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.

Weirton Medical Center, Inc (NPI 1619921947)

Field	Value
Entity Type	Organization
Organization	Weirton Medical Center, Inc
Address	601 Colliers Way
City	Weirton
State	WV
ZIP	26062
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$27.7M
Medicare	$0

Key Findings

WEIRTON MEDICAL CENTER, INC is effectively a single-payer Medicaid hospital in the available data: there is no Medicare billing on file while Medicaid revenue totals $27.7M, indicating that Medicaid is the dominant — and for these records the only — public payer contribution captured. This concentration means analyses of payer mix should treat this facility as Medicaid-focused unless other data sources show Medicare activity.

Revenue concentration is moderately high within Medicaid: the precomputed top three Medicaid codes account for 45.7% of the provider's total Medicaid revenue. That level of concentration implies a small set of emergency-department and high-acuity treatment codes are the primary drivers of the hospital’s Medicaid revenue.

The top individual Medicaid revenue codes are emergency-department E/M codes: 99284 ($3.3M, 17.2%), 99283 ($2.7M, 14.5%), and 99285 ($2.6M, 14.0%). This code mix — dominated by 99284/99283/99285 — indicates WEIRTON operates a high-volume ED with a range of acuity from low to high complexity and that ED visits constitute the core clinical service producing Medicaid revenue.

Several infusion and procedural codes show above-typical state volume, suggesting a robust ED/infusion throughput beyond basic visits: 96361 ranks #2 of 53 (98th percentile, notably above typical), 36592 ranks #1 of 5 (100th percentile, notably above typical), 96375 ranks #6 of 62 (92nd percentile, notably above typical), and 96372 ranks #14 of 309 (96th percentile, notably above typical). Together these rankings point to higher-than-typical use of IV infusions, catheter-based blood collection, and serial medication administration for Medicaid patients in-state.

For common lab and imaging services the provider shows typical to strong presence but not statewide dominance: examples include 85025 (CBC) at $663.7K ranking #13 of 138 (91st percentile) and 80053 (CMP) at $525.9K ranking #16 of 111 (86th percentile), while CT abdomen/pelvis without contrast 74176 ($445.9K) ranks #11 of 77 (87th percentile). These placements suggest the hospital provides expected inpatient/ED diagnostic workups at volumes comparable to many in-state peers.

Competitive standing across its top Medicaid codes is mixed: for triage-level ED codes the hospital is a typical in-state performer (e.g., 99284 at the 89th percentile/ #19 of 168 and 99283 at the 91st percentile/ #15 of 163), while for several procedure and lab codes it is relatively stronger (multiple codes at or above the 92nd–100th percentiles). This pattern implies WEIRTON competes effectively regionally on procedural throughput and ED services, though it is not a statewide outlier for the highest-acuity ED visits.

The provider’s NPI has been enumerated since 2006-05-20 (about 20 years), indicating long operational tenure. That longevity, combined with concentrated Medicaid revenue and high percentile ranks on several infusion and specimen-related codes, supports an interpretation of an established community acute-care hospital with sustained ED and procedural activity focused on Medicaid populations.

Operational risk and capacity signals emerge from the claim counts and rank profile: very high claim volumes for basic specimen and lab codes (e.g., 36415 at 41.7K claims ranking in the 96th percentile, 85025 at 55.3K claims, 80048 at 20.7K claims) paired with elevated ranks for infusion/catheter codes suggest consistent front-end patient flow and frequent use of IV therapies. These patterns are consistent with an ED-centric workflow that handles large numbers of low-to-moderate acuity encounters plus a notable share of IV/infusion treatments.

Medicaid: Complete Services Breakdown

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

300 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	25,050	$130	$3.3M
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.	28,820	$100	$2.7M
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.	8,590	$310	$2.6M
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.	16,770	$100	$1.6M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	18,760	$40	$675.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	55,310	$10	$663.7K
G0378	Hospital observation service, per hour	7,050	$90	$648.5K
36592	The provider collects a blood specimen from an established central or peripheral catheter; this procedure is not otherwise specified by any other code.	20,920	$30	$585.8K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	35,060	$20	$525.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	4,960	$100	$496.2K

Showing 1–10 of 300

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

Weirton Medical Center, Inc — 4 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

300 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	3	10	230	$40	$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.	26	130	2,090	$210	$1.5M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	12	40	820	$30	$1.2M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	12	40	820	$30	$1.2M
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.	19	170	3,350	$120	$1.1M
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	12	20	720	$20	$721.7K
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.	15	160	3,690	$80	$714.8K
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.	28	80	950	$140	$559.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	38	110	2,080	$50	$537.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	25	50	800	$70	$504.4K

Showing 1–10 of 300

Related Providers

Other providers that share a Tax Identification Number (TIN) with Weirton Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Krzysztof Kubicki	WV	Internal Medicine Physician	$179.9K	$0
Tina Cutone	WV	Specialist	$117.6K	$0
Jorge Roig	WV	Anesthesiology Physician	$114.1K	$0
Stephen Mascio	WV	Family Medicine Physician	$87.6K	$0
Joseph Brula	PA	Anesthesiology Physician	$56.8K	$0
Charles Capito	WV	Orthopaedic Surgery Physician	$54.5K	$0
Kenneth Nanners	WV	Anesthesiology Physician	$24.2K	$0
Glenda Zane	WV	Certified Registered Nurse Anesthetist	$21.6K	$0
Vincent Stonebraker	OH	Anesthesiology Physician	$18.8K	$0
Dominic Cottrell	WV	Anesthesiology Physician	$18.2K	$0

Nearby Providers

Other providers in the same ZIP code as Weirton Medical Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthways Inc	WV	Community/Behavioral Health Agency	$0	$40.8M
Change, Incorporated	WV	Federally Qualified Health Center (FQHC)	$0	$21.2M
Healthways Inc	WV	Community/Behavioral Health Agency	$0	$3M
First Steps Pediatrics & Adolescent Medicine PLLC	WV	Pediatrics Physician	$0	$2.5M
Hancock County Sheltered Workshop Inc.	WV	Community/Behavioral Health Agency	$0	$2.1M
Health Care Solutions At Home Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Family Connections	WV	Mental Health Counselor	$0	$818.8K
Tri State Medical	WV	Oxygen Equipment & Supplies (DME)	$0	$816K
Christopher Kolibash	WV	Clinical Cardiac Electrophysiology Physician	$425.8K	$48K
Maninder Bedi	WV	Cardiovascular Disease Physician	$416.1K	$53.8K

Weirton Medical Center, 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