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.

Luis Amaro (NPI 1205860806)

Field	Value
Entity Type	Individual
Organization	Luis Amaro
Address	9151 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$72.1K
Medicaid	$0

Key Findings

LUIS AMARO is an Internal Medicine Physician in ST THOMAS, VI with lifetime Medicare revenue of $72.1K and no Medicaid billing on file; the provider’s NPI was enumerated on 2006-07-10 (~20 years ago), indicating long tenure but a modest Medicare footprint in absolute dollars. This payment mix makes the practice effectively single-payer Medicare from a claims perspective, with no recorded Medicaid activity to analyze.

Revenue is highly concentrated: the top three Medicare codes (90677, G0439, 99213) together account for 68.8% of this provider’s total Medicare revenue. Individually those codes account for $16.9K (23.4%), $16.5K (22.9%), and $16.3K (22.5%) of Medicare revenue respectively, so a small set of services drives the bulk of receipts.

The code mix points to a primary-care, prevention-oriented operation with ancillary chronic-disease monitoring: G0439 (Annual wellness visits) and vaccine-related codes (90677 and G0009) are major revenue contributors alongside routine E/M office visits (99213, 99214). Diabetes-related services are present as well — 95250 (technical CGM service) and 95251 (professional CGM interpretation) appear in the top codes — indicating in-office CGM sensor services and follow-up interpretation.

Competitive standing by code is mostly within typical national ranges rather than dominant outlier performance. For example, 90677 ranks #3208 of 52451 providers nationally (94th percentile; typical, unremarkable volume for this code), 99213 ranks #53415 of 457151 (88th percentile; typical, unremarkable volume), and G0439 ranks #24443 of 105855 (77th percentile; typical, unremarkable volume), which together suggest respectable but not market-leading volumes for these services at the national level.

Operational detail in utilization: visit-level E/M volumes skew toward lower-to-mid complexity established visits — 99213 has 325 claims while 99214 has 92 claims and 99212 has 114 claims, indicating the bulk of clinical encounters are at the 99213 level rather than higher-complexity new or extended visits. This pattern supports a steady ambulatory primary-care workflow focused on routine management and preventive care rather than high-acuity or specialty procedures.

Diabetes monitoring appears weighted to the technical component: 95250 shows 42 claims and $3.9K revenue and ranks #144 of 602 providers nationally (76th percentile; typical, unremarkable volume), while the professional interpretation code 95251 has 32 claims and $864 revenue and ranks in the 18th percentile (typical, unremarkable volume). That split suggests the practice performs sensor placement/technical services more frequently than billable professional CGM interpretation, which has implications for clinical staffing and billing workflows.

Preventive care and in-office vaccination are meaningful revenue drivers beyond E/M: 90677 (60 claims, $16.9K) and G0439 (129 claims, $16.5K) together constitute nearly half of the practice’s Medicare revenue, and vaccine administration code G0009 (52 claims, $1K) and influenza code 90694 (23 claims, $1.7K) further confirm a consistent vaccination program. For payers assessing network adequacy or preventive-care capacity in ST THOMAS, this provider represents a small but focused source of AWVs and adult immunizations.

Scale considerations: with cumulative Medicare revenue of $72.1K and no Medicaid billing, this provider operates at a modest revenue scale relative to national peers despite some mid-to-high percentile ranks on individual codes. For payer/provider analysts, this profile signals a long-tenured, Medicare-focused primary-care practice with concentrated service lines and limited breadth in payer mix.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	60	$280	$16.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	$130	$16.5K
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…	330	$50	$16.3K
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…	90	$80	$7.7K
95250	In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…	40	$90	$3.9K
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,…	110	$30	$3.5K
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…	20	$110	$2K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	20	$80	$1.7K
G0009	Administration of pneumococcal vaccine	50	$20	$1K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	30	$30	$860

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Luis Amaro — 2 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	41	80	100	$80	$15.5K
90677	1	10	20	$280	$9K
G0439	2	20	60	$120	$8.1K
99213	9	80	100	$50	$7.6K
99204	28	40	40	$100	$4.4K
95250	1	10	40	$90	$4K
90694	5	10	30	$70	$3.3K
99212	3	10	40	$30	$1.8K
G0008	9	10	50	$30	$1.7K
93000	5	20	30	$10	$1.3K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Luis Amaro, 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
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0
David Weisher	VI	Medical Specialty Clinic/Center	$103.3K	$0
John Shuster	WA	Orthopaedic Surgery of the Spine Physician	$101.4K	$0

Nearby Providers

Other providers in the same ZIP code as Luis Amaro, 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

Luis Amaro — 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