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 1750332565)

Key Findings

Field	Value
Entity Type	Organization
Organization	Logan General Hospital LLC
Address	20 Hospital Dr
City	Logan
State	WV
ZIP	25601
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicaid	$43.5M
Medicare	$0

LOGAN GENERAL HOSPITAL LLC shows no Medicare billing on file and reports $43.5M in lifetime Medicaid revenue, making it effectively a Medicaid-focused billing entity in the available data. The facility’s NPI was enumerated on 2006-05-15 (~20 years ago), indicating an established presence in the market that aligns with the sustained volumes reported.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes (99285, 99284, 87633) together account for 47.2% of the provider’s Medicaid revenue. Individually those codes are reported at 19.3% (99285), 18.1% (99284), and 9.8% (87633) of the $43.5M Medicaid total, signaling that emergency department E/M visits and respiratory molecular testing are the primary revenue drivers.

The code mix indicates an emergency-department-centric operating model: 99285 has 14.1K claims ($5.4M revenue) and 99284 has 33.9K claims ($5M revenue), with 99283 also present at 19K claims ($1.8M revenue). These volumes—especially the very large claim counts for 99284 and 99283—point to high ED throughput and substantial reliance on ED E/M billing as a core service line.

The provider also demonstrates substantial in-house laboratory capacity. 87633 shows 11.7K claims and $2.7M revenue and ranks #2 of 31 in-state (97th percentile, described as notably above typical state volume), while routine lab panels and phlebotomy appear at scale (80053: 65.2K claims, $1.3M revenue, 93rd percentile; 85025: 67.1K claims, $1.2M revenue, 94th percentile; 36415: 46.7K claims, $513.2K revenue, 97th percentile), supporting a picture of a hospital performing high volumes of diagnostic testing.

Competitive standing is mixed but strong for certain services: 99284 ranks #13 of 168 in-state (93rd percentile) and is flagged as notably above typical state volume, while 87633 and several lab/surgical pathology codes (11042 and 83605) rank at or near the top in-state (11042 rank #2 of 44, 83605 rank #2 of 57, both 98th percentile or described as notably above typical). For many imaging and infusion codes (e.g., 74177, 70450, J7030) the provider sits in more typical percentile bands (70th–82nd), indicating it is a major player for ED and lab services but more of a typical participant in imaging and some ancillary lines.

Observation, infusion, and imaging services contribute meaningfully but are not the dominant revenue sources: G0378 (hospital observation service) accounts for $1.5M (5.4% of Medicaid revenue) and ranks in the 75th percentile (typical), while CT and chest x-ray codes (74177, 70450, 71045) each appear with moderate revenue shares and typical state percentiles. This mix suggests the hospital operates as a full-service acute care facility with ED and lab strengths, supplemented by standard observation, imaging, and infusion capabilities.

Concentration of nearly half of Medicaid revenue in three codes (47.2%) implies operational sensitivity to changes in ED visit volumes or reimbursement for high-volume lab testing; because there is no Medicare billing on file, the provider’s reported revenue stream in this dataset is heavily dependent on Medicaid activity. Analysts should interpret the provider’s service exposure primarily through ED E/M and high-volume diagnostics when modeling financial or utilization scenarios.

Tenure and scale of basic services reinforce a community hospital role: the ~20-year NPI tenure combined with very large claim counts for basic diagnostics and ED E/M (for example, 67.1K claims for 85025 and 65.2K claims for 80053) indicate sustained, high-volume delivery of front-line acute care and outpatient testing within the state Medicaid market.

Medicaid: Complete Services Breakdown

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

307 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	14,130	$380	$5.4M
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.	33,900	$150	$5M
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	11,730	$230	$2.7M
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.	19,050	$90	$1.8M
G0378	Hospital observation service, per hour	4,660	$320	$1.5M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	65,160	$20	$1.3M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	67,100	$20	$1.2M
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.	5,010	$190	$957.7K
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.	4,660	$180	$834.1K
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…	1,520	$420	$634.8K

Showing 1–10 of 307

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 — 4 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

307 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.	19	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.	13	170	3,350	$120	$1.1M
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…	8	30	180	$40	$773.3K
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.	20	160	3,690	$80	$714.8K
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.	18	80	950	$140	$559.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	33	110	2,080	$50	$537.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	134	140	790	$90	$469.7K
87633	The lab analyst performs a test to identify a respiratory virus using amplified nucleic acid probe technique. He may also use a multiplex reverse transcription technique. The provider does this for…	2	30	300	$240	$420K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	15	20	1,530	$120	$383.5K
G0378	Hospital observation service, per hour	12	50	940	$140	$363K

Showing 1–10 of 307

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Logan General Hospital LLC	WV	Podiatrist	$0	$4.9M
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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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