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.

Hampton Roads Orthopaedic & Sports Medicine LLC (NPI 1669526711)

Field	Value
Entity Type	Organization
Organization	Hampton Roads Orthopaedic & Sports Medicine LLC
Address	730 Thimble Shoals Blvd Ste 120
City	Newport News
State	VA
ZIP	23606
Taxonomy	Magnetic Resonance Imaging (MRI) Clinic/Center
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicare	$42K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	130	$90	$12.3K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	50	$170	$7.8K
72141	In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.	60	$80	$5.2K
73221	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…	40	$100	$4.6K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	40	$100	$4.1K
72158	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.	20	$170	$3.1K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	20	$110	$1.9K
72146	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents without using contrast.	20	$70	$1.4K
A9577	Injection, gadobenate dimeglumine (multihance), per ml	1,300	$1	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Hampton Roads Orthopaedic & Sports Medicine LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
70553	144	260	60	$120	$14.9K
72148	106	350	80	$90	$10K
73721	183	210	50	$100	$9.3K
73221	109	200	50	$100	$7.7K
70551	185	310	60	$70	$7.3K
72141	88	280	40	$80	$4.9K
72158	111	170	20	$120	$3.9K
72146	98	170	20	$70	$2.3K
A9577	3	20	430	$1	$1.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hampton Roads Orthopaedic & Sports Medicine LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Aldridge	VA	Orthopaedic Surgery Physician	$599.9K	$31.9K
Anthony Carter	VA	Adult Reconstructive Orthopaedic Surgery Physician	$556K	$0
Adrian Baddar	VA	Orthopaedic Surgery Physician	$425.4K	$6.8K
Daniel Cavazos	VA	Orthopaedic Surgery Physician	$429.4K	$910
Jeremy Hoff	NC	Physical Medicine & Rehabilitation Physician	$374.9K	$0
Scott Bradley	VA	Physical Medicine & Rehabilitation Physician	$342.4K	$510
Rebecca Shoemaker	VA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$293.6K	$970
Jon Swenson	VA	Orthopaedic Surgery Physician	$266.2K	$0
Kinjal Sohagia	VA	Sports Medicine (Family Medicine) Physician	$229.8K	$10.4K
Nelson Keller	VA	Foot & Ankle Surgery Podiatrist	$211K	$2K

Hampton Roads Orthopaedic & Sports Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Hampton Roads Orthopaedic & Sports Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Hampton Roads Orthopaedic & Sports Medicine LLC — Billing Profile & Reimbursement Data

Sign up for Hampton Roads Orthopaedic & Sports Medicine LLC — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References