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.

Logan General Hospital LLC (NPI 1720032105)

Logan General Hospital LLC is a podiatrist provider located in Logan, West Virginia. This profile covers 0 Medicare and 89 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	Logan General Hospital LLC
Address	20 Hospital Dr
City	Logan
State	WV
ZIP	25601
Taxonomy	Podiatrist
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

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

89 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…	23,600	$50	$1.3M
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…	25,500	$40	$968.9K
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…	4,330	$90	$371.9K
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…	4,860	$50	$238.3K
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…	4,260	$60	$234K
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.	2,300	$80	$188.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2,710	$70	$186.8K
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…	4,500	$30	$153.1K
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…	1,160	$130	$146.8K
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…	1,040	$140	$142K

Showing 1–10 of 89

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

Logan General Hospital LLC — 5 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

89 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	88	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…	43	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…	34	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…	20	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…	10	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.	9	70	530	$170	$183.7K
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…	21	80	580	$60	$182K
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…	10	100	550	$80	$164.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	11	60	330	$210	$151.7K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	21	30	400	$90	$111.5K

Showing 1–10 of 89

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Logan General Hospital LLC	WV	General Acute Care Hospital	$0	$43.5M
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Kozhaya Mallah	WV	Cardiovascular Disease Physician	$160.1K	$0
Kamel Marzouk	WV	Pulmonary Disease Physician	$87.1K	$0
Robert Mccleary	WV	Surgery Physician	$57.5K	$0
Ziad Salem	WV	Hepatology Physician	$56.6K	$0
Amit Singla	WV	Orthopaedic Surgery Physician	$23.7K	$0
Tawfik Zein	WV	Urology Physician	$18.6K	$0
Carla Ramey	WV	Family Nurse Practitioner	$15.6K	$0
Linda Nabha	DC	Infectious Disease Physician	$12.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Logan-mingo Area Mental Health, Inc.	WV	Community/Behavioral Health Agency	$0	$18M
Logan County Emergency Ambulance Service	WV	Land Ambulance	$1.1M	$11.6M
Logan-mingo Area Mental Health, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$6.7M
Logan Pediatrics, Inc	WV	Specialist	$0	$6.6M
Alpha Omega Medical PLLC	WV	Obstetrics Physician	$0	$3.5M
Ohio Valley Physicians, Inc	WV	Rural Health Clinic/Center	$0	$3.1M
Logan-mingo Area Mental Health, Inc	WV	Developmental Disabilities Clinic/Center	$0	$2.8M
Logan Professional Counseling Services	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
White Eye Care Center Inc.	WV	Optometrist	$0	$2.1M
Air Evac Ems Inc.	WV	Air Ambulance	$282.3K	$1.2M

Logan General Hospital LLC — 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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