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.

Foot And Ankle Clinic Of The Virginias Inc (NPI 1740227909)

Field	Value
Entity Type	Organization
Organization	Foot And Ankle Clinic Of The Virginias Inc
Address	401 Rogers St
City	Princeton
State	WV
ZIP	24740
Taxonomy	Podiatrist
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	5,460	$250	$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…	23,850	$40	$930.3K
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…	8,260	$60	$504K
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…	5,220	$60	$318.4K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	2,250	$120	$261.1K
11720	The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.	21,450	$10	$235.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	7,370	$30	$184.2K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	4,680	$30	$140.5K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	1,750	$80	$135K
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…	1,360	$90	$128K

Showing 1–10 of 46

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

Foot And Ankle Clinic Of The Virginias Inc — 10 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87801	The lab analyst performs a test for multiple infectious agents using amplified nucleic acid probe technique.	5	10	230	$40	$1.9M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	12	30	180	$40	$773.3K
L3000	Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each	1	10	220	$250	$470.5K
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…	94	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…	181	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…	176	1,030	890	$50	$221K
L3216	Orthopedic footwear, ladies shoe, depth inlay, each	1	10	1,160	$120	$134K
L4360	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a…	6	10	350	$190	$133.7K
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…	72	110	170	$100	$103.9K
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…	46	340	140	$90	$97.5K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Foot And Ankle Clinic Of The Virginias Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bradley Hoffman	WV	Foot & Ankle Surgery Podiatrist	$4.9M	$0
Joseph Protain	OH	Vascular Surgery Physician	$268.5K	$0
Seth Craft	MI	Foot & Ankle Surgery Podiatrist	$239.3K	$0
Mark Wilt	WV	Foot & Ankle Surgery Podiatrist	$116.5K	$0
James Chianese	WV	Foot & Ankle Surgery Podiatrist	$94K	$0
Marshal Gwynn	WV	Podiatrist	$91.9K	$0
Martin Mrozek	WV	Primary Podiatric Medicine Podiatrist	$90.6K	$0
Timothy Donatelli	WV	Podiatrist	$80K	$0
Douglas Dockery	WV	Podiatrist	$75.8K	$0
William Weily	NC	Podiatrist	$69.5K	$0

Nearby Providers

Other providers in the same ZIP code as Foot And Ankle Clinic Of The Virginias Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voca Corporation Of West Virginia, Inc.	WV	Developmental Disabilities Clinic/Center	$0	$178.3M
Southern Highlands Community Mental Health Center, Inc.	WV	Community/Behavioral Health Agency	$0	$44.2M
Princeton Community Hospital Assn., Inc.	WV	General Acute Care Hospital	$0	$41M
Southern Highlands Community Mental Health Center, Inc.	WV	Counselor	$0	$22M
Princeton Community Hospital Assn Inc.	WV	Urology Physician	$0	$15.4M
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$12.1M
Princeton Rescue Squad Inc	WV	Land Ambulance	$1.1M	$10.4M
Beautiful Minds Counseling Center	WV	Mental Health Counselor	$0	$4.1M
Bluefield Gastroenterology PLLC	WV	Specialist	$0	$4M
Inas Al-attar	WV	Pediatric Infectious Diseases Physician	$0	$3.9M

Foot And Ankle Clinic Of The Virginias Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

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Frequently Asked Questions

References