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.

Matthew Hengy (NPI 1801885157)

Field	Value
Entity Type	Individual
Organization	Matthew Hengy
Address	6307 Harrison Rd
City	Fredericksburg
State	VA
ZIP	22407
Taxonomy	Family Medicine Physician
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicare	$13.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 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…	210	$50	$10.7K
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	50	$30	$1.4K
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…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Matthew Hengy — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,143	12,440	90	$60	$10K
99203	3,341	4,920	30	$70	$3.8K
99423	1	10	30	$30	$900

Nearby Providers

Other providers in the same ZIP code as Matthew Hengy, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Angelic Place LLC	VA	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$14.7M
National Counseling Group, Inc	VA	Mental Health Counselor	$0	$9.9M
Deepak Kakar Dds	VA	Pediatric Dentistry	$0	$9.5M
Binoy Jani	VA	Ophthalmology Physician	$733.8K	$0
Jennifer Ross	VA	Internal Medicine Physician	$351.1K	$0
Hong Nguyen	VA	Internal Medicine Physician	$296.7K	$0
Bhavin Suthar	VA	Specialist	$287.4K	$920
Eunha Park	VA	Physical Therapist	$258K	$0
Dawn Alexander	VA	Family Medicine Physician	$126.1K	$0
Scott Hyldahl	VA	Physical Therapist	$119.9K	$0

Matthew Hengy — Billing Profile & Reimbursement Data

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Matthew Hengy — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References