Fauquier Medical Center LLC — Billing Profile & Reimbursement Data
NPI 1912334517 · Warrenton, VA · General Acute Care Hospital
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Fauquier Medical Center LLC is a general acute care hospital provider located in Warrenton, Virginia. This profile covers 0 Medicare and 160 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Fauquier Medical Center LLC |
| Address | 500 Hospital Dr |
| City | Warrenton |
| State | VA |
| ZIP | 20186 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | September 27, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.9M |
| Medicare | $0 |
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
160 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 13,890 | $170 | $2.3M |
| 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. | 12,430 | $180 | $2.2M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 6,090 | $140 | $834.9K |
| 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. | 3,930 | $170 | $679K |
| 97110 | Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with… | 12,700 | $50 | $660.6K |
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 2,810 | $230 | $656.6K |
| 97530 | The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity. | 11,320 | $60 | $633.7K |
| 99281 | The provider sees a patient for the lowest level emergency department visit. | 3,600 | $150 | $553.6K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 2,460 | $220 | $540.3K |
| 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. | 3,340 | $150 | $494.3K |
Showing 1–10 of 160
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
160 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 96361 | The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration. | 73 | 90 | 9,030 | $280 | $3.2M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 67 | 70 | 3,200 | $110 | $2.8M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 100 | 340 | 160 | $130 | $1.3M |
| 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. | 96 | 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. | 67 | 140 | 3,240 | $160 | $1M |
| G0378 | Hospital observation service, per hour | 58 | 80 | 3,650 | $160 | $1M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 94 | 620 | 70 | $120 | $1M |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 97 | 180 | 2,950 | $140 | $783.2K |
| 92507 | The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with… | 110 | 260 | 3,950 | $80 | $769.6K |
| 70450 | The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities. | 94 | 170 | 3,390 | $100 | $658.8K |
Showing 1–10 of 160
Nearby Providers
Other providers in the same ZIP code as Fauquier Medical Center LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Rappahannock-rapidan Community Services Board | VA | Community/Behavioral Health Agency | $0 | $53.4M |
| Alexandre Gauthier | VA | Ophthalmology Physician | $1.9M | $0 |
| Fauquier County Board Of Supervisors | VA | Ambulance | $853K | $864.1K |
| Sam Mansour | VA | Ophthalmology Physician | $1.5M | $0 |
| Salman Mufti | VA | Diagnostic Radiology Physician | $1.2M | $0 |
| Paul Butros | VA | Diagnostic Radiology Physician | $844.4K | $0 |
| Marena Patronas | VA | Ophthalmology Physician | $744.9K | $0 |
| Alessa Crossan | VA | Retina Specialist (Ophthalmology) Physician | $497.5K | $0 |
| Juan-carlos Caballero | VA | Dermatology Physician | $435K | $0 |
| Steven Von Elten | VA | Family Medicine Physician | $350.2K | $0 |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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