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.

Hampshire Memorial Hospital, Inc. (NPI 1881735660)

Hampshire Memorial Hospital, Inc. is a rural health clinic/center provider located in Romney, West Virginia. This profile covers 0 Medicare and 33 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	Hampshire Memorial Hospital, Inc.
Address	329 Sunrise Blvd
City	Romney
State	WV
ZIP	26757
Taxonomy	Rural Health Clinic/Center
NPI Enumerated	February 12, 2007

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.

33 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	41,130	$90	$3.8M
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…	12,580	$20	$201.2K
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…	14,950	$10	$119.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	1,230	$20	$24.6K
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…	620	$30	$19.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	4,170	$1	$16.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	360	$30	$10.7K
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…	170	$50	$9.2K
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…	310	$20	$5.3K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	2,440	$1	$4.9K

Showing 1–10 of 33

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

Hampshire Memorial Hospital, Inc. — 0 of 23 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

33 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	49	390	4,610	$130	$2.2M
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…	181	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…	58	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…	201	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…	88	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…	89	140	550	$50	$67.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	308	330	790	$10	$64.1K
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…	140	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…	92	440	110	$60	$57.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	30	150	810	$10	$45.8K

Showing 1–10 of 33

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hampshire Memorial Hospital, Inc.	WV	Critical Access Hospital	$0	$9.6M
Idean Amirjazil	VA	Cardiovascular Disease Physician	$251.4K	$0
Jeffrey Skiles	VA	Cardiovascular Disease Physician	$250.5K	$0
Daniel Hobbs	VA	Cardiovascular Disease Physician	$243.3K	$0
Karen Severson	IL	Psychiatry Physician	$242K	$0
Saif Al-najafi	VA	Cardiovascular Disease Physician	$237.1K	$0
Daniel Alexander	VA	Clinical Cardiac Electrophysiology Physician	$232.3K	$0
Jeffrey Lessar	VA	Pulmonary Disease Physician	$230.6K	$0
Daniel Reese	VA	Cardiovascular Disease Physician	$211.8K	$0
Melanie Mattson	VA	Cardiovascular Disease Physician	$193.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hampshire Co. Special Services Center	WV	Developmentally Disabled Services Day Training Agency	$0	$5.7M
E. A. Hawse Health Center, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$3.3M
Mountaineer Mental Health, LLC	WV	Professional Counselor	$0	$2.3M
Hampshire County Committee On Aging	WV	In Home Supportive Care Agency	$0	$1.8M
Trinity Family Health Care, LLC	WV	Family Nurse Practitioner	$0	$1.4M
Jerry Hahn	WV	Procedural Dermatology Physician	$1.1M	$0
Pulmonary Associates Inc	WV	Durable Medical Equipment & Medical Supplies	$0	$966.3K
Potomac Comprehensive Diagnostic And Guidance Center Inc	WV	Community/Behavioral Health Agency	$0	$761.5K
County Of Hampshire	WV	Land Ambulance	$123.7K	$198.7K
Chad Hott	WV	Family Nurse Practitioner	$187.4K	$0

Hampshire Memorial Hospital, Inc. — Billing Profile & Reimbursement Data

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Hampshire Memorial Hospital, 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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