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.

Ohio Valley Physicians Inc (NPI 1962433177)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ohio Valley Physicians Inc
Address	601 20th St
City	Huntington
State	WV
ZIP	25703
Taxonomy	Family Medicine Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$43M
Medicare	$0

This provider is effectively single‑payer in scale: there is no Medicare billing on file and all reported lifetime revenue is Medicaid‑based, totaling $43M. The absence of Medicare activity suggests this entity’s billing footprint, referral patterns, and payer negotiations are concentrated on Medicaid contracts and populations rather than a mixed Medicare/Medicaid panel.

Revenue is highly concentrated: the top three Medicaid codes account for 57.7% of the provider’s total Medicaid revenue. Those top contributors are 80307 ($13.6M, 32.3%), G0482 ($5.6M, 13.3%), and 99213 ($5.1M, 12.1%), indicating a small set of services drive the majority of dollars.

The code mix for the top revenue drivers points to a lab‑and-clinic hybrid operation: 80307 is a presumptive instrumented drug screen and G0482 is a definitive multi‑class drug test, together representing major shares of revenue, while 99213 represents high-volume established outpatient visits. This combination suggests the organization operates both high-throughput toxicology testing and front‑line ambulatory care (office encounters) rather than being limited to only one of those functions.

The provider is a dominant statewide performer in toxicology and alcohol testing: 80307 (294.9K claims, $13.6M revenue) ranks #1 of 106 in‑state and is labeled an "extreme outlier, far above typical state volume for this code." Likewise, 82075 (169.4K claims, $2.7M revenue) ranks #1 of 37 and is an "extreme outlier." Multiple lab codes (G0480, G0481, G0483) also sit at high state percentiles, confirming unusually large toxicology throughput relative to peers.

Definitive drug testing capacity appears substantial: G0482 ($5.6M, rank #2 of 18, 94th percentile) and G0480 ($3.4M, rank #3 of 54, 96th percentile) are both material revenue generators, and related definitive testing codes such as G0481 and G0483 add further volume. The presence of high‑rank, higher‑paid definitive test codes indicates investment in advanced laboratory methods (e.g., GC/MS, LC/MS) rather than only immunoassay screening.

Clinical care breadth includes emergency E/M and behavioral health services alongside lab work: emergency department codes 99285 ($2.1M) and 99284 ($1.9M) are both sizable and rank in high percentiles (95th), while psychotherapy and group therapy codes 90837 ($1.1M, 99th percentile), 90832, 90834 and 90853 also appear with meaningful revenue. The mix supports an integrated model providing urgent/emergent care plus behavioral health and substance‑use treatment services.

Primary care/clinic throughput is unusually large for the state: 99213 shows 136.8K claims and $5.1M revenue (12.1% of Medicaid revenue), ranking #6 of 1273 providers in‑state and described as an "extreme outlier, far above typical state volume for this code." This indicates very high volumes of low‑complexity established patient visits, consistent with a high‑access ambulatory clinic component.

The provider’s tenure and scale reinforce an established operation: its NPI was enumerated 2006‑07‑05 (~20 years ago) and the dataset shows very large claim counts on core codes (for example, 80307 at 294.9K claims and 82075 at 169.4K claims). Combined with the $43M Medicaid lifetime revenue and top codes concentrated at high statewide ranks or percentiles, the entity functions as a long‑standing, large Medicaid‑focused service provider and a major state‑level player in toxicology, alcohol testing, and high‑volume ambulatory care.

Medicaid: Complete Services Breakdown

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

120 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	294,860	$50	$13.6M
G0482	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…	49,890	$110	$5.6M
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…	136,790	$40	$5.1M
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…	49,630	$70	$3.4M
82075	The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content.	169,430	$20	$2.7M
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.	30,810	$70	$2.1M
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.	37,940	$50	$1.9M
G0481	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…	16,120	$100	$1.6M
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…	17,100	$60	$1.1M
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…	15,000	$50	$765.1K

Showing 1–10 of 120

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

Ohio Valley Physicians Inc — 15 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

120 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2036	Alcohol and/or other drug treatment program, per diem	35	40	29,190	$210	$7.8M
T1015	Clinic visit/encounter, all-inclusive	242	390	4,610	$130	$2.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	143	170	8,500	$80	$1.5M
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.	7	130	2,090	$210	$1.5M
G0482	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…	2	20	1,050	$80	$1.3M
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	170	3,350	$120	$1.1M
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.	21	160	3,690	$80	$714.8K
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.	1	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…	3	50	800	$70	$504.4K
G0481	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…	3	20	690	$80	$346.6K

Showing 1–10 of 120

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Ohio Valley Physicians Inc	OH	Substance Abuse Rehabilitation Facility	$0	$12.9M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$4.2M
Ohio Valley Physicians	KY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.4M
Ohio Valley Physicians, Inc	WV	Rural Health Clinic/Center	$0	$3.1M
Ohio Valley Physicians Inc	WV	Rural Health Clinic/Center	$0	$2.4M
Jonathan Hess	OH	Family Medicine Physician	$272.3K	$0
Robert Hess	WV	Family Medicine Physician	$187K	$0
Hussein Kashk	OH	Emergency Medicine Physician	$98.9K	$0
Brian Hornsby	WV	Internal Medicine Physician	$88.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$17.2M
University Physicians & Surgeons, Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M
Recovery Resource Group	WV	Community/Behavioral Health Agency	$0	$8.5M
Valley Health Systems Inc	WV	General Practice Physician	$0	$4.7M
Valley Health Systems, Inc	WV	Federally Qualified Health Center (FQHC)	$0	$3.8M
Tri-state Allergy, Inc	WV	Allergy Physician	$0	$1.8M
Valley Health Systems Inc	WV	Obstetrics & Gynecology Physician	$0	$1M
Contemplations Behavioral Health Services	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$919.6K
Huntington Physical Therapy Services Inc	WV	Physical Therapist	$0	$843K
Matthew Wilson	WV	Allergy Physician	$578.9K	$0

Ohio Valley Physicians Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References