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.

Patient First Richmond Medical Group PLLC (NPI 1689603748)

Key Findings

Field	Value
Entity Type	Organization
Organization	Patient First Richmond Medical Group PLLC
Address	5000 Cox Rd
City	Glen Allen
State	VA
ZIP	23060
Taxonomy	Family Medicine Physician
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicaid	$75.4M
Medicare	$0

PATIENT FIRST RICHMOND MEDICAL GROUP PLLC is effectively a single‑payer Medicaid billing entity: there is no Medicare billing on file while reported Medicaid revenue totals $75.4M, indicating the provider’s operations and revenue are overwhelmingly anchored in the Medicaid market. This asymmetry suggests network participation, patient mix, or contracting decisions focused on Medicaid rather than Medicare.

Revenue is highly concentrated in a small set of office E&M codes: the precomputed top three Medicaid codes account for 67.9% of total Medicaid revenue, led by 99214 ($23M, 31.9%), 99213 ($19.2M, 26.6%), and 99203 ($6.8M, 9.4%). Those three codes alone drive the majority of reported Medicaid dollars, signaling that routine outpatient evaluation-and-management visits are the principal revenue engine.

The provider’s code mix and volumes are consistent with a high‑throughput primary care / urgent care model: 99214 appears on 242.3K claims with $95 avg paid/claim, and 99213 appears on 249.8K claims with $77 avg paid/claim, implying large daily visit volumes and reliance on established‑patient visits for revenue. The Family Medicine Physician taxonomy aligns with this pattern, indicating a focus on general medical care and follow‑up visits.

Operational characteristics point to urgent‑care style access and extended‑hours services: S9088 (urgent care center) shows 247.4K claims and $2.5M revenue (ranks #1 of 22, 100th percentile, extreme outlier), 99051 (after‑hours) shows 153.2K claims and $1.7M revenue (ranks #1 of 185, 100th percentile), and 99050/99058 also register high claims and state‑leading ranks. Together these codes suggest walk‑in, extended‑hours throughput and a business model that captures many off‑hour encounters.

On‑site diagnostic and rapid testing are significant ancillary services: 87428 (respiratory viral immunoassay) has 93.4K claims and $2.4M revenue (ranks #1 of 195, 100th percentile), 87880 (strep test) has 121.2K claims and $1.2M revenue (ranks #1 of 915, 100th percentile), and 87426/87804 (COVID/influenza assays) also report very large volumes. These volumes indicate robust point‑of‑care testing capacity that complements high visit volumes and supports urgent/episodic care workflows.

The provider shows state‑level dominance on numerous codes: 99214 ranks #7 of 3523 providers in‑state (100th percentile; extreme outlier), 99213 ranks #3 of 4012 (100th percentile; extreme outlier), and 99203 ranks #2 of 1001 (100th percentile; extreme outlier). Multiple laboratory and urgent‑care codes also sit at rank #1 in the state (100th percentile; extreme outlier), which collectively positions this entity as a major Medicaid volume player in Virginia rather than a modest participant.

While high‑revenue E&M codes dominate dollar totals, lower unit‑reimbursement services contribute meaningfully by volume: examples include 36415 (111.9K claims, $2 avg paid/claim, $223.8K revenue) and 85025 (81.3K claims, $5 avg paid/claim, $406.7K revenue). This mix—high visit counts with many low‑paid ancillary services—reflects a throughput‑driven model where aggregate revenue is built from large claim counts across E&M and point‑of‑care testing.

The provider has long tenure on file, with NPI enumeration dated 2006‑07‑01 (~20 years ago), indicating an established presence in the market and sustained Medicaid billing activity over time. Coupled with the absence of Medicare billing, the longevity suggests strategic alignment or specialization in Medicaid populations and payer contracts rather than a broad Medicare/Medicaid mix.

Medicaid: Complete Services Breakdown

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

107 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…	242,280	$100	$23M
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…	249,840	$80	$19.2M
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…	74,740	$90	$6.8M
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…	40,360	$120	$4.6M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	35,260	$70	$2.6M
S9088	Services provided in an urgent care center (list in addition to code for service)	247,380	$10	$2.5M
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	93,380	$30	$2.4M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	32,360	$70	$2.1M
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	153,230	$10	$1.7M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	121,220	$10	$1.2M

Showing 1–10 of 107

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

Patient First Richmond Medical Group PLLC — 22 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

107 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	5	20	150	$100	$1.5M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	65	90	2,670	$130	$444.4K
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…	7	3,520	370	$70	$280.7K
S9088	Services provided in an urgent care center (list in addition to code for service)	1	20	850	$10	$270.1K
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	4,010	290	$50	$199.8K
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	39	210	390	$50	$106.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	36	610	150	$90	$104K
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…	1	970	100	$100	$87.1K
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	1,000	100	$70	$81.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	4	980	140	$70	$70.9K

Showing 1–10 of 107

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patient First Richmond Physician's Group PC	VA	Urgent Care Clinic/Center	$0	$11.1M
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$11M
Anne Arundel Dermatology LLC	MD	Dermatology Physician	$0	$7.3M
Scott Seaton	VA	Internal Medicine Physician	$265.8K	$2.6K
Shujauddin Khan	VA	General Practice Physician	$175.6K	$10.4K
Andrew Buscemi	VA	Family Medicine Physician	$178.2K	$0
Sepideh Sarreshteh	VA	Physician Assistant	$151.1K	$0
Faranak Moghadam	MD	Family Medicine Physician	$145K	$0
Paul Kolecki	PA	Emergency Medicine Physician	$130.7K	$0
Nicholas Wunder	MD	Medical Physician Assistant	$122.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henrico Area Mental Heatlh And Developmental Services	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$64.7M
Rca Laboratory Services, LLC	VA	Clinical Medical Laboratory	$5.3M	$17.1M
Virginia Center For Addiction Medicine	VA	Addiction Medicine (Internal Medicine) Physician	$0	$19.7M
Patient First Maryland Medical Group, PLLC	VA	Family Medicine Physician	$0	$19.5M
Family Integrated Counseling Services	VA	Community/Behavioral Health Agency	$0	$17.8M
Patient First Pennsylvania Medical Group PLLC	VA	Urgent Care Clinic/Center	$0	$14.6M
Renewing Stability LLC	VA	Community/Behavioral Health Agency	$0	$8.4M
Patient First Maryland Physician's Group PC	VA	Family Medicine Physician	$0	$7M
Tidewater Physical Therapy, LLC	VA	Physical Therapist	$0	$6.4M
Virginia Physicians, Inc.	VA	Clinical Medical Laboratory	$1.9M	$1.9K

Patient First Richmond Medical Group PLLC — Billing Profile & Reimbursement Data

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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