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.

Emmanuel Graham (NPI 1275677965)

Field	Value
Entity Type	Individual
Organization	Emmanuel Graham
Address	4f-5f Sunny Isles Professional Building
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Urology Physician
NPI Enumerated	February 16, 2007

Payer Source	Total Paid
Medicare	$318.4K
Medicaid	$0

Key Findings

This provider’s Medicare business is highly concentrated: Total Medicare revenue is $318.4K and the precomputed top 3 Medicare codes by revenue account for 71.0% of this provider's total Medicare revenue. The single largest line item is J3315 at $145.5K (45.6% of Medicare revenue), followed by 99214 at $52.7K (16.5%) and 51703 at $20.2K (6.3%).

The code mix indicates a urology practice with a strong procedural and medical-therapy focus rather than purely clinic-based E/M visits. Heavy billing for J3315 (triptorelin injections) and 51703 (catheterization) together with cystoscopy 52000 and intramuscular/hormonal administration 96402 points to ongoing outpatient treatment of prostate/uro-oncology and procedural management of urinary conditions.

For certain services this provider is a major national outlier: J3315 ranks #2 of 73 providers nationally (99th percentile; extreme outlier) and 51703 ranks #3 of 541 providers nationally (100th percentile; extreme outlier). By contrast, high-volume E/M codes such as 99214 (693 claims) rank #26710 of 479517 providers nationally (94th percentile; notably above typical), indicating above-typical office visit volume but not to the same extreme as the procedure/drug codes.

This entity is effectively single‑payer: Total Medicaid revenue is none (no Medicaid billing on file), so Medicare constitutes the observable public-payer footprint. That payer mix concentration means financial exposure and patient access are largely tied to Medicare beneficiaries rather than a dual Medicare/Medicaid panel.

The provider has an established NPI history (NPI enumerated 2007-02-16, ~19 years ago), suggesting a long-tenured practice that could explain entrenched referral patterns or stable service lines supporting the above-average volumes in selected codes. Long tenure combined with concentrated procedural billing is consistent with a specialist who has operated in the local market for many years.

Beyond the two extreme outliers, several other codes show above-typical activity: 99213 ranks #21642 of 457151 providers (95th percentile; notably above typical) and 96402 ranks #287 of 4765 providers (94th percentile; notably above typical). Meanwhile imaging and routine procedure codes such as 52000 (64th percentile; typical, unremarkable) and 51798 (87th percentile; typical, unremarkable) indicate the practice also performs expected urology diagnostics at more conventional levels.

Operationally, the presence of code 55700 (55 claims, $9.2K, listed as deleted December 31, 2025) in the historical billing mix is an administrative flag for transition planning: the practice will need to ensure coding updates and claims systems reflect deletions or replacements to avoid future reimbursement disruption. Monitoring for continued use of deleted codes or migration to successor codes will be relevant for payers and auditors.

Geographic context is notable: the provider practices in CHRISTIANSTED, VI yet posts national-level ranks that are extreme for certain codes (J3315 and 51703). This combination — a small-market location with outsized national ranks for specific treatments — implies a highly specialized service offering that draws concentrated Medicare volume relative to typical national peers.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3315	Injection, triptorelin pamoate, 3.75 mg	500	$290	$145.5K
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…	690	$80	$52.7K
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…	570	$50	$28.3K
51703	The bladder catheter CPT codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…	180	$110	$20.2K
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…	170	$100	$17.5K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	100	$180	$17K
55700	Code deleted December 31, 2025.	60	$170	$9.2K
99215	The 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…	70	$120	$8.8K
99205	The 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	$140	$6.8K
96402	In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.	140	$30	$3.8K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Emmanuel Graham — 9 of 17 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

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3315	1	10	310	$290	$90.8K
51703	1	10	180	$110	$20.2K
99215	14	30	60	$120	$19.8K
99214	7	80	100	$80	$15.5K
52000	1	10	70	$180	$13.2K
99213	2	80	100	$50	$7.6K
55700	1	10	40	$170	$6.2K
99205	4	20	30	$140	$4.9K
99204	1	40	40	$100	$4.4K
36415	26	30	100	$10	$3.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Governor Juan F. Luis Hospital & Medical Center	VI	General Acute Care Hospital	$0	$15.4M
Sandra Gracia-lopez	PR	Nuclear Medicine Physician	$26.7K	$4.1M
Hector Velez Cortes	PR	Hematology & Oncology Physician	$4.3K	$4M
Hiram Ortega	PR	Gastroenterology Physician	$8.8K	$3.1M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Nelson Medina	PR	Gastroenterology Physician	$1.5K	$2.7M
Eduardo Perez Rodriguez	PR	Ophthalmology Physician	$21.7K	$2.3M
Santa Merle	PR	Hematology & Oncology Physician	$4.5K	$2M
Sherman Washington	CA	Emergency Medicine Physician	$1.7M	$0
Amarilys Santiago Rolon	PR	Gastroenterology Physician	$510	$1.6M

Nearby Providers

Other providers in the same ZIP code as Emmanuel Graham, 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
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
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Emmanuel Graham — Billing Profile & Reimbursement Data

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Emmanuel Graham — 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