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.

Piedmont Access To Health Services, Inc (NPI 1649240698)

Piedmont Access To Health Services, Inc is a federally qualified health center (fqhc) 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	Piedmont Access To Health Services, Inc
Address	705 Main St
City	Danville
State	VA
ZIP	24541
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	January 24, 2006

Payer Source	Total Paid
Medicaid	$9.1M
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…	45,430	$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…	31,590	$70	$2.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	14,380	$50	$646.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,980	$60	$412.1K
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…	3,550	$80	$266K
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…	2,970	$70	$208.2K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,500	$30	$170.3K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,020	$160	$163.7K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	2,060	$80	$154.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4,450	$30	$151.2K

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

Piedmont Access To Health Services, Inc — 8 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
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…	73	3,520	370	$70	$280.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	917	1,340	710	$90	$245K
D2930	N/A	145	150	330	$120	$226.8K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	80	130	340	$110	$210.5K
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…	53	4,010	290	$50	$199.8K
T1015	Clinic visit/encounter, all-inclusive	9	20	170	$90	$193.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	391	400	370	$30	$162.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	47	140	160	$70	$144.5K
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…	90	650	150	$80	$115.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	15	330	270	$40	$112.2K

Showing 1–10 of 137

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
Danville Physician Practices LLC	VA	Anesthesiology Physician	$0	$13M
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
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

Piedmont Access To Health Services, Inc — Billing Profile & Reimbursement Data

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Piedmont Access To Health Services, 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

Nearby Providers

Frequently Asked Questions

References