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.

Melinda Jo Edger (NPI 1871959049)

Field	Value
Entity Type	Individual
Organization	Melinda Jo Edger
Address	1830 Amherst St
City	Winchester
State	VA
ZIP	22601
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 4, 2016

Payer Source	Total Paid
Medicare	$22.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	120	$60	$6.7K
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…	80	$70	$6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	70	$70	$4.9K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	70	$60	$3.7K
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…	10	$60	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Melinda Jo Edger — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,099	12,890	140	$80	$21K
99213	5,052	12,440	90	$60	$10K
11042	145	270	80	$70	$9.6K
29581	6	10	60	$70	$4.9K
99203	4,509	4,920	30	$70	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Melinda Jo Edger, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hampshire Memorial Hospital, Inc.	WV	Critical Access Hospital	$0	$9.6M
East Mountain Health Physicians, Inc.	WV	Urgent Care Clinic/Center	$0	$5.1M
Hampshire Memorial Hospital, Inc.	WV	Rural Health Clinic/Center	$0	$4.2M
Eric Steuer	VA	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Jason Ruggiero	VA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Shaina Rubino Loverde	VA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
William Jones	VA	Urology Physician	$468.4K	$0
Shaik Samdani	VA	Physical Medicine & Rehabilitation Physician	$402.4K	$0
Edward Smith	VA	Internal Medicine Physician	$402K	$0
Frederick Kozlowski	VA	Internal Medicine Physician	$399.4K	$0

Melinda Jo Edger — Billing Profile & Reimbursement Data

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Melinda Jo Edger — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References