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.

Frontier Health (NPI 1669517561)

Field	Value
Entity Type	Organization
Organization	Frontier Health
Address	622 Powell Ave E
City	Big Stone Gap
State	VA
ZIP	24219
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	February 20, 2007

Payer Source	Total Paid
Medicaid	$11.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2,260	$3,190	$7.2M
H2014	Skills training and development, per 15 minutes	1,360	$2,170	$3M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	1,870	$610	$1.1M
T2021	Day habilitation, waiver; per 15 minutes	1,130	$500	$560.3K
T1017	Targeted case management, each 15 minutes	20	$0	$0

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

Frontier Health — 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. Virginia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2033	Residential care, not otherwise specified (nos), waiver; per diem	26	40	6,080	$1,660	$27.6M
T1017	Targeted case management, each 15 minutes	46	50	23,860	$330	$9.4M
H2014	Skills training and development, per 15 minutes	48	70	2,500	$1,380	$7M
97150	In this procedure, the provider supervises and directs therapeutic procedures like exercise therapy for a group of patients.	118	200	2,840	$320	$2.4M
T2021	Day habilitation, waiver; per 15 minutes	59	110	1,500	$340	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wellmont Health System	VA	General Acute Care Hospital	$0	$33.7M
Wellmont Medical Associates Inc	VA	Family Medicine Physician	$0	$24.6M
Karen Stallard	VA	Family Nurse Practitioner	$58.1K	$5.3K
Robert Botts	VA	Optometrist	$38.9K	$5.4K
Joshua Dalton	VA	Neuromusculoskeletal Medicine & OMM Physician	$34.4K	$0
Ginger Collins	VA	Nurse Practitioner	$32.7K	$0

Frontier Health — Billing Profile & Reimbursement Data

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Frontier Health — 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