging 93458 ($402.7K, 0.9%) appear alongside endoscopy 43239 ($786.8K, 1.7%) and colon procedures 45385 ($448.5K, 1.0%), suggesting the facility supports a broad inpatient/ED diagnostic and procedural mix beyond core emergency visits. These lines augment ED-driven revenue rather than supplant it as primary drivers.

The Medicaid revenue profile suggests concentration risk tied to ED volume: with 64.2% of Medicaid revenue coming from three ED E/M codes, changes in emergency department utilization, payer policy for ED E/M reimbursement, or regional competition could materially affect overall revenue. Payers and analysts should monitor ED visit volumes and state-level coding or reimbursement shifts that specifically affect 99283/99284/99282.

This NPI has been enumerated on 2006-05-31 (~20 years ago), indicating an established facility with sustained presence; combined with the high ED volumes and statewide outlier status on 99283, the data are consistent with a long-standing regional acute care hub that primarily serves Medicaid patients in unscheduled, emergency settings.

Medicaid: Complete Services Breakdown

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

297 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.	95,800	$180	$17.3M
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.	51,540	$160	$8.2M
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.	23,250	$190	$4.3M
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.	10,550	$180	$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.	10,720	$160	$1.7M
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.	4,890	$310	$1.5M
99281	The provider sees a patient for the lowest level emergency department visit.	7,990	$180	$1.5M
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.	8,440	$170	$1.4M
G0378	Hospital observation service, per hour	10,640	$120	$1.3M
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…	1,390	$590	$819.1K

Showing 1–10 of 297

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

Lewis-gale Medical Center, 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

297 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.	63	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	52	70	3,200	$110	$2.8M
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.	77	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.	10	630	90	$140	$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.	9	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	14	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.	30	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.	27	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.	43	170	3,390	$100	$658.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	24	50	1,760	$120	$514.3K

Showing 1–10 of 297

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lewis-gale Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reston Hospital Center LLC	VA	General Acute Care Hospital	$0	$14.9M
Jonathan Yager	VA	Cardiovascular Disease Physician	$631.8K	$0
Scott Butler	VA	Cardiovascular Disease Physician	$432.9K	$0
Ather Anis	VA	Cardiovascular Disease Physician	$392K	$0
Kenneth Brooks	VA	Cardiovascular Disease Physician	$378.5K	$0
Young Park	VA	Cardiovascular Disease Physician	$378.4K	$0
Michael Banihashemi	VA	Cardiovascular Disease Physician	$374.9K	$0
Bhanumathi Krishnan	VA	Cardiovascular Disease Physician	$304.6K	$0
Padma Shukla	VA	Cardiovascular Disease Physician	$169.9K	$5.3K
Junsoo Lee	VA	Internal Medicine Physician	$136.6K	$0

Nearby Providers

Other providers in the same ZIP code as Lewis-gale Medical Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Baptist Children's Home & Family Services	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Innovative Community Solutions, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Lewis Gale Physicians LLC	VA	Internal Medicine Physician	$0	$20.6M
Lake Spring Emergency Group, LLC	VA	Emergency Medicine Physician	$0	$11.3M
Phc Of Virginia, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$10.6M
Roanoke Valley Center For Sight LLC	VA	Ambulatory Surgical Clinic/Center	$8.4M	$1.7M
Care Advantage, Inc.	VA	Home Health Agency	$0	$8.4M
Springhealth Behavioral Health And Integrated Care Virginia, LLC	VA	Community/Behavioral Health Agency	$0	$8M
Kimberly Aderhold	VA	Hematology & Oncology Physician	$1.8M	$0
Roanoke Surgery Center, LP	VA	Ambulatory Surgical Clinic/Center	$1.3M	$122.8K

Lewis-gale Medical Center, LLC — Billing Profile & Reimbursement Data

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Lewis-gale Medical Center, LLC — 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