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.

Caricare Family Health Services, L.L.C (NPI 1174540017)

Field	Value
Entity Type	Organization
Organization	Caricare Family Health Services, L.L.C
Address	9149 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicaid	$139.8K
Medicare	$0

Key Findings

CARICARE FAMILY HEALTH SERVICES, L.L.C shows an effectively single-payer billing profile: there is no Medicare billing on file while total Medicaid revenue is $139.8K. The absence of Medicare activity means analyses of Medicare-facing scale, national market share, or referral patterns cannot be performed from claims data alone and the provider’s public revenue footprint is concentrated in state Medicaid flows.

Revenue concentration in Medicaid is high: the precomputed top-3 Medicaid codes by revenue account for 81.1% of the provider’s total Medicaid revenue. Those top three codes are 99214 ($49.6K; 35.5%), 99213 ($48.6K; 34.8%), and 99232 ($15.2K; 10.9%), indicating most receipts come from a small set of evaluation-and-management services.

Business and service-line mix is consistent with an internal medicine outpatient practice that also performs some inpatient follow-up. The leading codes, 99214 and 99213, are established patient office/outpatient E/M visits (moderate and low complexity respectively), and the presence of 99232 (subsequent inpatient/observation care) — along with lower-volume 99233 and 99223 claims — indicates the clinician also provides hospital follow-up or observation-care services.

Competitive standing in-state is modest and generally unremarkable for the practice’s top office-visit codes. 99214 ranks #19 of 43 providers in-state (57th percentile; typical, unremarkable volume for this code) and 99213 ranks #17 of 41 (60th percentile; typical, unremarkable volume for this code), positioning the provider as a routine participant rather than a dominant player for those services.

The provider’s inpatient follow-up volume is limited relative to peers: 99232 ranks #4 of 5 providers in-state (25th percentile; typical, unremarkable volume for this code) and 99233 ranks #3 of 5 (50th percentile; typical, unremarkable volume for this code). These ranks suggest inpatient/observation care is a smaller, secondary component of the practice rather than a primary service line.

There are small-value or zero-dollar Medicaid line items that reduce interpretability of some reported codes: G0439 has only $135 revenue (27 claims) yet ranks #2 of 4 in-state (67th percentile; typical, unremarkable volume for this code), and code 3074F shows 12 claims but $0 revenue and is listed as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). These entries likely reflect low-paid prevention/administrative items or reporting artifacts and should be treated cautiously in operational conclusions.

Tenure of the provider in federal enrollment is long-standing: the NPI was enumerated on 2006-07-16 (~20 years ago). That duration supports the view that this is an established local practice with a consistent Medicaid billing history rather than a newly formed clinic.

Operational implication for payers or network planners: given the heavy reliance on established-patient E/M codes (99214 and 99213 together account for a large share of Medicaid revenue) the practice is likely best positioned as a community primary-care access point for routine chronic-disease management and follow-up care; any contract or care-management interventions should focus on outpatient visit workflows and continuity-of-care metrics relevant to those E/M services.

Medicaid: Complete Services Breakdown

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

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…	620	$80	$49.6K
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…	810	$60	$48.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	330	$50	$15.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$120	$11.7K
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…	100	$80	$8.6K
99212	The 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,…	80	$50	$3.9K
99223	The 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	$160	$2.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$10	$140
3074F	No Summary found for this code	10	$0	$0

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.

Claims Volume vs. U.S. Virgin Islands Distribution

Caricare Family Health Services, L.L.C — 0 of 8 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. U.S. Virgin Islands median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	19	40	560	$140	$322K
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…	17	40	430	$110	$260.9K
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…	12	20	200	$150	$93.5K
99212	The 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,…	10	20	130	$110	$64.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	4	10	430	$50	$41.4K
99223	The 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…	4	10	60	$130	$14.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	3	10	100	$80	$7.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	2	10	30	$20	$820
3074F	No Summary found for this code	1	10	10	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Caricare Family Health Services, L.L.C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
Ayla Shaw	VI	Registered Dietitian	$1.7K	$0

Nearby Providers

Other providers in the same ZIP code as Caricare Family Health Services, L.L.C, 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

Caricare Family Health Services, L.L.C — Billing Profile & Reimbursement Data

Sign up for Caricare Family Health Services, L.L.C — Billing Profile & Reimbursement Data policy alerts

Caricare Family Health Services, L.L.C — Billing Profile & Reimbursement Data

Sign up for Caricare Family Health Services, L.L.C — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References