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.

Jessica Wilson (NPI 1154496040)

Field	Value
Entity Type	Individual
Organization	Jessica Wilson
Address	9149 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Internal Medicine Physician
NPI Enumerated	November 23, 2006

Payer Source	Total Paid
Medicare	$28K
Medicaid	$0

Key Findings

Provider profile and payer mix: JESSICA WILSON is an Internal Medicine Physician based in ST THOMAS, VI with an NPI enumerated 2006-11-23 (~20 years ago). Lifetime Medicare revenue on file is $28K and there is no Medicaid billing on file, so this practice is effectively single-payer in the available data and relies solely on Medicare revenue for the recorded period.

Revenue concentration: the top three Medicare codes — 99214, G0439, and 99213 — account for 79.5% of this provider's total Medicare revenue, showing a high concentration of income in a small set of outpatient evaluation-and-management and preventive-care services. Specifically, 99214 generated $14.4K (51.4%), G0439 generated $4.6K (16.5%), and 99213 generated $3.3K (11.6%) of the Medicare revenue.

Service-line implications: the code mix is strongly weighted to established-patient E/M visits and preventive care, with 99214 described as moderate-level E/M visits and 99213 as lower-level E/M visits, and G0439 representing Annual Wellness Visits with a personalized prevention plan. This pattern is consistent with a community-based internal medicine practice focused on ongoing outpatient management of established patients plus delivery of annual wellness services.

Visit volumes and operational profile: the claim counts show ongoing ambulatory care activity — 208 claims for 99214, 65 claims for 99213, and 36 claims for G0439 — indicating regular management of established patients and periodic delivery of AWVs. The presence of 20 claims for the higher-complexity 99215 further suggests occasional higher-complexity outpatient encounters within the practice mix.

Preventive services and immunizations: the file includes COVID-19 vaccination codes 91322 (15 claims, $2.1K revenue, 7.7%) and 90480 (15 claims, $600 revenue, 2.1%), plus depression screening G0444 (25 claims, $450 revenue, 1.6%), indicating the provider bills for both immunization and preventive behavioral-health screening services. National percentile ranks for these items are low (for example 91322 ranks #26947 of 29357, 7th percentile), implying vaccination and screening volumes are modest relative to peers.

Competitive standing on core codes: for the primary revenue driver 99214 this provider ranks #146438 of 479517 nationally (69th percentile) and is described as typical, unremarkable volume, while G0439 ranks #70611 of 105855 (32th percentile) and 99213 ranks #247462 of 457151 (45th percentile), both also noted as typical, unremarkable volumes. Overall these rankings portray a modest participant nationally on core Medicare outpatient codes rather than a dominant regional or national presence.

Scale and financial footprint: absolute revenue levels are small in aggregate — Medicare revenue of $28K with the single largest code 99214 at $14.4K — which signals a small-scale ambulatory operation in the Medicare population. Because top codes concentrate 79.5% of revenue, shifts in visit mix or AWV uptake could materially change the practice's Medicare receipts.

Implication of absent Medicaid billing: the record shows none below for Medicaid, meaning no Medicaid claims on file; this absence limits the provider's exposure to dual-payer flows and may reflect local market dynamics, enrollment choices, or administrative decisions. For analysts evaluating network access or population coverage in VI, this provider should be treated as a Medicare-only billing entity in the available data set.

Medicare: Complete Services Breakdown

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

7 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…	210	$70	$14.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	$130	$4.6K
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…	70	$50	$3.3K
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…	20	$130	$2.5K
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	20	$140	$2.1K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	20	$40	$600
G0444	Annual depression screening, 5 to 15 minutes	30	$20	$450

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Jessica Wilson — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	25	30	60	$120	$19.8K
99214	23	80	100	$80	$15.5K
91322	3	10	90	$140	$14.1K
G0439	10	20	60	$120	$8.1K
99213	53	80	100	$50	$7.6K
90480	3	10	140	$40	$4.6K
G0444	3	10	50	$20	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Ascension Ne Wisconsin, Inc	WI	General Acute Care Hospital	$0	$19.9M
Ascension Medical Group-fox Valley Wisconsin, Inc	WI	Multi-Specialty Clinic/Center	$0	$13.4M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Carrie Chapman	WI	Cardiovascular Disease Physician	$432.8K	$0
Patrick Mannebach	WI	Cardiovascular Disease Physician	$373.8K	$0
Simon Roselaar	WI	Cardiovascular Disease Physician	$328.7K	$0
Loritz Chavez	WI	Hospitalist Physician	$158.5K	$121.4K
David Ragan	IL	Urology Physician	$276.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
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
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Jessica Wilson — Billing Profile & Reimbursement Data

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Jessica Wilson — 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