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.

Potomac Valley Hospital Of W Va , Inc (NPI 1912979873)

Field	Value
Entity Type	Organization
Organization	Potomac Valley Hospital Of W Va , Inc
Address	100 Pin Oak Ln
City	Keyser
State	WV
ZIP	26726
Taxonomy	Critical Access Hospital
NPI Enumerated	February 6, 2006

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Medicaid: Complete Services Breakdown

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

182 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	13,010	$90	$1.1M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	16,540	$70	$1.1M
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.	9,490	$100	$929.7K
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.	1,120	$580	$652.4K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	4,200	$150	$616.7K
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.	3,900	$130	$491.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,280	$380	$489.5K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	19,540	$20	$332.1K
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.	2,000	$150	$297.7K
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.	4,470	$60	$255K

Showing 1–10 of 182

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

Potomac Valley Hospital Of W Va , Inc — 0 of 25 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

182 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	51	130	2,090	$210	$1.5M
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.	43	170	3,350	$120	$1.1M
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	17	20	720	$20	$721.7K
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.	33	160	3,690	$80	$714.8K
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.	36	80	950	$140	$559.5K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	89	110	2,080	$50	$537.1K
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	31	50	800	$70	$504.4K
G0378	Hospital observation service, per hour	38	50	940	$140	$363K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	30	110	5,530	$20	$344.8K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	11	30	2,810	$100	$340.9K

Showing 1–10 of 182

Related Providers

Other providers that share a Tax Identification Number (TIN) with Potomac Valley Hospital Of W Va , Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Potomac Valley Hospital Of W Va , Inc	WV	Emergency Medicine Physician	$0	$2.3M
Potomac Valley Hospital Of W Va , Inc	WV	Rural Health Clinic/Center	$0	$855K
Rabie Zalzal	WV	Internal Medicine Physician	$189.1K	$17.9K
Harshad Bokil	WV	Internal Medicine Physician	$146.5K	$58.3K
Vishal Gupta	WV	Gastroenterology Physician	$108.1K	$0
Brian Richardson	WV	Emergency Medicine Physician	$80K	$0
Lakshmi Muthukumar	WI	Cardiovascular Disease Physician	$77.8K	$0
Charles Bess	WV	Family Medicine Physician	$77.6K	$0
Joseph Nnadike	DC	Emergency Medicine Physician	$70.2K	$0
Brandon Wilson	WV	General Practice Physician	$62.3K	$6.4K

Nearby Providers

Other providers in the same ZIP code as Potomac Valley Hospital Of W Va , Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sycamore Run, LLC	WV	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.5M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$8.6M
Burlington United Methodist Family Services, Inc.	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$7.4M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$6.6M
Recovery Care LLC	WV	Specialist	$0	$3.5M
Developmental Center & Workshop, Inc.	WV	Developmentally Disabled Services Day Training Agency	$0	$2.7M
Aging & Family Services Of Mineral County, Inc	WV	In Home Supportive Care Agency	$0	$2.6M
Aging And Family Services Of Mineral County, Inc.	WV	Community/Behavioral Health Agency	$0	$1.6M
Recovery Care LLC	WV	Community/Behavioral Health Agency	$0	$1.3M
Heather Rosen-turley	WV	Family Medicine Physician	$41.8K	$635.7K

Potomac Valley Hospital Of W Va , Inc — Billing Profile & Reimbursement Data

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Potomac Valley Hospital Of W Va , 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

Related Providers

Nearby Providers

Frequently Asked Questions

References