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.

Wv Primary Care Inc (NPI 1821317330)

Field	Value
Entity Type	Organization
Organization	Wv Primary Care Inc
Address	924 Cross Lanes Dr
City	Cross Lanes
State	WV
ZIP	25313
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 24, 2010

Payer Source	Total Paid
Medicaid	$752.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	10,740	$50	$504.6K
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…	4,770	$40	$181.2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	3,300	$10	$26.4K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	2,130	$10	$17.1K
3288F	No Summary found for this code	280	$20	$5.8K
G0444	Annual depression screening, 5 to 15 minutes	340	$20	$5.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	340	$20	$5.4K
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…	50	$90	$4.2K
G8420	Bmi is documented within normal parameters and no follow-up plan is required	350	$10	$2.4K
99442	N/A	10	$10	$80

Showing 1–10 of 20

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

Wv Primary Care Inc — 2 of 11 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	349	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…	90	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…	241	340	140	$90	$97.5K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	137	150	580	$10	$22.2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	8	110	270	$10	$8.3K
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	2	30	190	$10	$5.8K
G8420	Bmi is documented within normal parameters and no follow-up plan is required	3	20	90	$10	$4.9K
1111F	No Summary found for this code	20	20	550	$1	$3.9K
99442	N/A	73	80	50	$10	$3.5K
1090F	Urinary incontinence refers to the leakage of urine due to lack of bladder control. The provider assesses a female patient of 65 years or older for the presence or absence of urinary incontinence…	7	20	80	$10	$2.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashish Sheth	WV	Internal Medicine Physician	$168K	$0
Terra Oney	WV	Family Nurse Practitioner	$27.3K	$0

Nearby Providers

Other providers in the same ZIP code as Wv Primary Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pro Careers, Inc	WV	Home Health Agency	$0	$41M
Hope Drug Rehabilitation LLC	WV	Community/Behavioral Health Agency	$0	$9.1M
First Care Services Inc.	WV	Case Management Agency	$0	$2.4M
Southern Home Care Services, Inc.	WV	Personal Care Attendant	$0	$1.8M
Womencare Inc	WV	Federally Qualified Health Center (FQHC)	$0	$1.6M
Birth-babies & Beyond LLC	WV	Public Health or Welfare Agency	$0	$1.3M
Meditelecare Of West Virginia PLLC	WV	Clinical Psychologist	$0	$962.6K
Arvind Viradia	WV	Internal Medicine Physician	$116.7K	$0
David Briscoe	WV	Physical Therapist	$84.6K	$0
Bryce Lefever	WV	Clinical Psychologist	$69.4K	$0

Wv Primary Care Inc — Billing Profile & Reimbursement Data

Sign up for Wv Primary Care Inc — Billing Profile & Reimbursement Data policy alerts

Wv Primary Care Inc — Billing Profile & Reimbursement Data

Sign up for Wv Primary Care Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References