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.

Ohio Valley Physicians Inc (NPI 1811470503)

Ohio Valley Physicians Inc is a rural health clinic/center provider located in Williamson, West Virginia. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ohio Valley Physicians Inc
Address	141 E 2nd Ave Ste 100
City	Williamson
State	WV
ZIP	25661
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	September 10, 2018

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	29,130	$100	$2.9M
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…	36,110	$10	$397.2K
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.	13,360	$20	$213.8K
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…	1,120	$150	$162.4K
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.	3,270	$50	$153.6K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	13,870	$10	$97.1K
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…	690	$110	$77.4K
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…	1,680	$30	$50.4K
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…	340	$90	$28.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	520	$50	$27.8K

Showing 1–10 of 22

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

Ohio Valley Physicians Inc — 2 of 20 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	76	390	4,610	$130	$2.2M
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…	9	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.	48	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…	43	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…	12	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…	61	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…	389	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.	7	40	900	$20	$214.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	178	310	740	$80	$178.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	287	330	790	$10	$64.1K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio Valley Physicians Inc	WV	Family Medicine Physician	$0	$43M
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Ohio Valley Physicians Inc	OH	Substance Abuse Rehabilitation Facility	$0	$12.9M
Ohio Valley Physicians	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Ohio Valley Physicians, Inc	WV	Rural Health Clinic/Center	$0	$3.1M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$2.4M
Jonathan Hess	OH	Family Medicine Physician	$272.3K	$0
Robert Hess	WV	Family Medicine Physician	$187K	$0
Hussein Kashk	OH	Emergency Medicine Physician	$98.9K	$0
Brian Hornsby	WV	Internal Medicine Physician	$88.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Williamson Health & Wellness Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$12.8M
Lighthouse Community Investment Agency Inc	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$9.8M
Williamson Treatment Center, LLC	WV	Methadone Clinic	$446.4K	$8.9M
Williamson Health & Wellness Center Inc	WV	Federally Qualified Health Center (FQHC)	$0	$5.5M
Aurora Project Associates LLC	WV	Substance Abuse Rehabilitation Facility	$0	$5.1M
Williamson Memorial Hospital LLC	WV	General Acute Care Hospital	$0	$3.7M
Coalfield Community Action Partners	WV	Personal Care Attendant	$0	$1.9M
Williamson Treatment Center, LLC	WV	Methadone Clinic	$0	$1.6M
Tug Valley Wellness Center, LLC	WV	Family Medicine Physician	$0	$1.3M
Coalfield Community Action Partners	WV	Homemaker	$0	$1.3M

Ohio Valley Physicians Inc — Billing Profile & Reimbursement Data

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Ohio Valley Physicians Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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