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.

Danville Physician Practices LLC (NPI 1629022868)

Danville Physician Practices LLC is a anesthesiology physician provider located in Danville, Virginia. This profile covers 0 Medicare and 137 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	Danville Physician Practices LLC
Address	142 S Main St
City	Danville
State	VA
ZIP	24541
Taxonomy	Anesthesiology Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$13M
Medicare	$0

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

137 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…	102,980	$50	$4.8M
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…	41,000	$50	$2.1M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	12,090	$70	$834.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,160	$80	$695.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,610	$80	$502.4K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	11,650	$40	$454.2K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	3,780	$80	$309.6K
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…	4,840	$60	$300.1K
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…	6,250	$50	$281K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	55,290	$1	$221.1K

Showing 1–10 of 137

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

Danville Physician Practices LLC — 13 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

137 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	21	30	50	$1,670	$401.7K
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…	24	210	920	$140	$367.6K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	29	50	110	$840	$309.8K
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…	52	3,520	370	$70	$280.7K
95165	In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.	29	60	140	$250	$272.2K
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,…	13	60	110	$530	$242.3K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	102	130	340	$110	$210.5K
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…	61	100	160	$470	$207K
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…	18	4,010	290	$50	$199.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	55	130	440	$120	$197K

Showing 1–10 of 137

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Jong An	VA	Hematology & Oncology Physician	$2.4M	$0
Ankit Madan	MD	Hematology & Oncology Physician	$1M	$580
Keshavpal Reddy	NC	Psychiatry Physician	$146.2K	$617K
Michael Schiering	GA	Diagnostic Radiology Physician	$474K	$0
Kurt Voos	VA	Orthopaedic Surgery of the Spine Physician	$430.9K	$0
Joseph Campbell	VA	Orthopaedic Surgery Physician	$275.9K	$5.5K
Micaela Iantorno	MD	Internal Medicine Physician	$263.9K	$0
Christopher Vonelten	VA	Family Medicine Physician	$92.2K	$164.2K
Venugopal Vasireddy	VA	Internal Medicine Physician	$233.8K	$580

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danville Regional Medical Center, LLC	VA	Rural Acute Care Hospital	$0	$65.1M
Crossroads Treatment Center Of Danville, PC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$173.7K	$18.6M
L&g Support And Resources Co.	VA	Community/Behavioral Health Agency	$0	$12M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$10.3M
Calm Source, LLC	VA	Community/Behavioral Health Agency	$0	$10.1M
Royal Care Incorporated	VA	Home Health Agency	$0	$9.8M
Piedmont Access To Health Services, Inc	VA	Federally Qualified Health Center (FQHC)	$0	$9.1M
Prince Charles Home Healthcare Agency, LLC	VA	Home Health Agency	$0	$8.6M
Team Nurse, Inc.	VA	Personal Care Attendant	$0	$7.9M
Virginia In-home Partner-xi, LLC	VA	Home Health Agency	$0	$7.7M

Danville Physician Practices LLC — Billing Profile & Reimbursement Data

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Danville Physician Practices 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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