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.

Rmh Medical Group LLC (NPI 1669844908)

Rmh Medical Group LLC is a general practice physician provider located in Rockingham, Virginia. This profile covers 0 Medicare and 103 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Rmh Medical Group LLC
Address	2006 Health Campus Dr
City	Rockingham
State	VA
ZIP	22801
Taxonomy	General Practice Physician
NPI Enumerated	October 27, 2015

Payer Source	Total Paid
Medicaid	$9.8M
Medicare	$0

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

103 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…	78,060	$60	$4.8M
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…	32,370	$40	$1.4M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	7,030	$80	$534.1K
J0585	Injection, onabotulinumtoxina, 1 unit	750	$600	$448.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	11,990	$30	$311.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,170	$50	$290K
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…	3,120	$90	$286.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3,790	$50	$200.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	3,770	$50	$180.9K
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…	2,370	$60	$149.6K

Showing 1–10 of 103

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

Rmh Medical Group LLC — 5 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

103 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	Injection, onabotulinumtoxina, 1 unit	10	20	750	$540	$871.7K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	67	80	650	$210	$752.6K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	71	150	300	$420	$381.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	51	210	920	$140	$367.6K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	55	90	150	$520	$281.8K
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…	27	3,520	370	$70	$280.7K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	25	60	110	$530	$242.3K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	9	10	550	$270	$224.5K
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…	86	4,010	290	$50	$199.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	124	130	440	$120	$197K

Showing 1–10 of 103

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sentara Rmh Medical Center	VA	General Acute Care Hospital	$0	$52.9M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sentara Medical Group	VA	Family Medicine Physician	$0	$48.7M
Sentara Reference Lab Solutions, LLC	VA	Clinical Medical Laboratory	$12.9M	$4.7M
Jonathan Wiesen	VA	Internal Medicine Physician	$2.4M	$0
Deepak Deshmukh	VA	Vascular Surgery Physician	$1.4M	$0
Kambiz Shamlou	FL	Diagnostic Radiology Physician	$1.4M	$0
Thomas Yuschok	FL	Diagnostic Radiology Physician	$1.2M	$0
Naren Gupta	MA	Vascular Surgery Physician	$1.1M	$0
Kyle Harner	NC	Rheumatology Physician	$1.1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Continuing Care Home Health Services Inc	VA	Home Health Agency	$0	$15.3M
Metro Treatment Of Virginia LP	VA	Methadone Clinic	$122.8K	$7.8M
Harrisonburg Community Health Center	VA	Federally Qualified Health Center (FQHC)	$0	$7.7M
Priority Patient Transport Inc	VA	Ambulance	$789.8K	$5.2M
Integrity Home Care LLC	VA	In Home Supportive Care Agency	$0	$5.7M
Christopher Eller	VA	Ophthalmology Physician	$1.7M	$0
Harrisonburg Rescue Squad Incorporated	VA	Ambulance	$542.5K	$1M
Rockingham Eye Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Daryl Kurz	VA	Ophthalmology Physician	$1.1M	$0
Kenlyn Miller	VA	Ophthalmology Physician	$631.8K	$0

Rmh Medical Group LLC — Billing Profile & Reimbursement Data

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Rmh Medical Group LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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