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.

James Mehaffey (NPI 1922366962)

Field	Value
Entity Type	Individual
Organization	James Mehaffey
Address	1215 Lee St
City	Charlottesville
State	VA
ZIP	22908
Taxonomy	Surgery Physician
NPI Enumerated	April 27, 2012

Payer Source	Total Paid
Medicare	$83.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33405	The provider replaces the aortic valve with an artificial valve (but not a homograft or ventless valve) via open access with the patient on cardiopulmonary bypass. She performs this procedure to…	20	$1,660	$31.6K
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	20	$1,340	$21.4K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	20	$590	$11.8K
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…	60	$100	$6K
99205	The provider sees a new 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 provider…	50	$130	$5.8K
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…	20	$130	$2.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$2.4K
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…	20	$90	$1.9K
33508	The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.	10	$10	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

James Mehaffey — 1 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33361	51	70	40	$580	$25.1K
33533	57	80	20	$950	$22.7K
33405	1	10	20	$1,440	$21.6K
99233	2,905	3,290	80	$90	$13.7K
99215	1,444	4,030	40	$120	$9.5K
99223	2,789	3,660	40	$130	$9.2K
99205	447	1,620	30	$150	$5.7K
99222	1,772	3,120	30	$100	$4.4K
33508	65	80	20	$10	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Virginia University Medical Corporation	WV	Family Medicine Physician	$0	$162.1M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Camden Clark Memorial Hospital Corporation	WV	General Acute Care Hospital	$0	$56.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Camden-clark Physician Corporation	WV	Surgery Physician	$0	$19.8M
Marion Area Physicians LLC	OH	Internal Medicine Physician	$0	$15.7M
Camden Clark Memorial Hospital Corporation	WV	Land Ambulance	$874.9K	$5.3M
Edward Kiggundu	WV	Radiation Oncology Physician	$835.2K	$0
David Weber	PA	Specialist	$292.8K	$498.8K
Matthew Oliverio	PA	Otolaryngology Physician	$175.2K	$514.5K

James Mehaffey — Billing Profile & Reimbursement Data

Sign up for James Mehaffey — Billing Profile & Reimbursement Data policy alerts

James Mehaffey — Billing Profile & Reimbursement Data

Sign up for James Mehaffey — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References