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.

Mcv Associated Physicians (NPI 1710959457)

Field	Value
Entity Type	Organization
Organization	Mcv Associated Physicians
Address	1250 E Marshall St
City	Richmond
State	VA
ZIP	23298
Taxonomy	Anesthesiology Physician
NPI Enumerated	February 6, 2006
NPI Deactivated	July 17, 2006

Payer Source	Total Paid
Medicaid	$99M
Medicare	$0

Key Findings

MCV ASSOCIATED PHYSICIANS is effectively a Medicaid-focused billing entity with no Medicare revenue on file; its reported lifetime Medicaid revenue is $99M and the provider has no Medicare billing listed, so operational scale and competitive positioning should be evaluated primarily in the Medicaid market. The lack of Medicare claims indicates this NPI functions within payer mix or contractual arrangements that concentrate on state Medicaid populations rather than dual Medicare/Medicaid billing.

Revenue concentration is high: the three highest-revenue Medicaid codes account for 50.2% of the provider's total Medicaid revenue. Top-weighted codes include 99214 ($21.4M, 28.9%) and 99213 ($9M, 12.2%), indicating that routine outpatient E/M visits make up the single largest share of Medicaid revenue; this concentration implies financial sensitivity to changes in outpatient evaluation-and-management reimbursement.

The code mix—dominated by high-volume office/outpatient E/M codes 99214 and 99213—suggests the practice operates at large outpatient volumes and likely functions as a primary E/M services hub for Medicaid patients. High ranks on hospital and emergency codes (e.g., 99284, 99283, 99232, 99233) alongside critical care code 99291 indicate substantial involvement in acute care and inpatient follow-up, consistent with a provider group that delivers both ambulatory and hospital-based E/M services at scale.

MCV ASSOCIATED PHYSICIANS appears to be a statewide volume leader for many Medicaid services: 99214 ranks #1 of 3523 providers in-state (100th percentile, labeled an extreme outlier) and 99213 ranks #5 of 4012 providers in-state (100th percentile, extreme outlier). Multiple other codes (99232, 99391, 99392, 93306, 93010, 71045 and 70553) are also in the 97–100th percentile or higher, reinforcing a pattern of unusually high Medicaid volume across a broad set of E/M and diagnostic codes. This establishes the provider as a dominant Medicaid player in Virginia for these services.

Operational mix includes both high-frequency low-dollar diagnostics and higher-reimbursement procedures: massive claim counts for low-paid items like 93010 (192K claims, $5/claim) and 71045 (183.6K claims, $5/claim) indicate throughput of routine ECGs and chest x-rays, while service lines such as CT/MRI (74177, 70450, 70553) and pathology (88305) contribute material reimbursement. The combination of large volumes in basic diagnostics plus substantial E/M revenue suggests an integrated service model that captures ancillary testing alongside office and hospital visits.

Tenure: the NPI was enumerated on 2006-02-06 (~20 years ago), indicating long-standing presence in the market. That longevity combined with extreme statewide volume rankings implies an entrenched referral footprint and established operational capacity to support the high Medicaid volumes observed.

Several individual codes are flagged as statistical outliers, and these labels align with the provider's market role: 99214, 99232, 99391, 99392, 93306 and 70553 are all described as extreme outliers or in the 100th percentile, while other high-volume codes like 99284 and 99213 are also in the 99–100th percentile. These outlier designations indicate the provider is operating far above typical state volume for a wide range of E/M and diagnostic services, reinforcing its competitive dominance in Medicaid.

Medicaid: Complete Services Breakdown

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

517 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…	381,700	$60	$21.4M
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…	215,480	$40	$9M
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.	106,490	$60	$6.7M
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…	139,860	$40	$5.2M
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.	91,920	$40	$3.6M
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.	40,370	$90	$3.6M
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…	33,980	$80	$2.9M
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…	23,350	$90	$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…	30,070	$60	$1.7M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	37,370	$50	$1.7M

Showing 1–10 of 517

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

Mcv Associated Physicians — 23 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

517 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	5	10	5,860	$230	$2.3M
H0033	Oral medication administration, direct observation	3	10	120	$140	$2M
99472	The provider performs follow up care of a critically ill infant or young child, 29 days through 24 months of age, in an inpatient setting.	3	10	1,430	$260	$1.7M
G9012	Other specified case management service not elsewhere classified	56	120	2,160	$220	$1.6M
J0178	Injection, aflibercept, 1 mg	16	20	650	$1,010	$1.3M
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.	23	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.	11	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.	31	140	3,240	$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.	6	620	70	$120	$1M
J0585	Injection, onabotulinumtoxina, 1 unit	12	20	750	$540	$871.7K

Showing 1–10 of 517

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mcv Associated Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Commonwealth University Health System Authority	VA	General Acute Care Hospital	$0	$658.3M
University Of Virginia Physicians Group	VA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$84.6M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Prisma Health Medical Group-midlands	SC	Orthopaedic Surgery Physician	$0	$8.7M
Ashley Blurton	VA	Nuclear Medicine Physician	$2.9M	$0
Robert Olk	MO	Ophthalmology Physician	$1.7M	$0
Shaya Ansari	NY	Diagnostic Radiology Physician	$1.5M	$1K
Yevgeniy Shildkrot	VA	Ophthalmology Physician	$1.5M	$0
Nader Moinfar	VA	Ophthalmology Physician	$1.4M	$0
Rekha Kishore	VA	Diagnostic Radiology Physician	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as Mcv Associated Physicians, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dentistry Vcu	VA	Dentist	$0	$12.5M
Matthew Herczyk	VA	Diagnostic Radiology Physician	$750.5K	$47.4K
Paul Fang	VA	Diagnostic Radiology Physician	$688K	$0
Tahir Khan	VA	Internal Medicine Physician	$480.4K	$8.9K
William Denney	VA	Internal Medicine Physician	$396.1K	$0
Laurie Cuttino	VA	Radiation Oncology Physician	$350.4K	$0
Michelle Garnett	VA	Diagnostic Radiology Physician	$305.4K	$0
Alex Munoz	VA	Diagnostic Radiology Physician	$265.2K	$0
Charlotte Cockrell	VA	Diagnostic Radiology Physician	$264.5K	$0
Tilahun Goshu	VA	Acute Care Nurse Practitioner	$259.1K	$0

Mcv Associated Physicians — Billing Profile & Reimbursement Data

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Mcv Associated Physicians — 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