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.

Hospital Development Co (NPI 1790745172)

Field	Value
Entity Type	Organization
Organization	Hospital Development Co
Address	200 Hospital Dr
City	Spencer
State	WV
ZIP	25276
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	March 28, 2006

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	51,340	$190	$9.8M
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…	23,090	$10	$115.4K
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…	13,600	$10	$68K
3008F	No Summary found for this code	2,640	$20	$47.5K
1159F	No Summary found for this code	2,460	$1	$9.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,080	$10	$9.7K
3074F	No Summary found for this code	420	$20	$9.7K
1220F	No Summary found for this code	2,310	$1	$9.2K
G0008	Administration of influenza virus vaccine	140	$70	$9K
3079F	No Summary found for this code	350	$20	$8.4K

Showing 1–10 of 53

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

Hospital Development Co — 0 of 24 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	40	390	4,610	$130	$2.2M
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.	149	170	3,350	$120	$1.1M
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…	97	1,270	1,240	$30	$245K
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…	63	1,030	890	$50	$221K
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…	198	340	140	$90	$97.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	100	150	520	$50	$76.2K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	103	140	550	$50	$67.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	127	190	110	$70	$63.4K
99203	The provider sees a new 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 provider…	123	440	110	$60	$57.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	35	70	230	$40	$51.2K

Showing 1–10 of 53

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Development Co	WV	Critical Access Hospital	$0	$14.6M
Hospital Development Co	WV	Rural Health Clinic/Center	$0	$7.5M
Hospital Development Co	WV	Rural Health Clinic/Center	$0	$1.1M
Hospital Development Co	WV	Ambulance	$139.8K	$280.1K
Jonathan Hess	OH	Family Medicine Physician	$272.3K	$0
James Perry	WV	Critical Care Medicine (Internal Medicine) Physician	$237.8K	$0
Ryan Waddell	WV	Pulmonary Disease Physician	$209.8K	$0
William Wade	WV	Critical Care Medicine (Internal Medicine) Physician	$200.4K	$0
Kevin Eggleston	WV	Critical Care Medicine (Internal Medicine) Physician	$195.2K	$0
Robby Keith	WV	Critical Care Medicine (Internal Medicine) Physician	$194.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roane County Family Health Care, Inc.	WV	Family Medicine Physician	$0	$6.5M
Roane County Emergency Squad Inc	WV	Land Ambulance	$150.7K	$1.7M
Sabir Hussain	WV	Hematology & Oncology Physician	$87.2K	$0
Bruce Dye	WV	Sports Physician Chiropractor	$57.6K	$430
Richard Criser	WV	Family Nurse Practitioner	$56.1K	$0
Wal-mart Stores East LP	WV	Community/Retail Pharmacy	$50.2K	$1.8K
Carroll Christiansen	WV	Family Medicine Physician	$6.1K	$0

Hospital Development Co — Billing Profile & Reimbursement Data

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Hospital Development Co — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References