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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Acute Alternative Medical Group (NPI 1053567883)

Key Findings

Field	Value
Entity Type	Organization
Organization	Acute Alternative Medical Group
Address	4000 Diamond Ruby Suite 3
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	August 12, 2008

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

This provider is effectively a Medicaid-only biller: Medicare revenue is listed as "none below" while Medicaid revenue totals $1.9M, so all reported programmatic billing on file is through Medicaid rather than Medicare. That payer concentration implies operational and revenue sensitivity to state Medicaid policies and reimbursement levels.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes account for 77.6% of total Medicaid revenue. The single largest contributor is 99214, which alone generates $929.7K (48.8% of Medicaid revenue), indicating the practice’s business is driven largely by established outpatient E/M encounters.

Code mix points to an outpatient clinic model with substantial diagnostic testing capacity: high volumes and revenue for 99214 and 99204 (new-patient E/M) combined with diagnostic vascular studies 93922 ($317.3K, 16.7%) and procedural/testing codes such as 99354, 93306, and pulmonary testing (94621, 94727/94729) suggest the provider delivers both evaluation-and-management visits and on-site physiologic/diagnostic services. This pattern is more consistent with an ambulatory specialty/urgent care operation than a pure emergency transport or inpatient emergency service despite the Emergency Medicine taxonomy.

Competitive standing is mixed by code: the provider ranks #3 of 43 for 99214 (95th percentile), which places it in the upper tier statewide for that E/M code even though the note characterizes the volume for the code as typical. For 93922 the provider ranks #1 of 2 in-state (100th percentile) and for 99204 it ranks #1 of 25 (100th percentile) — the latter is flagged as an "extreme outlier, far above typical state volume," signaling unusually high new-patient high-complexity E/M activity relative to state peers.

There are service-line outliers and sole-provider offerings in the state: 94621 (complex CPET) is listed as 144 claims and $19.3K revenue and is ranked #1 of 1 providers in-state with no peer comparison available, indicating this provider may be the only Medicaid-billing source for that test in the state. Similarly, several pulmonary and cardiac diagnostic add-on codes (94727/94729, 93306) are present but represent much smaller shares of revenue.

Lower-revenue, high-claim-volume items reflect ancillary testing and public-health services: COVID test codes 87811 and 87635 together account for $98.5K (2.8% and 2.4% respectively) and high claim counts (1.4K and 948), showing the practice billed substantial specimen testing alongside clinical visits during the reporting period. Routine lab panels and endocrine tests (e.g., 80061, 84443, 82607, 84481) appear across the top-25 list but each contributes only small percentages of total Medicaid revenue, consistent with on-site or closely integrated lab services supporting clinical care.

The provider’s NPI tenure is long-standing: enumerated 2008-08-12 (~18 years ago), indicating an established presence in the market. That longevity combined with high-percentile rankings on several key codes suggests the provider is a stable local player with concentrated clinical offerings rather than a new entrant.

The business risk profile is concentrated: because nearly 78% of Medicaid revenue is tied to three codes (99214, 93922, 99204), changes in utilization patterns, Medicaid coverage, or reimbursement for these specific E/M and vascular testing codes would materially affect the provider’s revenue. Analysts should treat performance on those three codes as the primary lever for financial and operational assessment.

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	8,770	$110	$929.7K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	4,290	$70	$317.3K
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…	1,410	$160	$230.5K
99354	N/A	990	$130	$132.1K
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…	520	$120	$64.5K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	1,360	$40	$53K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	950	$50	$45.5K
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…	270	$110	$29.8K
94621	The provider performs complex cardiopulmonary exercise testing (CPET) to evaluate the heart and lung function. The procedure includes measuring minute ventilation (the volume of gas exhaled). Minute…	140	$130	$19.3K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,060	$10	$12.7K

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. U.S. Virgin Islands Distribution

Acute Alternative Medical Group — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	11	20	1,920	$110	$858.9K
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…	3	40	560	$140	$322K
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…	31	40	430	$110	$260.9K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	6	10	1,020	$110	$229.8K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	1	10	2,470	$80	$185.4K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	4	10	1,820	$60	$153.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	6	10	560	$70	$130.2K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	8	10	210	$40	$123K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	3	10	4,120	$40	$121.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	3	10	420	$80	$113.7K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lyn Campbell	VI	Emergency Medicine Physician	$173.1K	$0
Ramesh Lakhram	VI	Internal Medicine Physician	$43.5K	$9.5K
Tamara Anderson	VI	Nurse Practitioner	$39.7K	$0
Charlotte Henry	VI	Registered Dietitian	$10.2K	$0
Aaron Boswell	VI	Family Nurse Practitioner	$2.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Acute Alternative Medical Group — 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