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    OpenPayerNPI Medicare & MedicaidSayamira Cordero-fontaine
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    Sayamira Cordero-fontaine — Billing Profile & Reimbursement Data

    NPI 1255528469 · Christiansted, VI · Physical Therapist

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    Sayamira Cordero-fontaine is a physical therapist provider located in Christiansted, U.S. Virgin Islands. This profile covers 4 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSayamira Cordero-fontaine
    Address201 202 Est. Ruby
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyPhysical Therapist
    NPI EnumeratedOctober 2, 2007

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

    Payer SourceTotal Paid
    Medicare$20.7K
    Medicaid$0

    Key Findings

    This provider is a physical therapist in CHRISTIANSTED, VI, with an NPI enumerated on 2007-10-02 (~19 years ago), indicating long tenure and an established billing presence in Medicare over nearly two decades. The longevity suggests stable credentialing and sustained clinical activity, although current revenue levels (see below) are modest relative to many peers.

    Medicare is effectively the sole public payer on file: lifetime Medicare revenue is $20.7K while there is no Medicaid billing on file. This makes the provider effectively single-payer (Medicare) in the public claims record and implies limited or no participation in state Medicaid programs.

    Revenue concentration is very high: the precomputed top 3 Medicare codes account for 97.0% of this provider's total Medicare revenue, signaling dependence on a narrow set of services. The dominant code is 97110, which alone represents $18.4K (87.4% of Medicare revenue), followed by 97162 ($1.1K, 5.3%) and 97140 ($901, 4.3%), indicating most billing activity is driven by therapeutic exercise and evaluation/manual therapy services.

    The code mix (97110, 97162, 97140) indicates a service-line focused on hands-on physical therapy and therapeutic exercise with moderate-complexity evaluations. High reliance on 97110 (therapeutic exercise) suggests treatment sessions and exercise-based interventions form the core of clinical encounters, while 97162 entries show some use of formal evaluations and 97140 reflects manual therapy use. This pattern is consistent with an outpatient physical therapy practice emphasizing repeated treatment sessions.

    Competitive standing on Medicare for the top code 97110 is unremarkable: the provider ranks #20695 of 79999 nationally (74th percentile), which the source characterizes as typical, unremarkable volume for this code. For 97162 and 97140 the ranks are lower (15th and 7th percentiles respectively), indicating this provider delivers fewer evaluations and manual therapy services than most peers nationally and is a modest participant for those codes.

    Claim-level economics are low per-claim: average paid per claim figures are $19 for 97110, $75 for 97162, and $17 for 97140, which, together with the modest claim counts, produce a lifetime Medicare revenue total of $20.7K. These per-claim amounts and small claim volumes imply limited overall Medicare throughput, which may constrain scale and market impact.

    The absence of any Medicaid billing on file is notable given the provider's long enumeration date; this could reflect no Medicaid participation, billing under other affiliated NPIs, or a practice focus on Medicare-eligible beneficiaries. Whatever the cause, the lack of Medicaid activity means this provider has no documented presence in state-level Medicaid provider networks according to the available data.

    Because the top three codes account for 97.0% of Medicare revenue and 97110 alone accounts for 87.4%, the provider appears operationally specialized rather than diversified across PT service lines. That specialization reduces revenue resilience to changes in utilization, coding guidance, or reimbursement for those specific CPTs and suggests any competitive shifts or rate changes tied to those codes would disproportionately affect the provider.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…970$20$18.4K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…20$80$1.1K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…50$20$900
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.30$20$630

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110720710$20$16.8K
    971401620200$20$4.2K
    9716281030$60$1.9K
    9753521030$20$1.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sayamira Cordero-fontaine, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virgin Island Orthopedics And Sports Medicine P CVISpecialist$0$821.4K
    Ahmet SayanVICardiovascular Disease Physician$179.1K$0
    John ShusterWAOrthopaedic Surgery of the Spine Physician$101.4K$0
    Jeffrey ChaseVISports Medicine (Orthopaedic Surgery) Physician$88.6K$0
    Carl WrightVAPhysician Assistant$51.2K$570
    Tamara AndersonVINurse Practitioner$39.7K$0
    Carmen QuinonesVIInterventional Pain Medicine Physician$38.2K$0
    Artemio Torres-martinezPRSports Medicine (Orthopaedic Surgery) Physician$7K$15.9K

    Nearby Providers

    Other providers in the same ZIP code as Sayamira Cordero-fontaine, 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
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    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

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Sayamira Cordero-fontaine — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands