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.

Maryview Hospital LLC (NPI 1750399192)

Field	Value
Entity Type	Organization
Organization	Maryview Hospital LLC
Address	3636 High St
City	Portsmouth
State	VA
ZIP	23707
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicaid	$74.9M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $74.9M in lifetime Medicaid revenue, making its footprint effectively single-payer at present; the absence of Medicare activity suggests payer-concentration risk and that most revenue, clinical volume, and contracting leverage will be driven by Medicaid relationships rather than Medicare-based business. The NPI was enumerated on 2006-08-03 (~20 years ago), which points to an established operating history in the market.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 40.1% of this provider's total Medicaid revenue, led by 99283 ($11M, 18.6%), 99284 ($7.1M, 12.1%), and 97110 ($5.6M, 9.5%). That concentration implies that emergency department and physical/occupational therapy services are the primary revenue drivers and represent a material share of financial performance.

The code mix shows a heavy emergency department throughput: 99283 (74.2K claims, $148 avg paid/claim, $11M) ranks #18 of 626 providers in-state (97th percentile; notably above typical state volume for this code), and companion ED codes 99284 and 99285 also show high absolute volumes. Together these ED-level E/M codes indicate the hospital manages a broad acuity spectrum and derives a substantial portion of Medicaid revenue from ED encounters rather than from elective inpatient DRGs or Medicare-driven outpatient procedures.

Maryview is a statewide leader in physical therapy and rehabilitation volume: 97110 is an extreme outlier (140.3K claims, $40 avg paid/claim, $5.6M; ranks #2 of 401 providers in-state, 100th percentile), and related codes 97530 (94.1K claims, $53 avg paid/claim, $5M; ranks #3 of 401, 100th percentile) and 97112 (94.5K claims, $11 avg paid/claim, $1M; ranks #2 of 203, 100th percentile) are likewise extreme outliers. These patterns point to a programmatic emphasis and capacity in therapy services that outpaces most in-state peers and likely requires dedicated rehab staffing and outpatient infrastructure.

While therapy and ED lines are clear strengths, other service lines appear closer to typical in-state volume: imaging (74177 at $2.1M, ranks #31 of 178, 83th percentile) and infusion/dehydration codes (96361 $3.8M, ranks #24 of 90, 74th percentile) fall into more ordinary percentile bands. This mix suggests Maryview’s market position is differentiated by ED and rehab dominance, while radiology and infusion services are present but not unusually concentrated compared with peers.

Several individual CPT/HCPCS codes mark Maryview as an outlier on specific services beyond total dollars: 97162 ranks #1 of 119 providers in-state (100th percentile; extreme outlier) for a moderate-complexity PT evaluation, and 97535 ranks #2 of 106 providers (99th percentile; extreme outlier) for therapeutic instruction. These top-rank designations reinforce that the provider’s clinical capacity and referral patterns heavily favor high-volume outpatient rehabilitation offerings.

Operationally, reliance on a few high-volume Medicaid codes (top three = 40.1% of Medicaid revenue) combined with no Medicare billing places both revenue and utilization concentration risk on continuation of Medicaid contracts and beneficiary flows; any policy or network changes affecting ED or therapy reimbursements could disproportionately impact the provider’s $74.9M Medicaid-revenue base. Analysts should treat payor strategy and Medicaid contract terms as primary levers for financial performance review.

Given the combination of long tenure (NPI enumerated 2006-08-03 (~20 years ago)) and the percentile ranks for core codes, Maryview should be viewed as a major in-state operator for emergency and therapy services: it consistently ranks in high percentiles for several high-revenue codes (e.g., 99283 at the 97th percentile, 97110 at the 100th percentile) and is therefore a competitive, high-volume destination for those service lines within Virginia.

Medicaid: Complete Services Breakdown

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

452 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.	74,180	$150	$11M
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.	45,400	$160	$7.1M
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…	140,290	$40	$5.6M
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.	30,740	$170	$5.1M
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.	94,050	$50	$5M
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.	15,200	$250	$3.8M
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.	26,960	$130	$3.5M
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.	10,220	$210	$2.1M
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	7,170	$270	$1.9M
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.	11,410	$160	$1.9M

Showing 1–10 of 452

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

Maryview Hospital LLC — 9 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

452 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	7	10	800	$5,190	$4.6M
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.	24	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	18	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.	31	340	160	$130	$1.3M
J2357	Injection, omalizumab, 5 mg	3	10	830	$990	$1.2M
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.	18	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.	5	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	34	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.	36	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.	31	180	2,950	$140	$783.2K

Showing 1–10 of 452

Related Providers

Other providers that share a Tax Identification Number (TIN) with Maryview Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sowjanya Nagabhirava	VA	Medical Oncology Physician	$1.6M	$0
Manan Mehta	VA	Hematology & Oncology Physician	$1.5M	$0
James Henick	VA	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$448.8K	$460
Michael Williams	VA	Urology Physician	$440.8K	$0
Catherine Brignoni	CA	Neurology Physician	$328.9K	$0
Ryan Seutter	VA	Cardiovascular Disease Physician	$292.9K	$580
Marc Rosenberg	VA	Cardiovascular Disease Physician	$268.3K	$130
Subramanian Malaisamy	VA	Pulmonary Disease Physician	$265.8K	$0
Anil Patel	VA	Pulmonary Disease Physician	$221.4K	$0
Stacey Epps	VA	Neurology Physician	$220.3K	$0

Nearby Providers

Other providers in the same ZIP code as Maryview Hospital LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fishing Point Health Care LLC	VA	General Practice Physician	$0	$169.8M
Safe Harbor Behavioral Healthcare, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$13.8M
Premier Home Health Care LLC	VA	Home Health Agency	$0	$9.4M
Connecting Communities, LLC	VA	Community/Behavioral Health Agency	$0	$9.2M
Anointed And Blessed Home Health Care, LLC	VA	Home Health Agency	$0	$7.4M
Patient Centered Care	VA	Home Health Agency	$0	$6.3M
Gloria's Angels Home Health Care	VA	Home Health Agency	$0	$6.1M
Tidewater Medical Transport, Inc	VA	Ambulance	$394.5K	$171.2K
Karen Olmo	VA	Physician Assistant	$251.2K	$0
Steven Blasdell	VA	Orthopaedic Surgery Physician	$171.8K	$1.2K

Maryview Hospital LLC — Billing Profile & Reimbursement Data

Sign up for Maryview Hospital LLC — Billing Profile & Reimbursement Data policy alerts

Maryview Hospital LLC — Billing Profile & Reimbursement Data

Sign up for Maryview Hospital LLC — Billing Profile & Reimbursement Data policy alerts

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