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NPI 1669568044 · Ironton, OH · Family Medicine Physician
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Tony Virgin is a family medicine physician provider located in Ironton, Ohio. This profile covers 13 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Tony Virgin |
| Address | 912 Park Ave |
| City | Ironton |
| State | OH |
| ZIP | 45638 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | October 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $77.2K |
| Medicare | $60.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 520 | $70 | $33.9K |
| 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… | 200 | $50 | $9.1K |
| 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. | 90 | $90 | $8.2K |
| 99204 | The provider sees a new 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 provider… | 50 | $90 | $4.2K |
| 99203 | The provider sees a new 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 provider… | 40 | $50 | $2K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 40 | $30 | $1.2K |
| 83036 | Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).… | 70 | $10 | $740 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 10 | $40 | $560 |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 60 | $10 | $460 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 80 | $1 | $330 |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 1,043 | 20,010 | 100 | $70 | $11.7K |
| 99213 | 3,465 | 20,000 | 70 | $50 | $6.6K |
| 99284 | 768 | 2,860 | 60 | $90 | $6.1K |
| 36415 | 1,162 | 1,910 | 90 | $10 | $5.4K |
| 99204 | 2,327 | 8,330 | 30 | $100 | $4.4K |
| 99203 | 2,397 | 6,380 | 30 | $60 | $2.9K |
| 83036 | 639 | 2,110 | 40 | $10 | $2.4K |
| G0179 | 72 | 250 | 30 | $30 | $1.4K |
| G0180 | 582 | 750 | 20 | $40 | $1.1K |
| J2930 | 6 | 70 | 30 | $1 | $180 |
Showing 1–10 of 13
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D0330 | N/A | 410 | $40 | $17.9K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 430 | $30 | $14.2K |
| D0150 | Comprehensive oral evaluation – new or established patient | 440 | $30 | $11.3K |
| D0120 | Periodic oral evaluation - established patient | 700 | $20 | $11.2K |
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 150 | $60 | $8.6K |
| D1208 | Topical application of fluoride - excluding varnish | 430 | $10 | $6K |
| D1120 | Prophylaxis–child | 240 | $20 | $4.5K |
| D2391 | Resin‑based composite – one surface, posterior | 70 | $50 | $3.4K |
| D0272 | N/A | 20 | $10 | $140 |
| D0220 | Intraoral - periapical first radiographic image | 30 | $1 | $110 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root (elevation and/or forceps removal) | 639 | 920 | 510 | $70 | $144K |
| D2391 | Resin‑based composite – one surface, posterior | 659 | 860 | 260 | $60 | $60.4K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 783 | 1,540 | 450 | $30 | $50.8K |
| D0330 | N/A | 515 | 1,250 | 240 | $40 | $46.5K |
| D1120 | Prophylaxis–child | 781 | 1,410 | 330 | $20 | $40.8K |
| D0120 | Periodic oral evaluation - established patient | 772 | 1,710 | 520 | $20 | $40.2K |
| D0150 | Comprehensive oral evaluation – new or established patient | 747 | 1,700 | 320 | $30 | $36.6K |
| D1208 | Topical application of fluoride - excluding varnish | 569 | 1,210 | 360 | $10 | $24.1K |
| D0272 | N/A | 899 | 1,010 | 210 | $10 | $14.2K |
| D0220 | Intraoral - periapical first radiographic image | 1,197 | 1,370 | 380 | $1 | $8.2K |
Other providers in the same ZIP code as Tony Virgin, ranked by combined Medicare and Medicaid revenue.
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