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.

Patricia Clough (NPI 1659345866)

Field	Value
Entity Type	Individual
Organization	Patricia Clough
Address	79 N Medical Park Dr
City	Fishersville
State	VA
ZIP	22939
Taxonomy	Clinical Social Worker
NPI Enumerated	February 14, 2006

Payer Source	Total Paid
Medicare	$26.2K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	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…	330	$50	$17.4K
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…	110	$40	$4.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$90	$2.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	130	$20	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Patricia Clough — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	41	250	150	$60	$12.3K
90832	27	90	70	$50	$7.9K
90853	5	10	120	$20	$4K
90791	82	270	20	$110	$3.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Patricia Clough, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Augusta Health Care, Inc	VA	General Acute Care Hospital	$0	$63.6M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Augusta Medical Group	VA	General Practice Physician	$0	$12.6M
Sainath Gaddam	TX	Interventional Cardiology Physician	$251.9K	$538.3K
Ashkan Karimi	VA	Interventional Cardiology Physician	$775.6K	$0
Sumit Duggal	MD	Cardiovascular Disease Physician	$648.3K	$0
David Wood	CA	Diagnostic Radiology Physician	$641.3K	$2.7K
Todd Blodgett	PA	Diagnostic Radiology Physician	$380.1K	$254K
Timothy Kane	VA	Psychiatry Physician	$429.4K	$103.4K
James Sluss	VA	Diagnostic Radiology Physician	$364K	$90K

Nearby Providers

Other providers in the same ZIP code as Patricia Clough, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Emergency Medicine Specialists LLC	VA	Emergency Medicine Physician	$0	$7.5M
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
Ashley Blurton	VA	Nuclear Medicine Physician	$2.9M	$0
Yevgeniy Shildkrot	VA	Ophthalmology Physician	$1.5M	$0
Blue Ridge Pathologists PC	VA	Anatomic Pathology Physician	$224.6K	$1.2M
James Tiedeman	VA	Ophthalmology Physician	$782.7K	$0
William Jones	VA	Urology Physician	$468.4K	$0
David Barnes	VA	Specialist	$405.8K	$150
Rachna Patel	VA	Specialist	$377K	$0
Glenn Brammer	VA	Clinical Cardiac Electrophysiology Physician	$375.6K	$0

Patricia Clough — Billing Profile & Reimbursement Data

Sign up for Patricia Clough — Billing Profile & Reimbursement Data policy alerts

Patricia Clough — Billing Profile & Reimbursement Data

Sign up for Patricia Clough — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References