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.

Uva Culpeper Medical Center (NPI 1669538047)

Key Findings

Field	Value
Entity Type	Organization
Organization	Uva Culpeper Medical Center
Address	501 Sunset Ln
City	Culpeper
State	VA
ZIP	22701
Taxonomy	General Acute Care Hospital
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$53.9M
Medicare	$0

UVA CULPEPER MEDICAL CENTER reports no Medicare billing on file and $53.9M in lifetime Medicaid revenue, so Medicaid dominates the facility’s payor activity in the available dataset; in practical terms this profile is effectively single‑payer (Medicaid) for the claims shown here. The absence of Medicare billing should be noted by analysts as a material feature when modeling payer mix or network leverage.

Revenue is highly concentrated in a small set of outpatient/emergency codes: the precomputed top three Medicaid codes (99284, 99283, G0463) together account for 36.7% of this provider’s total Medicaid revenue. Individually those codes are large line items ($6.8M for 99284, $5.6M for 99283, $5.2M for G0463), indicating a small number of service types drive a disproportionate share of Medicaid receipts.

The code mix points to an emergency-department–centrified operating profile with substantial hospital outpatient clinic activity: multiple ED E/M codes (99284, 99283, 99282, 99285, 99281) appear among top revenue lines and G0463 (hospital outpatient clinic visit) is also a top-three revenue driver. This pattern, combined with the dollar amounts reported for those ED codes, indicates the hospital’s Medicaid volume is driven by acute, walk‑in/unscheduled care as well as structured outpatient clinic encounters.

State-level competitive standing is mixed by service line: G0463 ranks #10 of 70 providers in-state (87th percentile), showing relatively strong placement among hospital outpatient clinics, while ED-level codes like 99284 (rank #56 of 620, 91st percentile) and 99283 (rank #65 of 626, 90th percentile) are described as "typical, unremarkable volume" at high percentiles. Taken together, the hospital functions as a high-volume Medicaid ED/outpatient provider in its market but is not uniformly a dominant statewide leader across every measured code.

The provider shows meaningful ancillary-service throughput: infusion/IV administration codes 96361 ($2.9M, 6.1%), 96365 ($1.3M, 2.7%) and 96366 ($464.3K, 1.0%) and hospital observation (G0378, $466.9K, 1.0%) all appear in the top codes list, indicating regular use of IV therapies and observation-level care in the Medicaid population. Imaging volumes are material but not extreme (CT abdomen/pelvis with contrast 74177 $1.4M, 3.0%; CT head 70450 $1.1M, 2.4%), supporting a full-service acute/hospital outpatient footprint rather than a narrowly focused clinic.

Rehabilitation and therapy services are a visible revenue stream: 97110 (therapeutic exercise) generates $2.4M (5.1% of Medicaid revenue) and ranks #20 of 401 providers in-state (95th percentile), described as "notably above typical" state volume for this code. The presence of 97530 and other therapy codes in the top list reinforces that outpatient rehab is an important complementary service line for Medicaid patients.

Testing and procedural volumes show at least one statistical outlier: the lab code 87635 (SARS–CoV‑2 nucleic acid amplification test) appears as an "extreme outlier" (rank #4 of 227, 99th percentile) with $504.5K in Medicaid revenue. This indicates historically very high Medicaid COVID testing throughput relative to peers, which may reflect episodic pandemic-era demand or testing site activity captured in the claims.

The provider has an established enumeration history (NPI enumerated 2006-12-29, approximately 20 years ago), which supports interpreting these patterns as the activity of a long-standing general acute care hospital rather than a new entrant. Analysts should treat the observed Medicaid-dominated revenue mix and persistent ED/outpatient concentrations as stable characteristics for market and capacity planning unless other payor data appear.

Medicaid: Complete Services Breakdown

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

309 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	29,660	$230	$6.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	23,150	$240	$5.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	32,810	$160	$5.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	19,700	$220	$4.4M
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…	10,810	$270	$3M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	10,060	$290	$2.9M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	8,990	$280	$2.6M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	39,290	$60	$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…	8,630	$270	$2.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	5,200	$280	$1.4M

Showing 1–10 of 309

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

Uva Culpeper Medical Center — 2 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

309 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	41	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	10	70	3,200	$110	$2.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	88	340	160	$130	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	65	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	15	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	42	80	3,650	$160	$1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	56	620	70	$120	$1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	63	180	2,950	$140	$783.2K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	65	260	3,950	$80	$769.6K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	62	170	3,390	$100	$658.8K

Showing 1–10 of 309

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zia Roshandel	VA	Cardiovascular Disease Physician	$505.2K	$0
Uva Culpeper Medical Center	VA	Land Ambulance	$317K	$41.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chrysalis Counseling Centers	VA	Clinical Social Worker	$0	$13M
Uva Outpatient Imaging Culpeper, LLC	VA	Radiology Clinic/Center	$486.3K	$432.1K
Culpeper Surgery Center LLC	VA	Ambulatory Surgical Clinic/Center	$771.4K	$33.3K
Andrew Kaiser	VA	Diagnostic Radiology Physician	$334.7K	$23.7K
Anthony Crimaldi	VA	Radiation Oncology Physician	$350.6K	$0
Linz Audain	VA	Internal Medicine Physician	$200.2K	$0
Erin Frank	VA	Psychiatric/Mental Health Nurse Practitioner	$172.9K	$0
Bradley Church	VA	Optometrist	$122.2K	$0
Wahid Baqaie	VA	Orthopaedic Surgery of the Spine Physician	$96.7K	$0
Joshua Washer	VA	Surgery Physician	$87.8K	$0

Uva Culpeper Medical Center — Billing Profile & Reimbursement Data

Sign up for Uva Culpeper Medical Center — Billing Profile & Reimbursement Data policy alerts

Uva Culpeper Medical Center — Billing Profile & Reimbursement Data

Sign up for Uva Culpeper Medical Center — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References