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.

Lewis Gale Physicians LLC (NPI 1902977705)

Field	Value
Entity Type	Organization
Organization	Lewis Gale Physicians LLC
Address	1802 Braeburn Dr
City	Salem
State	VA
ZIP	24153
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 13, 2006

Payer Source	Total Paid
Medicaid	$20.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

177 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…	123,460	$50	$5.9M
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…	85,590	$70	$5.6M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	56,900	$40	$2M
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…	12,050	$70	$831.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,330	$100	$639.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	6,920	$80	$539.4K
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…	6,810	$80	$517.9K
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…	4,510	$90	$424.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	7,500	$50	$405.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,560	$60	$367.4K

Showing 1–10 of 177

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. Virginia Distribution

Lewis Gale Physicians LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. Virginia median

177 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	453	630	90	$140	$1.1M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	130	140	3,240	$160	$1M
J0585	Injection, onabotulinumtoxina, 1 unit	21	20	750	$540	$871.7K
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	28	30	50	$1,670	$401.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	29	150	300	$420	$381.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	25	210	920	$140	$367.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	46	70	190	$570	$297K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	59	90	150	$520	$281.8K
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…	26	3,520	370	$70	$280.7K
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…	1,114	1,340	710	$90	$245K

Showing 1–10 of 177

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lewis Gale Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chippenham & Johnston-willis Hospitals Inc	VA	General Acute Care Hospital	$0	$103.7M
Hca Health Services Of Virginia Inc	VA	General Acute Care Hospital	$0	$64.5M
Columbia/hca John Randolph, Inc.	VA	General Acute Care Hospital	$0	$49.1M
El Paso Healthcare System Ltd	TX	General Acute Care Hospital	$0	$38.5M
Spotsylvania Medical Center Inc	VA	General Acute Care Hospital	$0	$31M
Rockbridge Area Community Services Board	VA	Community/Behavioral Health Agency	$0	$25.3M
Mission Health Community Multispecialty Providers, LLC	NC	Internal Medicine Physician	$0	$24.1M
Columbia Medical Center Of Arlington Subsidiary LP	TX	General Acute Care Hospital	$0	$21.8M
Columbia Hospital At Medical City Dallas Subsidiary LP	TX	General Acute Care Hospital	$0	$21.5M
Reston Hospital Center LLC	VA	General Acute Care Hospital	$0	$14.9M

Nearby Providers

Other providers in the same ZIP code as Lewis Gale Physicians LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lewis-gale Medical Center, LLC	VA	General Acute Care Hospital	$0	$51.8M
Virginia Baptist Children's Home & Family Services	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$43.8M
Innovative Community Solutions, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.3M
Lake Spring Emergency Group, LLC	VA	Emergency Medicine Physician	$0	$11.3M
Phc Of Virginia, LLC	VA	Substance Abuse Rehabilitation Facility	$0	$10.6M
Roanoke Valley Center For Sight LLC	VA	Ambulatory Surgical Clinic/Center	$8.4M	$1.7M
Care Advantage, Inc.	VA	Home Health Agency	$0	$8.4M
Springhealth Behavioral Health And Integrated Care Virginia, LLC	VA	Community/Behavioral Health Agency	$0	$8M
Kimberly Aderhold	VA	Hematology & Oncology Physician	$1.8M	$0
Roanoke Surgery Center, LP	VA	Ambulatory Surgical Clinic/Center	$1.3M	$122.8K

Lewis Gale Physicians LLC — Billing Profile & Reimbursement Data

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Lewis Gale Physicians LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References