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.

Centra Health Inc (NPI 1770693939)

Field	Value
Entity Type	Organization
Organization	Centra Health Inc
Address	3300 Rivermont Ave
City	Lynchburg
State	VA
ZIP	24503
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$78.6M
Medicare	$0

Key Findings

CENTRA HEALTH INC is effectively a single-payer Medicaid hospital in the available data: the profile shows no Medicare billing on file while Medicaid revenue totals $78.6M, indicating Medicaid is the measurable source of lifetime government payer revenue for this NPI. The absence of Medicare claims suggests the facility’s public payer exposure is concentrated in Medicaid rather than a balanced Medicare/Medicaid mix.

Revenue concentration is high: the precomputed top three Medicaid codes account for 42.9% of total Medicaid revenue, meaning a minority of services generate nearly half of the reported Medicaid revenue. This concentration implies the provider’s financial performance on Medicaid depends heavily on a few high-volume or high-priced outpatient and ED-related services.

The code mix and descriptions show the facility operates a high-volume emergency and infusion/observation practice: dominant Medicaid codes include 99285, 96361, and 99284/99283 among the top revenue drivers, reflecting frequent high-acuity and infusion-based encounters in the ED and outpatient infusion settings. Substantial volumes of observation care (G0378) and infusion initiation/continuation codes (96365, 96360, 96366) further support a practice model centered on ED throughput, intravenous therapies, and acute outpatient management.

CENTRA ranks as a strong statewide competitor for many ED and infusion codes: 99285 ranks #13 of 340 providers (96th percentile) and 96361 ranks #7 of 90 providers (93th percentile), both flagged as notably above typical state volume. Several other codes—99284, 99283, 96365, 96360, 80053—also sit in the high percentiles (ranging from the mid-80s to mid-90s), indicating the provider is a major regional site for emergency visits, IV therapy, and related diagnostic services.

There are statistical outliers in the provider’s Medicaid mix that warrant attention: code 0241U appears as an extreme outlier (ranks #1 of 90 providers, 100th percentile) with 25.2K claims and $1.6M revenue, a volume far above typical state activity for that code. Similarly, 99285 and multiple infusion codes are described as "notably above typical state volume," signaling unusually large utilization relative to in-state peers rather than typical or unremarkable volumes.

Service breadth includes advanced imaging, cardiology diagnostics, and oncology infusions: notable line items include CT abdomen/pelvis with contrast 74177, CT head 70450, CTA chest 71275, echocardiography 93306, and high-cost oncology drug J9271 (pembrolizumab). These entries (each contributing single-digit percentages of Medicaid revenue) indicate the hospital provides a range of acute diagnostic and specialty infusion services beyond core ED care.

Operational tenure is long-standing: the NPI was enumerated around 2006-08-30 (~20 years ago), indicating two decades of operation under this identifier and suggesting established relationships with Medicaid payers and referral patterns in Lynchburg, VA. This history helps explain the high cumulative Medicaid volume recorded.

Although many codes are high-volume, several high-cost single-item services remain relatively modest in rank statewide: J9271 (pembrolizumab) and 96413 (chemotherapy infusion) generate meaningful revenue ($2M and $1.1M respectively) but rank in the mid to lower ranges among in-state providers, implying the center provides oncology services without being a dominant statewide oncology hub.

Medicaid: Complete Services Breakdown

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

493 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.	57,020	$160	$9.1M
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.	32,260	$280	$9M
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.	51,680	$160	$8.4M
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.	50,610	$160	$8.1M
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.	11,080	$230	$2.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	43,100	$50	$2.1M
J9271	Injection, pembrolizumab, 1 mg	440	$4,520	$2M
G0378	Hospital observation service, per hour	11,450	$150	$1.8M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,270	$230	$1.7M
0241U	N/A	25,240	$70	$1.6M

Showing 1–10 of 493

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

Centra Health Inc — 8 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

493 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9271	Injection, pembrolizumab, 1 mg	6	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.	7	90	9,030	$280	$3.2M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	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.	13	340	160	$130	$1.3M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	6	10	450	$540	$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.	32	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.	41	140	3,240	$160	$1M
G0378	Hospital observation service, per hour	13	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.	29	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.	24	180	2,950	$140	$783.2K

Showing 1–10 of 493

Related Providers

Other providers that share a Tax Identification Number (TIN) with Centra Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centra Health Inc	VA	General Acute Care Hospital	$0	$18.5M
Audrey Graham	VA	Diagnostic Radiology Physician	$290K	$0
Matthew Sackett	VA	Clinical Cardiac Electrophysiology Physician	$280.5K	$0
Richard Kuk	VA	Clinical Cardiac Electrophysiology Physician	$270.6K	$0
Jose Silva	VA	Clinical Cardiac Electrophysiology Physician	$265.5K	$0
Weijuan Li	VA	Cardiovascular Disease Physician	$204.5K	$0
John Plankeel	VA	Pulmonary Disease Physician	$183.8K	$0
Matthew Tomlin	VA	Diagnostic Radiology Physician	$182.1K	$1.3K
Thomas Meyer	VA	Cardiovascular Disease Physician	$172.2K	$0
Robert Brindle	VA	Diagnostic Radiology Physician	$168.3K	$0

Nearby Providers

Other providers in the same ZIP code as Centra Health Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centra Medical Group, LLC	VA	Family Medicine Physician	$0	$60.1M
Presbyterian Homes & Family Services, Inc	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$28.9M
Centra Outpatient Rehabilitation Services LLC	VA	Physical Therapist	$0	$7M
Shields Callahan	VA	MOHS-Micrographic Surgery Physician	$526.4K	$0
Alexandra Hickman	VA	Dermatology Physician	$224.1K	$0
Anita Hilliard	VA	Specialist	$219.4K	$0
Kappa Peddy	VA	Dermatology Physician	$200.9K	$0
Jennifer Mahan	VA	Physician Assistant	$178.5K	$0
William Fancher	VA	Diagnostic Radiology Physician	$159.8K	$0
Heidi Lipp	VA	Diagnostic Radiology Physician	$115K	$0

Centra Health 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