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 West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West 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. West 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.

Camden-clark Physician Corporation (NPI 1710125430)

Key Findings

Field	Value
Entity Type	Organization
Organization	Camden-clark Physician Corporation
Address	604 Ann St
City	Parkersburg
State	WV
ZIP	26101
Taxonomy	Surgery Physician
NPI Enumerated	February 3, 2009

Payer Source	Total Paid
Medicaid	$19.8M
Medicare	$0

This provider has no Medicare billing on file and reports $19.8M in lifetime Medicaid revenue, making its commercial/public payer footprint effectively single-payer (Medicaid) in the available data. Analysts should treat Medicaid as the material revenue source when evaluating scale and risk for this entity.

Revenue is highly concentrated in outpatient evaluation-and-management codes: the top three Medicaid codes (99214, 99213, 99232) account for 57.7% of the provider's total Medicaid revenue. Those three codes individually generated $4.5M (99214), $4M (99213), and $1.7M (99232), indicating a small set of services drive the majority of billing.

Operationally, the code mix points to a high-throughput ambulatory and hospital-based E/M practice: very large volumes of office visit codes 99214 (75.6K claims) and 99213 (76.4K claims) combined with substantial subsequent inpatient care coding (99232, 99233, 99231) and emergency/critical care codes (99284, 99285, 99291). This pattern suggests the provider delivers both outpatient continuity care and significant inpatient/ED involvement rather than focusing on a narrow procedural surgery portfolio.

Competitive standing in-state is strong for core E/M services: 99214 ranks #9 of 1031 providers in-state (99th percentile; extreme outlier) and 99213 ranks #14 of 1273 providers in-state (99th percentile; extreme outlier). Those rankings signal dominant statewide volume for established-patient office visits, making the provider a major Medicaid E/M player in West Virginia.

The provider also reports notable inpatient and critical-care activity: 99232 ranks #7 of 185 providers (97th percentile; notably above typical state volume) and 99291 ranks #4 of 58 providers (95th percentile; typical, unremarkable volume for this code). High ranks across initial/subsequent inpatient codes (e.g., 99223, 99222, 99239) corroborate meaningful hospital-based clinical services and time-intensive inpatient encounters.

Maternal and diagnostic services form a secondary revenue stream: obstetric delivery codes 59409 ($428.8K) and 59514 ($120.6K) and postpartum care 59430 ($123.3K) appear on the top-code list, while imaging/diagnostic codes such as 76816 ($265.7K), 76830 ($155.7K), 93306 ($141.2K), and 93010 ($187.9K) indicate in-house or integrated fetal and cardiac diagnostic capacity. These items suggest the practice supports obstetrical care and routine cardiac/fetal testing alongside general E/M services.

Claims volume underscores the practice's throughput: 99214 appears on 75.6K claims (avg paid $59/claim) and 99213 on 76.4K claims (avg paid $53/claim), reflecting very high visit counts at modest per-claim reimbursement. Coupled with the top-3 codes producing $4.5M, $4M, and $1.7M respectively, the pattern is one of scale-based Medicaid revenue driven by large numbers of relatively low-dollar E/M encounters.

The provider's NPI was enumerated 2009-02-03 (~17 years ago), indicating an established tenure in the market; combined with the high statewide ranks on multiple E/M codes, this longevity aligns with a sustained, high-volume Medicaid practice rather than a new entrant or niche specialist.

Medicaid: Complete Services Breakdown

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

165 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…	75,600	$60	$4.5M
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…	76,400	$50	$4M
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…	39,470	$40	$1.7M
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…	9,140	$90	$831.7K
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…	6,280	$130	$809.5K
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.	7,210	$80	$605.3K
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…	9,970	$60	$588.2K
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…	5,820	$100	$558.4K
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…	8,830	$60	$547.1K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	570	$750	$428.8K

Showing 1–10 of 165

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. West Virginia Distribution

Camden-clark Physician Corporation — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

165 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	60	130	2,090	$210	$1.5M
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.	50	170	3,350	$120	$1.1M
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.	87	160	3,690	$80	$714.8K
59409	In this procedure, the provider provides admission to the hospital for delivery, labor management, including induction of labor, fetal monitoring, use of low forceps, and episiotomy, vaginal delivery…	7	20	150	$700	$308.2K
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…	14	1,270	1,240	$30	$245K
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…	7	190	660	$40	$226.4K
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…	9	1,030	890	$50	$221K
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	23	30	130	$490	$213.5K
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…	4	60	170	$130	$189.3K
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.	22	70	530	$170	$183.7K

Showing 1–10 of 165

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Camden Clark Memorial Hospital Corporation	WV	General Acute Care Hospital	$0	$56.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Camden Clark Memorial Hospital Corporation	WV	Land Ambulance	$874.9K	$5.3M
John Conner	WV	Family Medicine Physician	$380.9K	$0
Samir Elian	MI	Interventional Cardiology Physician	$374.5K	$0
Seyoum Bage	WV	Infectious Disease Physician	$101.1K	$269.8K
David Gnegy	WV	Cardiovascular Disease Physician	$212K	$0
Bairava Kuppuswamy	WV	Internal Medicine Physician	$208.4K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rscr West Virginia, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$153.6M
St. Joseph Recovery Center, LLC	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$49.5M
Westbrook Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$42.5M
Westbrook Health Services, Inc.	WV	Community/Behavioral Health Agency	$0	$32.6M
Wv Family Support And Rehabilitation Services	WV	Community/Behavioral Health Agency	$0	$19.4M
Clean & Clear Advantage, LLC	WV	Addiction (Substance Use Disorder) Counselor	$0	$18.3M
Mjs Enterprises Inc	WV	Land Ambulance	$960.2K	$8.7M
Evergreen Therapeutic Treatment Centers LLC	WV	Adolescent and Children Mental Health Clinic/Center	$0	$3.3M
Parkersburg Radiology Services, Inc.	WV	Diagnostic Radiology Physician	$0	$2.4M
Sw Resources, Inc	WV	Community/Behavioral Health Agency	$0	$2.4M

Camden-clark Physician Corporation — 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