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.

Loudoun Medical Group, PC (NPI 1679591440)

Loudoun Medical Group, PC is a internal medicine physician provider located in Leesburg, Virginia. This profile covers 0 Medicare and 183 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	Loudoun Medical Group, PC
Address	224d Cornwall St Nw
City	Leesburg
State	VA
ZIP	20176
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$12.4M
Medicare	$0

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

183 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…	54,840	$60	$3.3M
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…	45,980	$50	$2.1M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	19,190	$70	$1.4M
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	7,400	$110	$828.9K
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…	20,850	$20	$458.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	6,280	$60	$382.8K
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,…	750	$420	$316.8K
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…	8,670	$40	$303.4K
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…	3,140	$100	$298.7K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	16,750	$20	$251.2K

Showing 1–10 of 183

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

Loudoun Medical Group, PC — 7 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

183 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	102	110	2,780	$110	$471.1K
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…	198	400	1,910	$50	$412.6K
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.	143	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…	151	210	920	$140	$367.6K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	38	40	1,920	$70	$317.6K
0241U	N/A	66	90	1,840	$80	$306.3K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	24	50	200	$350	$282.9K
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…	67	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…	35	3,520	370	$70	$280.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	452	1,340	710	$90	$245K

Showing 1–10 of 183

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alex Pavidapha	VA	Vascular & Interventional Radiology Physician	$3.5M	$0
Rachel Piechowiak	VA	Vascular & Interventional Radiology Physician	$2.4M	$0
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Kyrollos Tawfik	MD	Vascular & Interventional Radiology Physician	$1.1M	$0
Richard Kim	VA	Internal Medicine Physician	$983K	$0
Ayman Boutros	VA	Ophthalmology Physician	$964.5K	$0
Aizenhawar Marrogi	VA	Anatomic Pathology & Clinical Pathology Physician	$756.9K	$0
Marena Patronas	VA	Ophthalmology Physician	$744.9K	$0
Gavin Gore	VA	Diagnostic Radiology Physician	$608.4K	$240
Van Ha	VA	Dermatology Physician	$547.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inova Health Care Services	VA	General Acute Care Hospital	$0	$46.9M
County Of Loudoun, Virginia	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$34.9M
Commonwealth Emergency Physicians PC	VA	Emergency Medicine Physician	$0	$12M
Amor Home Health Care LLC	VA	Home Health Agency	$0	$9.6M
Minuteclinic Diagnostic Of Virginia LLC	VA	Family Nurse Practitioner	$0	$9M
Northspring Behavioral Healthcare, Inc.	VA	Psychiatric Residential Treatment Facility	$0	$7.8M
Inova Loudoun Ambulatory Surgery	VA	Ambulatory Surgical Clinic/Center	$1.3M	$82.6K
Ajay Dar	VA	Medical Oncology Physician	$1.3M	$0
Rangappa Rajendra	VA	Medical Oncology Physician	$1.3M	$0
Xiaoping Zhou	VA	Anatomic Pathology & Clinical Pathology Physician	$968.4K	$59.3K

Loudoun Medical Group, PC — Billing Profile & Reimbursement Data

Sign up for Loudoun Medical Group, PC — Billing Profile & Reimbursement Data policy alerts

Loudoun Medical Group, PC — Billing Profile & Reimbursement Data

Sign up for Loudoun Medical Group, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References