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.

Angela Grimaldi (NPI 1295987345)

Field	Value
Entity Type	Individual
Organization	Angela Grimaldi
Address	4001 Raphune Hill Rd
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Physician Assistant
NPI Enumerated	October 21, 2008

Payer Source	Total Paid
Medicare	$17.1K
Medicaid	$0

Key Findings

The provider’s billing mix is dominated by outpatient evaluation & management and preventive care codes, with 99214 (established patient E/M), 99213 (established patient E/M), and G0439 (annual wellness visit) accounting for the vast majority of billings. This pattern suggests an ambulatory primary-care or chronic-care management role focused on established patients and annual wellness services in ST THOMAS, VI rather than procedural or inpatient specialty work.

Revenue concentration is high: the top 3 Medicare codes by revenue account for 92.1% of this provider’s total Medicare revenue, with 99214 alone generating $9.6K (56.0% of Medicare revenue), 99213 producing $3.5K (20.5%), and G0439 contributing $2.7K (15.6%). That level of concentration means changes in patient mix or coding for any one of these three codes would materially affect overall Medicare receipts.

Scale-wise the provider reports $17.1K in total Medicare revenue lifetime and has no Medicaid billing on file (none). This makes the practice effectively single-payer in the public program sense, with a relatively small Medicare revenue base overall and no Medicaid revenue to diversify public-payor exposure.

Competitive standing versus national Medicare peers is modest: 99214 activity ranks #173053 of 479517 providers (64th percentile) and is described as a "typical, unremarkable volume for this code," while 99213 ranks #182589 of 457151 (60th percentile) and is also typical. These percentiles indicate the provider is a routine, not a dominant, national participant for the core E/M codes.

G0439 (annual wellness visit) ranks #82224 of 105855 (21th percentile) and is likewise labeled a typical, unremarkable volume, meaning annual wellness work is present but below many national peers. Per-claim payments are higher for G0439 ($107 avg paid/claim) than for routine E/M codes ($56 avg for 99214 and $34 avg for 99213), so wellness visits are a more lucrative but smaller revenue stream by claim count (25 claims).

Higher-complexity E/M (99215) is a minor component of revenue, accounting for $1.3K or 7.9% of Medicare revenue and ranking #121986 of 145531 (14th percentile). The low rank and small share indicate infrequent high-complexity encounters relative to national peers, reinforcing an operational profile centered on moderate-complexity outpatient care.

Tenure information shows the NPI was enumerated on 2008-10-21 (~18 years ago), indicating a long period of enrollment in Medicare. Despite this long tenure, the overall Medicare revenue and claim volumes remain modest, suggesting limited Medicare patient throughput or part-time/auxiliary billing activity rather than a high-volume Medicare practice.

Across all reported codes the data labels volumes as "typical, unremarkable," and no statistical outlier flags are evident in the provided ranking language. However, the heavy reliance on three codes for 92.1% of Medicare revenue creates sensitivity to coding or referral shifts; operational or payer changes affecting established visit or wellness workflows would disproportionately impact total Medicare receipts.

Medicare: Complete Services Breakdown

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

4 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…	170	$60	$9.6K
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…	100	$30	$3.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$110	$2.7K
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…	20	$80	$1.3K

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

Claims Volume vs. U.S. Virgin Islands Distribution

Angela Grimaldi — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	29	30	60	$120	$19.8K
99214	28	80	100	$80	$15.5K
G0439	13	20	60	$120	$8.1K
99213	38	80	100	$50	$7.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Angela Grimaldi — 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

Nearby Providers

Frequently Asked Questions

References