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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElizabeth Delgiacco
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    Elizabeth Delgiacco — Billing Profile & Reimbursement Data

    NPI 1255574125 · Christiansted, VI · Hematology & Oncology Physician

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    Elizabeth Delgiacco is a hematology & oncology physician provider located in Christiansted, U.S. Virgin Islands. This profile covers 25 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
    OrganizationElizabeth Delgiacco
    Address3018 Orange Grove
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedApril 8, 2009

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

    Payer SourceTotal Paid
    Medicare$261.5K
    Medicaid$0

    Key Findings

    Medicare is the sole payor activity on file for this NPI: the provider reports Total Medicare revenue of $261.5K and has no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in scale. This concentration means payer strategy and competitive analysis should focus on Medicare fee schedules and utilization patterns rather than dual‑payer dynamics.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 64.2% of this provider's total Medicare revenue. Those top codes are 99214 ($78.8K, 30.1%), 99215 ($52.4K, 20.0%), and 96413 ($36.8K, 14.0%), indicating a small set of services drives the majority of billed Medicare dollars.

    Service‑line profile points to an office‑based hematology/oncology practice that combines high‑complexity evaluation and management with active chemotherapy administration. The mix is led by 99214 (876 claims, $90 avg paid/claim, $78.8K revenue) and 99215 (385 claims, $136 avg paid/claim, $52.4K revenue) for established patient visits, alongside 96413 (357 claims, $103 avg paid/claim, $36.8K revenue) for IV chemotherapy administration.

    Competitive standing on core E/M codes is strong relative to national peers: 99214 ranks in the 97th percentile nationally and 99215 ranks in the 98th percentile, both described as "notably above typical national volume," which suggests above‑average patient volume or focus on high‑complexity office visits compared with most providers. By contrast, 96413 sits at the "81th percentile; typical, unremarkable volume," indicating chemotherapy administration volume is closer to peer norms even as E/M volumes are elevated.

    Infusion and procedural add‑ons reinforce the chemotherapy services model: 96415 (add‑on hourly infusion) appears with 349 claims, $23 avg paid/claim and $8K revenue and is noted as "notably above typical national volume" (96th percentile), while 96367 and 96365 (additional/initial infusions) also contribute meaningfully. These codes imply multi‑hour infusion sessions and repeat medication administrations consistent with an oncology infusion suite.

    High claim counts for basic ancillary services support an in‑office treatment setting: 36415 (1.4K claims, $8 avg paid/claim, $11K revenue) and 85025 (1.4K claims, $8 avg paid/claim, $10.9K revenue) both rank in top national percentiles (98th and 95th respectively) and reflect heavy use of phlebotomy and CBC testing on site, which is typical for oncology care requiring routine laboratory monitoring.

    There are multiple drug/supply codes with large claim counts but zero recorded Medicare revenue on file, such as J1100 (2.2K claims, $0 avg paid/claim, $0 revenue) and J2405 (614 claims, $0 avg paid/claim, $0 revenue). These patterns suggest certain injectable supply or drug lines are being billed in a way that results in no recorded Medicare payments at the NPI level (for example, pass‑throughs, bundled billing, or third‑party reimbursement structures), and these should be reviewed when modeling drug cost exposure or downstream reimbursement.

    Provider tenure is long enough to indicate an established practice footprint: NPI enumerated 2009-04-08 (~17 years ago). Combined with the concentrated Medicare revenue and elevated E/M ranks, the tenure supports observing this clinician as a stable, office‑based hematology/oncology provider rather than a recent entrant or itinerant clinician.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…880$90$78.8K
    99215The 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…390$140$52.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…360$100$36.8K
    99213The 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…180$70$12.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.1,380$10$11K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…1,370$10$10.9K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…470$20$10.7K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…350$20$8K
    99205The provider sees a new 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 provider…50$170$7.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.160$50$7.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96413110250$100$25.7K
    9921533060$120$19.8K
    99214380100$80$15.5K
    96367110470$20$10.8K
    96415110350$20$7.9K
    96365110160$50$7.8K
    992132380100$50$7.6K
    85025310160$10$6.9K
    9920542030$140$4.9K
    99204104040$100$4.4K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Governor Juan F. Luis Hospital & Medical CenterVIGeneral Acute Care Hospital$0$15.4M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Mahdi TahaFLMedical Oncology Physician$2.1M$0
    Sherman WashingtonCAEmergency Medicine Physician$1.7M$0
    Jennifer RobertsILEmergency Medicine Physician$52.2K$692.5K
    Kevin StewartVIOphthalmology Physician$469.5K$0
    Delgiacco MedicalVIHematology & Oncology Physician$0$386.5K
    Angel LakeVIInternal Medicine Physician$78.2K$249.8K
    Emmanuel GrahamVIUrology Physician$318.4K$0
    Ian Manuel CorpusMNFamily Medicine Physician$314.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Elizabeth Delgiacco, 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
    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
    Island Dental Specialties Dba ToothworksVIEndodontics$0$1.5M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Elizabeth Delgiacco — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands