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    OpenPayerNPI Medicare & MedicaidJeffrey Chase
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    Jeffrey Chase — Billing Profile & Reimbursement Data

    NPI 1134211576 · St Thomas, VI · Sports Medicine (Orthopaedic Surgery) Physician

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    Jeffrey Chase is a sports medicine (orthopaedic surgery) physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Chase
    Address9149 Estate Thomas
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomySports Medicine (Orthopaedic Surgery) Physician
    NPI EnumeratedSeptember 29, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$88.6K
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single-payer on record: total Medicare revenue is $88.6K while there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s reported revenue. That concentration means payer-specific risk and utilization should be interpreted primarily through the Medicare lens rather than a dual-payer mix.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes account for 58.4% of this provider’s Medicare revenue, driven by 99213 ($24.7K, 27.9%), 27447 ($14.3K, 16.1%), and 97110 ($12.7K, 14.3%). This concentration indicates that a few office/therapy and surgical codes dominate the revenue profile and should be the focus for utilization or contract reviews.

    The CPT mix aligns with a sports medicine/orthopaedic surgery practice that blends office-based E/M, nonoperative management, and some operative care: high volumes of 99213 and 99203 reflect routine outpatient visits, 97110 and related therapy codes indicate active therapeutic exercise or rehab services, and 27447 (total knee arthroplasty) plus intra‑articular procedures (20610, J7324, J3301) show intermittent procedural and joint-replacement activity. Together these codes point to a practice model that manages patients across the nonoperative-to-operative continuum.

    Competitive standing is modest overall but shows pockets of above-typical E/M activity: 99203 is classified as notably above typical national volume and the provider ranks #7082 of 161519 for that code (96th percentile), indicating relatively strong new-patient E/M throughput. By contrast many other high-revenue codes are labeled typical, unremarkable volume (for example 99213 is labeled typical, unremarkable volume despite ranking #38302 of 457151, 92nd percentile), so the practice is not a dominant surgical or procedural national player but does appear to see an above-typical share of new outpatient consultations.

    Procedural and imaging billing patterns show a mixed diagnostic and therapeutic workflow: 27447 (14 claims, $14.3K) and 20610 (175 claims, $7.4K) confirm both major and minor procedure billing, while imaging such as 73562 (124 claims, $3.1K) and 73030 (57 claims, $1.3K) indicate routine onsite or ordered radiography. These volumes suggest an office that pairs point-of-care diagnostics with injectable and occasional operative interventions.

    There is an unusual unit-payment pattern for corticosteroid injections: J3301 appears with 1.2K claims and $1.2K revenue ($1 avg paid/claim), indicating a very low average payment per claim despite high claim count. That profile merits attention when auditing utilization or reconciling service-level payments, as it materially affects revenue contribution despite frequent use.

    Provider tenure is long-standing: the NPI was enumerated 2006-09-29 (approximately 20 years ago), which implies an established presence in the local market. Longevity combined with modest total Medicare revenue ($88.6K) suggests a stable but small-scale Medicare practice rather than a rapidly expanding enterprise.

    From a payer or network planning perspective, the absence of Medicaid activity and concentrated Medicare revenue around a few orthopaedic and therapy codes mean the provider represents a focused, Medicare-centric sports-medicine resource. Contracting or utilization management strategies should prioritize oversight of the top revenue-driving codes (99213, 27447, 97110) and account for the large number/low-unit-payment pattern observed in J3301 when estimating expected spend or setting authorizations.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…410$60$24.7K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…10$1,020$14.3K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…710$20$12.7K
    99203The 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…160$60$10.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…180$40$7.3K
    J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose40$90$3.8K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.120$30$3.1K
    99223The 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…10$100$1.4K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.60$20$1.3K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…20$70$1.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744721010$2,760$38.6K
    971101120710$20$16.8K
    99213680100$50$7.6K
    J732421050$90$4.5K
    9922361030$120$4.1K
    9920313050$60$3.8K
    9716171020$70$3.6K
    2061011080$40$3.5K
    97162101030$60$1.9K
    97150210160$10$1.6K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    Governor Juan F. Luis Hospital & Medical CenterVIGeneral Acute Care Hospital$0$15.4M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Sherman WashingtonCAEmergency Medicine Physician$1.7M$0
    Virgin Island Orthopedics And Sports Medicine P CVISpecialist$0$821.4K
    Jennifer RobertsILEmergency Medicine Physician$52.2K$692.5K
    Kevin StewartVIOphthalmology Physician$469.5K$0
    Angel LakeVIInternal Medicine Physician$78.2K$249.8K
    Emmanuel GrahamVIUrology Physician$318.4K$0
    Ian Manuel CorpusMNFamily Medicine Physician$314.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Jeffrey Chase — 7 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands