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.

Virgin Islands Dermatology, Inc. (NPI 1073151866)

Field	Value
Entity Type	Organization
Organization	Virgin Islands Dermatology, Inc.
Address	9150 Estate Thomas Ste 106
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Dermatology Physician
NPI Enumerated	December 12, 2019

Payer Source	Total Paid
Medicaid	$133.7K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $133.7K in lifetime Medicaid revenue, making its payment activity effectively single-payer (Medicaid) in the available data. Analysts should treat Medicare comparisons as not applicable for this entity because there are no Medicare claims to benchmark against.

Revenue is heavily concentrated in a narrow set of visit codes: the top 3 Medicaid codes by revenue account for 99.4% of this provider's total Medicaid revenue, with 99213 bringing $73.1K (54.6%), 99203 bringing $54.5K (40.7%), and 99214 bringing $5.4K (4.0%). This concentration indicates that almost all Medicaid dollars flow through routine evaluation-and-management visits rather than procedures.

The code mix indicates an outpatient dermatology practice model focused on evaluation and management: 99213 and 99203 (established and new patient office visits) together dominate revenue, while procedure codes such as 11900 (intralesional injection) and J3301 (triamcinolone injection) together contribute only a trivial share of revenue. This pattern suggests the operation prioritizes clinic visits and patient evaluations over procedural throughput.

Competitive standing by code is mixed: for new-patient visits (99203) the provider ranks #4 of 20 in-state and sits at the 84th percentile, and the file labels this as "typical, unremarkable volume for this code," indicating the practice sees relatively strong new-patient Medicaid volume compared with most in-state peers but not an outlier. This elevated rank for 99203 suggests the provider is a meaningful access point for new Medicaid dermatology patients in the territory.

For established-patient low-complexity visits (99213), the provider reports 937 claims, $78 avg paid/claim, and $73.1K revenue, ranking #13 of 41 providers in-state at the 70th percentile; the data label is "typical, unremarkable volume for this code," placing the provider as a modest but not dominant participant for routine follow-up visits. That middling percentile implies routine clinic volume consistent with a stable outpatient practice rather than a high-volume center.

Higher-complexity established visits (99214) are a minor element of this book of business: 41 claims produced $5.4K (4.0% of Medicaid revenue) and the provider ranks #36 of 43 in-state at the 14th percentile, again described as "typical, unremarkable volume for this code." This low relative standing on 99214 suggests limited throughput of moderate-complexity management visits compared with peers.

Procedure and drug codes are negligible contributors: 11900 appears on 12 claims for $708 (0.5% of Medicaid revenue) and is listed as #1 of 1 providers in-state with "no state peer volume comparison available," while J3301 shows 42 claims for $84 (0.1% of Medicaid revenue) and ranks #3 of 3 in-state (0th percentile; "typical, unremarkable volume"). These items indicate the provider offers some intralesional corticosteroid treatments but they do not materially drive revenue.

The provider's NPI was enumerated on 2019-12-12 (~7 years ago), giving it a moderate tenure in the public billing record; combined with the concentrated Medicaid revenue profile, this suggests an established local dermatology practice with a stable outpatient E/M focus rather than a procedure-heavy specialty operation.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	940	$80	$73.1K
99203	The provider sees a new 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 provider…	520	$110	$54.5K
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…	40	$130	$5.4K
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	10	$60	$710
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	$1	$80

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

Virgin Islands Dermatology, Inc. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	36	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…	13	40	430	$110	$260.9K
99203	The provider sees a new 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 provider…	4	20	80	$90	$27K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3	10	40	$1	$890
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	1	10	10	$60	$710

Nearby Providers

Other providers in the same ZIP code as Virgin Islands Dermatology, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Virgin Islands Dermatology, Inc. — Billing Profile & Reimbursement Data

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Virgin Islands Dermatology, 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

Nearby Providers

Frequently Asked Questions

References