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.

Albert Titus (NPI 1104802792)

Field	Value
Entity Type	Individual
Organization	Albert Titus
Address	4500 Sunny Isle Ste 26b
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Surgery Physician
NPI Enumerated	December 16, 2005

Payer Source	Total Paid
Medicare	$23.3K
Medicaid	$0

Key Findings

This provider is a small-scale Medicare biller: lifetime Medicare revenue is $23.3K and there is no Medicaid billing on file, making the practice effectively single-payer (Medicare) in the available claims data. The lack of Medicaid activity suggests limited engagement with state programs or that Medicaid billing occurs under a different NPI/affiliation not present in these records.

Revenue concentration is high: the precomputed top-three Medicare codes account for 84.9% of this provider's total Medicare revenue, indicating heavy reliance on a very small set of services. Specifically, 99204 contributes $12K (51.4%), G0105 contributes $4K (17.0%), and 99213 contributes $3.9K (16.6%) of Medicare revenue, so shifts in demand or reimbursement for these codes would materially affect overall revenue.

The code mix points to an outpatient, evaluation-and-management and screening-focused practice despite the Surgery Physician taxonomy. The largest revenue driver, 99204, is a new-patient E/M visit, and the presence of G0105 (colorectal cancer screening for high-risk patients) plus 43239 (diagnostic upper endoscopy biopsy) suggests the provider performs office consultations and diagnostic endoscopy/screening rather than high-volume inpatient surgical procedures.

Competitive standing by code shows modest to typical activity nationally. 99204 ranks #20993 of 227068 providers nationally (91th percentile) but is described as "typical, unremarkable volume for this code," while G0105 (rank #5131 of 8773, 39th percentile) and 99213 (rank #268391 of 457151, 41th percentile) are also labeled "typical, unremarkable volume for this code," indicating the provider does not appear as a dominant national outlier on its top services.

Even within its highest-revenue code, activity appears conventional rather than exceptional: the dataset’s plain-English labels for the top codes are consistently "typical, unremarkable volume," so while 99204 generates the majority of revenue, its utilization pattern aligns with normal national practice distributions. This reduces the likelihood that high revenue is due to unusually intensive coding on routine E/M services.

The practice shows some procedural diversity beyond E/M: 43239 (upper endoscopy with biopsy) appears among top codes (13 claims, $84 avg paid/claim, $1.1K revenue, 4.7% of Medicare revenue), indicating the provider performs diagnostic procedures in addition to office visits and colorectal screening. These procedure-level revenues are small relative to E/M and screening, suggesting procedures are ancillary to a consultative or screening-oriented workflow.

Tenure is long: the NPI was enumerated on 2005-12-16 (~21 years ago), which supports that the observed low-dollar Medicare footprint is a stable, longstanding billing pattern rather than a short-term anomaly. Analysts should consider that long enumeration paired with low total Medicare revenue may reflect a lower-volume practice, part-time work, or billing under another affiliated entity for larger procedural volumes.

For payer-mix and strategic implications, the combination of $23.3K in Medicare revenue and no Medicaid claims on file means payers and competitors should treat this provider as effectively single-payer (Medicare) in public billing records. Any competitive or network decisions based on Medicaid capacity would need supplemental local data or contract-level information, because state-program activity is not visible here.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	110	$110	$12K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	20	$180	$4K
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…	60	$70	$3.9K
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…	30	$90	$2.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	10	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Albert Titus — 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	59	80	100	$80	$15.5K
99213	56	80	100	$50	$7.6K
99204	3	40	40	$100	$4.4K
G0105	2	10	20	$180	$4.3K
43239	4	10	20	$100	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Surgical Partners, PC	VI	Surgery Physician	$0	$26.7K

Nearby Providers

Other providers in the same ZIP code as Albert Titus, ranked by combined Medicare and Medicaid revenue.

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
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Albert Titus — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References