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NPI 1205978335 · Christiansted, VI · Internal Medicine Physician
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Angel Lake is a internal medicine physician provider located in Christiansted, U.S. Virgin Islands. This profile covers 7 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Angel Lake |
| Address | 4007 Diamond Ruby |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | February 13, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $249.8K |
| Medicare | $78.2K |
This provider’s payer mix is concentrated toward Medicaid: lifetime Medicaid revenue is $249.8K versus total Medicare revenue of $78.2K, so Medicaid represents the larger share of reported public-payer activity. The scale of Medicaid billing is materially higher than Medicare in absolute dollars, indicating this practice is effectively Medicaid-dominant on a revenue basis.
The provider’s billing is heavily concentrated in inpatient evaluation-and-management services: top codes across payers are dominated by 99232, 99239 and 99223, which describe subsequent inpatient visits, discharge management, and high-complexity initial inpatient visits. That code mix is consistent with an internal medicine physician operating primarily in a hospital-based or hospitalist role rather than an outpatient clinic.
Revenue concentration is high in both payers but especially Medicaid: the top 3 Medicare codes account for 71.6% of the provider’s Medicare revenue, while the top 3 Medicaid codes account for 94.8% of the provider’s Medicaid revenue. This indicates a very narrow set of services drives nearly all Medicaid revenue and a majority of Medicare revenue as well.
Medicaid competitive standing within the state is dominant for the leading inpatient codes: 99232 shows 3.4K claims, $47 avg paid/claim and $157.5K revenue (62.8% of this provider’s total Medicaid revenue) and is ranked #1 of 5 providers in-state, described as "notably above typical state volume for this code." Likewise, 99239 and 99223 also rank #1 in-state for their comparisons, signaling the provider is a major state-level participant for inpatient E/M billing.
Medicare competitive signals are mixed: 99232 and 99231 rank in the 95th percentile nationally but are labeled in the data as "typical, unremarkable volume for this code," while other Medicare inpatient E/M codes occupy midrange percentiles (for example, 99233 at the 54th percentile and 99223 at the 64th percentile). Overall, Medicare activity appears concentrated in the same inpatient E/M services seen in Medicaid but does not read as a clear dominant national presence.
Concrete volume examples illustrate the cross-payer concentration on the same service: on Medicare 99232 generated 670 claims, $59 avg paid/claim and $39.5K revenue (50.4% of Medicare revenue), while on Medicaid 99232 generated 3.4K claims, $47 avg paid/claim and $157.5K revenue (62.8% of Medicaid revenue). The same CPT code is the single largest revenue driver for both payers, reinforcing a hospital-focused service line.
Operational implications from claim counts imply high inpatient throughput and frequent discharge work: Medicaid shows 708 claims for 99239 ($60 avg paid/claim, $42.5K revenue) and 3.4K claims for 99232, which suggests regular subsequent inpatient visits and substantial discharge-day management activity. This pattern would be consistent with staffing and workflows optimized for repeated inpatient encounters, handoffs, and discharge coordination rather than episodic outpatient procedures.
The provider has long tenure in the public-payer data: NPI enumerated 2007-02-13 (~19 years ago) and is listed under the Internal Medicine Physician taxonomy. That sustained presence supports the interpretation of an established, hospital-oriented internal medicine practice producing consistent inpatient E/M billing over many years.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 670 | $60 | $39.5K |
| 99231 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical… | 230 | $40 | $8.4K |
| 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… | 90 | $90 | $8.3K |
| 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… | 60 | $130 | $7.3K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 70 | $80 | $5.8K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 60 | $90 | $5K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 70 | $60 | $4.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 3,350 | $50 | $157.4K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 710 | $60 | $42.5K |
| 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… | 310 | $120 | $37.9K |
| 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… | 150 | $70 | $11K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 30 | $60 | $2.1K |
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
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1 | 10 | 430 | $50 | $41.4K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 1 | 10 | 40 | $60 | $16.2K |
| 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… | 1 | 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… | 2 | 10 | 100 | $80 | $7.4K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 1 | 10 | 30 | $60 | $2.1K |
Other providers in the same ZIP code as Angel Lake, ranked by combined Medicare and Medicaid revenue.
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