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.

Huntington Hospitalist Group Inc (NPI 1750710166)

Key Findings

Field	Value
Entity Type	Organization
Organization	Huntington Hospitalist Group Inc
Address	2900 1st Ave
City	Huntington
State	WV
ZIP	25702
Taxonomy	Hospitalist Physician
NPI Enumerated	November 6, 2013

Payer Source	Total Paid
Medicaid	$26M
Medicare	$0

This provider is effectively single‑payer in scope: Medicare billing is absent ("none below — this provider has no Medicare billing on file") while reported lifetime Medicaid revenue totals $26M. The absence of Medicare activity combined with substantial Medicaid receipts indicates that Medicaid drives the organization's scale and should be the primary focus for payer/provider analysis.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 70.7% of total Medicaid revenue. Those three codes are 99213 ($7.1M, 27.2%), 80307 ($6.5M, 25.0%), and G0480 ($4.8M, 18.5%), making them the dominant revenue drivers for this entity.

The code mix points to an operational focus on high-volume outpatient evaluation/management plus extensive drug testing capabilities. 99213 (established outpatient E/M) contributes $7.1M while 80307 (instrumented presumptive drug screening) and G0480 (definitive drug testing using GC/MS or LC/MS) together account for $11.3M; this pattern suggests the provider runs a high-throughput outpatient clinic or testing hub that pairs routine E/M visits with large-scale toxicology services.

Despite the provider taxonomy listing as Hospitalist Physician, the Medicaid claims mix shows a large behavioral health and substance-use treatment footprint. 90853 (group psychotherapy) appears at 48.6K claims with $680.1K revenue and ranks #1 of 103 in-state (100th percentile; extreme outlier), and multiple psychotherapy and psychiatric evaluation codes (90832, 90834, 90837, 90791) all appear among the top codes, supporting a substantial mental health service line co-located with testing services.

Competitive standing in-state is clearly dominant for the top codes: 99213 ranks #4 of 1273 providers in-state (100th percentile; extreme outlier), 80307 ranks #2 of 106 (99th percentile; extreme outlier), and G0480 ranks #2 of 54 (98th percentile; extreme outlier). These rank/percentile positions indicate the provider is a major statewide participant and an outlier in both high-volume E/M visits and laboratory drug-testing services.

Operational scale for testing is substantial when measured by claim counts: 80307 has 144.2K claims and G0480 has 66.6K claims, reflecting sustained, high-frequency throughput that likely requires dedicated specimen processing workflows and lab arrangements. The combination of very high claim volumes and extreme-outlier rank suggests centralized capacity and potential economies of scale in toxicology services.

There are also narrower service areas where the provider is a statewide leader despite smaller absolute revenue: 90962 (ESRD monthly management) appears with $21.1K revenue and ranks #1 of 10 in-state (100th percentile), and 90853 is likewise the top-ranked provider for group psychotherapy. These items point to specialized or concentrated offerings that the provider dominates within West Virginia even if they are not the largest revenue sources.

Given the high revenue concentration (70.7% from the top three Medicaid codes), extreme outlier ranks on core codes, and exclusive reliance on Medicaid ($26M) with no Medicare billing on file, this entity should be prioritized for comparative utilization benchmarking and program-level review against in-state peers. Analysts should focus initial audits or cost-effectiveness comparisons on 99213, 80307, and G0480 as the principal levers of financial and operational performance.

Medicaid: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150,150	$50	$7.1M
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.	144,180	$50	$6.5M
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	66,630	$70	$4.8M
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…	32,730	$70	$2.1M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	20,060	$90	$1.7M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	48,580	$10	$680.1K
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…	19,630	$30	$549.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	13,040	$40	$521.5K
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	6,210	$80	$471.7K
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…	3,680	$90	$342.6K

Showing 1–10 of 40

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

Huntington Hospitalist Group Inc — 9 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

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0038	Self‑help/peer services, per 15 minutes	43	60	3,310	$110	$1.6M
G0482	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	7	20	1,050	$80	$1.3M
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.	2	110	2,080	$50	$537.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	50	800	$70	$504.4K
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	2	20	690	$80	$346.6K
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…	4	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…	12	190	660	$40	$226.4K
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	29	40	730	$60	$224.8K
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…	22	1,030	890	$50	$221K
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	12	40	900	$20	$214.7K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Huntington Hospitalist Group Inc	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.5M
Robin Arora	WV	Nephrology Physician	$392.5K	$0
Staci Smith	OH	Nephrology Physician	$109K	$0
Misha Dent	WV	Physician Assistant	$33K	$0
Stephanie Welker	WV	Nurse Practitioner	$21.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Medical Center Inc	WV	General Acute Care Hospital	$0	$47.5M
Allied West Virginia Emergency Physicians PLLC	WV	Emergency Medicine Physician	$0	$8.2M
St. Mary's Medical Management, LLC	WV	Family Medicine Physician	$0	$7.6M
Valley Health Systems Inc	WV	Clinical Medical Laboratory	$299.4K	$7M
St Mary's Hospitalist Services, LLC	WV	Internal Medicine Physician	$0	$2.5M
Wecare Medical, LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$1.9M
Abbe Education And Staffing, LLC	WV	In Home Supportive Care Agency	$0	$1.2M
Rudy Malayil	WV	Interventional Pain Medicine Physician	$295.1K	$0
Sanjeev Sharma	WV	Radiation Oncology Physician	$269K	$0
Aamir Cheema	WV	Clinical Cardiac Electrophysiology Physician	$261.6K	$0

Huntington Hospitalist Group Inc — 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