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.

Jmh Emergency Physicians (NPI 1730482449)

Field	Value
Entity Type	Organization
Organization	Jmh Emergency Physicians
Address	300 S Preston St
City	Ranson
State	WV
ZIP	25438
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 20, 2010

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	11,260	$110	$1.2M
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.	6,220	$150	$920.4K
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.	4,930	$60	$305.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,140	$60	$68.5K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	4,430	$10	$35.4K
G9744	Patient not eligible due to active diagnosis of hypertension	2,790	$10	$30.7K
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…	130	$140	$18.6K
99053	The provider renders overnight services at a 24 hour facility.	170	$80	$13.4K
G8783	Normal blood pressure reading documented, follow-up not required	1,290	$10	$10.3K
1036F	N/A	40	$40	$1.3K

Showing 1–10 of 14

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

Jmh Emergency Physicians — 2 of 11 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

14 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.	35	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.	38	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.	63	160	3,690	$80	$714.8K
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…	34	60	170	$130	$189.3K
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.	97	100	1,200	$50	$135.9K
99053	The provider renders overnight services at a 24 hour facility.	6	10	250	$30	$99K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	67	150	810	$10	$45.8K
G8952	Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given	1	10	500	$10	$12.1K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	5	110	270	$10	$8.3K
G8783	Normal blood pressure reading documented, follow-up not required	3	20	70	$10	$7.6K

Showing 1–10 of 14

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jefferson Memorial Hospital	WV	Critical Access Hospital	$0	$21.6M
East Mountain Health Physicians, Inc.	WV	Urgent Care Clinic/Center	$0	$5.1M
Jefferson Pharmacy Inc	WV	Pharmacy	$13.8K	$2.1M
City Hospital, Inc.	WV	Internal Medicine Physician	$0	$1.9M
Jefferson County Council On Aging	WV	Home Health Agency	$0	$1.5M
Jefferson County Emergency Services Agency	WV	Land Ambulance	$336.8K	$638.2K
Jefferson Memorial Hospital	WV	Internal Medicine Physician	$0	$941.1K
Gagan Singh	WV	Ophthalmology Physician	$449K	$0
Said Sana	WV	Family Medicine Physician	$424.4K	$0
Eric Ingersoll	WV	Orthopaedic Surgery Physician	$18.1K	$69.8K

Jmh Emergency Physicians — Billing Profile & Reimbursement Data

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Jmh Emergency Physicians — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References