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.

Alexandria Springfield Emergency Physicians PC (NPI 1740529700)

Alexandria Springfield Emergency Physicians PC is a emergency medicine physician provider located in Franklin, Virginia. This profile covers 0 Medicare and 29 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	Alexandria Springfield Emergency Physicians PC
Address	100 Fairview Dr
City	Franklin
State	VA
ZIP	23851
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 11, 2013

Payer Source	Total Paid
Medicaid	$21.9M
Medicare	$0

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

29 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.	169,480	$60	$10.2M
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.	92,100	$90	$8.5M
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.	67,110	$30	$2.3M
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…	8,200	$120	$959.2K
99292	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…	310	$90	$28K
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.	310	$30	$8.8K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	130	$40	$4.6K
99281	The provider sees a patient for the lowest level emergency department visit.	240	$20	$3.6K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	10	$160	$1.9K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	40	$40	$1.7K

Showing 1–10 of 29

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

Alexandria Springfield Emergency Physicians PC — 3 of 16 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

29 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.	6	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.	23	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.	107	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.	3	620	70	$120	$1M
99281	The provider sees a patient for the lowest level emergency department visit.	65	100	610	$160	$242.1K
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…	8	130	440	$120	$197K
12001	This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in…	41	80	170	$190	$66.8K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	56	60	260	$120	$61.9K
12011	This CPT code is used for the simple repair of superficial wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes, that are 2.5 cm or less in size.	38	50	90	$200	$54K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	170	280	190	$1	$32.3K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Sparks	VA	Emergency Medicine Physician	$70.4K	$1.8K
Irina Brennan	VA	Emergency Medicine Physician	$53.8K	$0
Gregory Cope	DC	Emergency Medicine Physician	$45.2K	$0
Deron Page	VA	Physician Assistant	$26.9K	$0
Troy Prentice	VA	Surgical Physician Assistant	$23.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elite Home Health Care, LLC	VA	Home Health Agency	$0	$16.7M
Bon Secours Mercy Health Franklin LLC	VA	General Acute Care Hospital	$0	$8.7M
Levoc Family Services	VA	Community/Behavioral Health Agency	$0	$8.6M
Uplifting Hands Home Health Care LLC	VA	Home Health Agency	$0	$5.8M
Manish Patel	VA	Orthopaedic Surgery Physician	$712.6K	$2K
Alan Edwards	VA	Internal Medicine Physician	$213.4K	$128.5K
Dana Stallings	VA	Family Nurse Practitioner	$106.3K	$1.7K
Ping Gao	VA	Physician Assistant	$77.3K	$0
Candace Lankford	VA	Psychiatric/Mental Health Nurse Practitioner	$9.4K	$0

Alexandria Springfield Emergency Physicians PC — Billing Profile & Reimbursement Data

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Alexandria Springfield Emergency Physicians PC — 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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