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.

Josephine Kozloff (NPI 1225312382)

Field	Value
Entity Type	Individual
Organization	Josephine Kozloff
Address	6040 Castle Coakley
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Physician Assistant
NPI Enumerated	October 6, 2011

Payer Source	Total Paid
Medicare	$30.3K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is small in absolute terms: total Medicare revenue is $30.3K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the claims dataset available. Analysts should treat this as a low‑revenue ambulatory contributor rather than a high‑volume clinic when considering network impact or utilization benchmarks.

Revenue is highly concentrated in office evaluation-and-management codes: the precomputed top three Medicare codes account for 77.4% of the provider’s Medicare revenue, with 99214 generating $12.5K (41.2% of Medicare revenue), 99213 generating $7.2K (23.8%), and 99204 generating $3.7K (12.3%). This concentration indicates that a small set of visit types drives the majority of dollars and any changes in E/M volume or coding would materially affect overall revenue.

The code mix (99214, 99213, 99204 as the top three) points to an outpatient, office‑based practice model focused on evaluation and management of established and new patients; the presence of both mid‑level established visit codes (99214/99213) and a moderate number of higher‑time new patient visits (99204) suggests a stable panel with some new patient intake. Complementary entries for rapid infectious testing (87426, 87804) and basic lab/imaging (80053, 83037, 71046, 93000) imply point‑of‑care testing and basic diagnostic support are part of routine operations rather than a procedure‑heavy practice.

National ranking and percentiles for the top E/M codes indicate a typical, not dominant, competitive standing: 99214 ranks #180509 of 479517 providers nationally (62th percentile; typical, unremarkable volume for this code), 99213 ranks #149895 of 457151 providers nationally (67th percentile; typical, unremarkable volume for this code), and 99204 ranks #90504 of 227068 providers nationally (59th percentile; typical, unremarkable volume for this code). In short, the provider shows mid‑range activity on core visit codes and does not appear as a major national outlier or volume leader for those services.

Ancillary services and procedure lines are modest to minimal relative to peers: several ancillary codes show low percentile rankings (for example, 71046 at the 11th percentile, 96372 at the 7th percentile, and 93000 at the 3th percentile), while some point‑of‑care testing codes are relatively higher (87804 at the 74th percentile and 81003 at the 65th percentile). This pattern suggests limited revenue contribution from injections, radiology, and durable procedure lines, with somewhat greater emphasis on rapid infectious testing and routine urine testing.

There are no strong statistical outliers or anomalous high‑percentile signals across the top codes; most codes are described as "typical, unremarkable volume for this code," and a few show low national percentiles (for example, 99490 at the 0th percentile and 80053 at the 0th percentile per the supplied labels). For analysts, that indicates normal, expected billing behavior in the distributed set of codes rather than concentrated high‑risk or high‑intensity practice patterns that would warrant immediate audit or special scrutiny.

Tenure in the Medicare program is long enough to assess trends: the NPI was enumerated on 2011-10-06 (~15 years ago), so historical comparisons of annualized activity or shifts in code mix over time should be possible for longitudinal review. Given the low current revenue base, any meaningful change in annual visit volume or service mix could substantially alter this provider’s fiscal profile, so periodic reassessment is advised.

From a payer or network perspective, this provider represents a modest, office‑based clinician whose dollars and utilization are concentrated in a few E/M codes; with total Medicare revenue of $30.3K and no Medicaid billing, the entity is unlikely to move network spend materially on its own but could be relevant in micro‑geographies or specialty panels where primary care access is limited. Contracting or utilization‑management strategies should therefore focus on E/M encounter patterns and the point‑of‑care testing mix rather than on high‑cost procedures or inpatient services.

Medicare: Complete Services Breakdown

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

15 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…	160	$80	$12.5K
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…	130	$60	$7.2K
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…	40	$90	$3.7K
99203	The provider sees a new 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 provider…	50	$60	$3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$40	$1.2K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	70	$20	$1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	50	$10	$380
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	10	$30	$370
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	20	$20	$320
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$160

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Josephine Kozloff — 1 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	29	80	100	$80	$15.5K
99213	28	80	100	$50	$7.6K
80053	10	10	70	$10	$7.5K
99490	6	10	140	$40	$5.6K
99204	14	40	40	$100	$4.4K
99203	15	30	50	$60	$3.8K
36415	21	30	100	$10	$3.2K
87426	6	10	30	$30	$1.3K
71046	7	10	40	$20	$1.3K
93000	17	20	30	$10	$1.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederiksted Health Care, Inc.	VI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Renee Georges	VI	Surgery Physician	$25.4K	$100.5K
John Perez	VI	Specialist	$121.5K	$0
Michelle Dizon	VI	Endocrinology, Diabetes & Metabolism Physician	$92.2K	$0
Carolyn Merritt	VI	Procedural Dermatology Physician	$43.7K	$27.3K
Prohealth Urgent Care LLC	VI	Urgent Care Clinic/Center	$0	$53.2K
Ria Lutchmeesingh	VI	Optometrist	$53K	$0
Gemaine Owen	VI	Family Medicine Physician	$22.1K	$23.2K
Larissa Leffingwell	VI	Medical Physician Assistant	$27.2K	$0
Carmine Hendricks	VI	Family Medicine Physician	$25.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Josephine Kozloff — 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