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.

Centra Health Inc (NPI 1679677983)

Centra Health Inc is a general acute care hospital provider located in Lynchburg, Virginia. This profile covers 0 Medicare and 217 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	Centra Health Inc
Address	1901 Tate Springs Rd
City	Lynchburg
State	VA
ZIP	24501
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 8, 2006

Payer Source	Total Paid
Medicaid	$18.5M
Medicare	$0

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

217 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	10,030	$330	$3.3M
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.	16,860	$160	$2.7M
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.	17,550	$140	$2.5M
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.	17,450	$140	$2.4M
G0378	Hospital observation service, per hour	3,010	$230	$683.7K
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.	3,030	$200	$599.5K
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.	3,300	$180	$594K
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…	1,830	$280	$515.1K
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…	3,070	$140	$420.2K
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.	3,940	$110	$413.6K

Showing 1–10 of 217

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

Centra Health Inc — 0 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

217 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.	42	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29	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.	57	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.	84	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.	79	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	44	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.	84	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.	88	180	2,950	$140	$783.2K
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.	89	170	3,390	$100	$658.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	27	50	1,760	$120	$514.3K

Showing 1–10 of 217

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centra Health Inc	VA	General Acute Care Hospital	$0	$78.6M
Audrey Graham	VA	Diagnostic Radiology Physician	$290K	$0
Matthew Sackett	VA	Clinical Cardiac Electrophysiology Physician	$280.5K	$0
Richard Kuk	VA	Clinical Cardiac Electrophysiology Physician	$270.6K	$0
Jose Silva	VA	Clinical Cardiac Electrophysiology Physician	$265.5K	$0
Weijuan Li	VA	Cardiovascular Disease Physician	$204.5K	$0
John Plankeel	VA	Pulmonary Disease Physician	$183.8K	$0
Matthew Tomlin	VA	Diagnostic Radiology Physician	$182.1K	$1.3K
Thomas Meyer	VA	Cardiovascular Disease Physician	$172.2K	$0
Robert Brindle	VA	Diagnostic Radiology Physician	$168.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Family Services Of Virginia, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$194.3M
Horizon Behavioral Health	VA	Community/Behavioral Health Agency	$0	$138.1M
Brightview LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$32M
Virginia Treatment Center, LLC	VA	Methadone Clinic	$116.5K	$15.9M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Cabaniss Consultants LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Sense Of Security Care, Inc.	VA	Home Health Aide	$0	$9.2M
Surgery Center Of Lynchburg LLC	VA	Ambulatory Surgical Clinic/Center	$4M	$799.8K
Landon Colling	VA	Ophthalmology Physician	$2.8M	$190
Jong An	VA	Hematology & Oncology Physician	$2.4M	$0

Centra Health Inc — 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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