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.

Bon Secours Mercy Health Petersburg LLC (NPI 1720623853)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bon Secours Mercy Health Petersburg LLC
Address	200 Medical Park Blvd
City	Petersburg
State	VA
ZIP	23805
Taxonomy	General Acute Care Hospital
NPI Enumerated	November 13, 2019

Payer Source	Total Paid
Medicaid	$48.7M
Medicare	$0

This facility is effectively a Medicaid-only billing entity: there is no Medicare billing on file while Medicaid revenue totals $48.7M. The absence of Medicare activity means payer mix is highly concentrated on Medicaid, so analyses of financial health and utilization should treat this provider as single-payer dominated rather than mixed Medicare/Medicaid.

Revenue is highly concentrated in emergency department E/M codes: the precomputed top-3 Medicaid codes (99283, 99284, 99285) account for 58.3% of the provider's Medicaid revenue. Specifically, 99283 yields $13M (30.5%), 99284 yields $7.4M (17.4%), and 99285 yields $4.4M (10.4%), indicating the ED is the principal revenue driver.

The code mix points to a high-volume emergency and acute care operation with ancillary emergency services on-site. Large volumes of ED E/M codes (99282–99285), hospital observation hours (G0378), and high counts of IV infusion and hydration codes (96361, 96366, 96360, 96365) suggest sustained ED throughput with frequent use of IV therapies and short-term observation stays.

Competitive standing for core ED services is strong in-state: 99283 ranks #17 of 626 providers (97th percentile; extreme outlier), indicating unusually large volume for lower-complexity ED visits compared with peers. By contrast, 99284 (rank #34 of 620, 95th percentile) and 99285 (rank #36 of 340, 90th percentile) are high but described as typical/unremarkable within their respective peer sets, so the provider is particularly dominant at the 99283 level.

There are additional service lines with notable relative standing beyond ED visits: 36415 (blood draws) shows 63.2K claims and ranks #13 of 941 providers (99th percentile; extreme outlier), and 93458 (imaging supervision for coronary angiography) generates $826.8K and ranks #2 of 28 providers (96th percentile; notably above typical). These signals imply both very high laboratory throughput and above-typical volume for cardiac angiography imaging supervision within the state.

Imaging and diagnostic services support the acute care footprint: CT head 70450 ($1.9M), CT abdomen/pelvis with contrast 74177 ($1.2M), and CTA chest 71275 ($558.2K) all appear in the top codes list, indicating sizeable radiology utilization tied to ED and inpatient evaluation. The presence of both high CT volumes and coronary angiography imaging suggests capability to manage complex acute presentations.

Public-health and lab testing volumes are elevated for several codes: SARS–CoV–2 testing 87635 shows $515.7K and ranks #9 of 227 providers (96th percentile; notably above typical), and high frequencies of instrumented drug testing (80307) and specimen collection (36415) further underscore substantial lab/diagnostic throughput. These patterns are consistent with a high-throughput ED and emergency-lab environment.

The provider's NPI was enumerated on 2019-11-13 (~7 years ago), so the observed Medicaid volumes and multiple extreme-percentile code placements have developed within a relatively recent enrollment window. Tenure plus the concentration of acute-care codes suggests the organization established significant ED and ancillary service capacity shortly after enrollment.

Medicaid: Complete Services Breakdown

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

322 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	77,790	$170	$13M
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.	46,060	$160	$7.4M
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.	26,970	$160	$4.4M
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.	10,120	$290	$2.9M
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.	15,490	$160	$2.4M
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.	10,700	$180	$1.9M
G0378	Hospital observation service, per hour	8,680	$150	$1.3M
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.	6,820	$180	$1.2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	19,130	$50	$937.3K
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…	660	$1,250	$826.8K

Showing 1–10 of 322

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

Bon Secours Mercy Health Petersburg LLC — 4 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

322 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.	40	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	44	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.	36	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.	17	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.	21	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	18	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.	34	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.	50	180	2,950	$140	$783.2K
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	76	80	650	$210	$752.6K
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.	33	170	3,390	$100	$658.8K

Showing 1–10 of 322

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia South Psychiatric & Family Services	VA	Psychiatry Physician	$0	$38.5M
Independent Family Services, LLC	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$14.9M
Aim Higher Supportive Services, Inc.	VA	Counselor	$0	$13.3M
Crossroads Treatment Center Of Petersburg, PC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$61.1K	$12.6M
Reliant Solutions, LLC	VA	Community/Behavioral Health Agency	$0	$9.1M
Visions Family Services, Inc.	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$7M
Independent Homes, Inc	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$6.7M
Taylors Enhanced Living Iii Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$5.6M
Southside Virginia Emergency Crew,inc.	VA	Ambulance	$375.8K	$2.2M
Nathan Langer	VA	Hematology & Oncology Physician	$966.7K	$0

Bon Secours Mercy Health Petersburg LLC — 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