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.

Hillary Woodson Gaskins (NPI 1134266463)

Field	Value
Entity Type	Individual
Organization	Hillary Woodson Gaskins
Address	9150 Estate Thomas Ste 201
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Family Medicine Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$62.6K
Medicaid	$0

Key Findings

This provider’s Medicare billing is small but concentrated: total Medicare revenue is $62.6K while there is no Medicaid billing on file, making the practice effectively single‑payer Medicare in the available claims data. The absence of any Medicaid entries indicates the provider does not participate meaningfully in that program or does not bill Medicaid in the observed dataset.

The provider’s NPI was enumerated on 2007-01-30 (~19 years ago), indicating a long-tenured presence in the Medicare dataset; this tenure suggests established practice patterns rather than a recent entrant that might be shifting service mix rapidly. Longevity can support stable referral and patient panels, which is consistent with the steady, if modest, revenue stream shown.

Revenue is heavily concentrated in a few services: the top three Medicare codes account for 60.4% of total Medicare revenue. Those top codes are 99214 ($19.3K, 30.8%), 99458 ($10.7K, 17.1%), and 99454 ($7.9K, 12.6%), showing that a majority of dollars are driven by a small set of CPT/HCPCS codes.

The service mix shows a strong emphasis on remote physiologic monitoring (RPM) alongside office-based evaluation and management. RPM codes 99458 (345 claims, $31 avg paid/claim, $10.7K revenue), 99454 (207 claims, $38 avg paid/claim, $7.9K revenue), and 99457 (200 claims, $37 avg paid/claim, $7.4K revenue) together represent a substantial portion of Medicare revenue, implying the practice operates a sustained RPM program or long‑term monitoring workflow.

Face‑to‑face E/M services remain an important, but secondary, revenue source: 99214 is the single largest code ($19.3K, 30.8% of Medicare revenue) with 244 claims and $79 avg paid/claim, while 99215 ($7.4K, 11.7%) and 99213 ($5K, 7.9%) reflect a mix of moderate and higher‑complexity established patient visits. This mix suggests routine ambulatory management augmented by remote monitoring rather than a high‑volume office‑visit practice.

Competitive standing by national percentile shows a modest but not dominant presence for the provider’s highest‑revenue codes: 99214 ranks in the 74th percentile (#125558 of 479517) and 99458 also sits at the 74th percentile (#955 of 3715), while 99454 is at the 64th percentile (#2005 of 5663). Those rankings are described in the source as "typical, unremarkable volume," indicating the provider performs these services at a level above many peers but is not a national outlier or dominant national provider.

The economics of the dominant RPM activity show relatively high claim counts but lower average payment per claim (for example, 99458 at $31 avg paid/claim and 99454 at $38 avg paid/claim), which explains why a large number of RPM encounters translates into meaningful revenue even though per‑claim payments are modest. Given that RPM and one E/M code together make up 60.4% of Medicare revenue, the practice faces concentration risk if RPM policy or reimbursement changes occur.

There are no material Medicaid contributions to analyze and no strong statistical outliers among the listed Medicare codes; most codes are labeled "typical, unremarkable volume" and low‑volume codes such as 99453 ($336 revenue, 0.5%) and G0438 ($2.2K, 3.6% and noted at the 28th percentile) contribute only small shares. Overall, the billing profile describes a long‑standing family medicine clinician with a focused RPM program and routine ambulatory care activity but limited payer diversification.

Medicare: Complete Services Breakdown

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

9 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…	240	$80	$19.3K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	350	$30	$10.7K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	210	$40	$7.9K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	200	$40	$7.4K
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…	60	$120	$7.4K
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…	80	$60	$5K
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…	30	$90	$2.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	10	$160	$2.2K
99453	The provider sets up equipment for remote physiologic monitoring and educates the patient on how to use it.	20	$10	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Hillary Woodson Gaskins — 0 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	16	30	60	$120	$19.8K
99214	19	80	100	$80	$15.5K
99458	2	10	350	$30	$8.4K
99213	44	80	100	$50	$7.6K
99454	2	10	210	$40	$7K
99457	2	10	150	$40	$5.8K
G0438	7	10	20	$160	$4.8K
99204	21	40	40	$100	$4.4K
99453	1	10	20	$10	$340

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myrah Keating Smith Community Health Center	VI	Clinic/Center	$0	$938.1K
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Bennett	GA	Urology Physician	$112.2K	$0
David Weisher	VI	Medical Specialty Clinic/Center	$103.3K	$0
Siri Akal	VI	Family Medicine Physician	$98.3K	$0
John Franklin	VI	Urology Physician	$92.3K	$0
Scott Hartshorn	VI	Family Medicine Physician	$56K	$0
Joseph Dejames	VI	Legal Medicine	$26.5K	$0
Tai Hunte	VI	Infectious Disease Physician	$15.9K	$8.7K

Nearby Providers

Other providers in the same ZIP code as Hillary Woodson Gaskins, 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

Hillary Woodson Gaskins — 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