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    OpenPayerNPI Medicare & MedicaidDept Of Health, Government Of The Virgin Islands
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    Dept Of Health, Government Of The Virgin Islands — Billing Profile & Reimbursement Data

    NPI 1154599231 · Christiansted, VI · Public Health or Welfare Agency

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    Table of contents

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    Dept Of Health, Government Of The Virgin Islands is a public health or welfare agency provider located in Christiansted, U.S. Virgin Islands. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDept Of Health, Government Of The Virgin Islands
    Address3500 Richmond
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedFebruary 12, 2008

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-only biller: there is no Medicare billing on file and total Medicaid revenue is $1.2M. Revenue is highly concentrated — the precomputed top-3 Medicaid codes account for 74.3% of the provider’s Medicaid revenue — indicating a narrow set of services drive most of the reimbursement.

    The single largest revenue driver is 99214, which generated $664.4K (54.0% of Medicaid revenue) from 7.4K claims. 99214 ranks #4 of 43 providers in-state (93th percentile; typical, unremarkable volume for this code), so established outpatient E/M visits are the core of this operation and the provider is a strong statewide participant for that service.

    New-patient E/M is the next largest contributor: 99202 produced $168.9K (13.7% of Medicaid revenue) across 2.2K claims and ranks #1 of 4 providers in-state (100th percentile; typical, unremarkable volume for this code). The high rank for 99202 — despite a small peer group — suggests the agency plays a leading role in new-patient intake among the limited set of in-state providers billing that code.

    Cardiac diagnostics and basic monitoring are a meaningful ancillary service line: 93000 accounted for $80.2K (6.5% of Medicaid revenue) over 1.7K claims and ranks #2 of 6 providers in-state (80th percentile; typical, unremarkable volume for this code). This pattern, together with abundant E/M claims, indicates the clinic performs on-site basic diagnostic workups alongside primary ambulatory care.

    Behavioral health and home-based care appear in the mix but are more niche: 90833 (psychotherapy add-on) generated $65.4K (5.3% of Medicaid revenue) and ranks #3 of 3 (0th percentile; typical, unremarkable volume for this code), while 99350 (high-complexity home visit) produced $36.6K (3.0% of Medicaid revenue) and is #1 of 1 in-state (0th percentile; no state peer volume comparison available). These entries suggest some integrated behavioral-health and home-visit capacity that is uncommon among peers, though volumes are modest.

    Preventive and public-health services are evident in the claims mix: 90471 (vaccine administration) had 1.2K claims for $36.5K (3.0% of Medicaid revenue) and ranks #2 of 7 providers in-state (83th percentile; typical, unremarkable volume for this code). The combination of immunizations, basic labs, and high-volume E/M visits aligns with the provider’s Public Health or Welfare Agency taxonomy.

    Point-of-care laboratory testing supports the ambulatory services model: 82947 (glucose test) recorded 2.2K claims for $22.4K (1.8% of Medicaid revenue), and other small-volume lab codes (81002, 81025, 88164) appear across the top-25 list. These lab volumes are consistent with routine clinic workflows that accompany high-volume E/M encounters rather than a stand-alone diagnostic lab business.

    The provider has longevity in the market — NPI enumerated 2008-02-12 (~18 years ago) — which, combined with $1.2M in Medicaid revenue and a heavy dependence on a few E/M codes, suggests a stable, clinic-focused public health operation that serves a steady Medicaid population rather than a broad multispecialty or Medicare-focused practice.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…7,380$90$664.4K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…2,170$80$168.9K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…1,670$50$80.2K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…620$110$65.4K
    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…920$70$61.3K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…390$90$36.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1,220$30$36.5K
    99204The 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…180$140$24.3K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.2,240$10$22.4K
    99205The provider sees a new 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 provider…100$180$17.6K

    Showing 1–10 of 23

    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.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…440560$140$322K
    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…1540430$110$260.9K
    90833In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…3101,750$80$114.8K
    99215The 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…1020200$150$93.5K
    81025The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.6102,360$30$71.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…720130$110$64.8K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.910470$40$51.6K
    81002The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…410850$10$49.8K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…110110$80$45.9K
    99205The provider sees a new 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 provider…510140$240$42.7K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Dept Of Health, Government Of The Virgin Islands, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M
    Department Of Health, Govt Of Vi/mch Clinic Elaine CoVIPublic Health or Welfare Agency$0$407.4K
    Department Of Health, Rls Community Health CenterVIPublic Health or Welfare Agency$0$328.1K
    Marc JeromeVIGynecology Physician$186.2K$0
    Michelle DizonVIEndocrinology, Diabetes & Metabolism Physician$92.2K$0
    Tai HunteVIInfectious Disease Physician$15.9K$8.7K
    Jozette MatthewsVIFamily Nurse Practitioner$13.9K$0
    Jong ParkVIEmergency Medicine Physician$9K$0

    Nearby Providers

    Other providers in the same ZIP code as Dept Of Health, Government Of The Virgin Islands, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    One Dental Practice LLCVIDentist$0$3.2M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M
    Island Dental Specialties Dba ToothworksVIEndodontics$0$1.5M

    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.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Dept Of Health, Government Of The Virgin Islands — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands