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.

John Salo (NPI 1326315532)

Field	Value
Entity Type	Individual
Organization	John Salo
Address	4007 Estate Diamond Ruby
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Physician Assistant
NPI Enumerated	November 17, 2011

Payer Source	Total Paid
Medicare	$30.2K
Medicaid	$0

Key Findings

This provider is a Physician Assistant enumerated on 2011-11-17 (~15 years ago) practicing in CHRISTIANSTED, VI; despite long tenure the lifetime Medicare revenue on file is relatively small at $30.2K, indicating limited Medicare billing activity across the provider's career. The absence of any Medicaid billing on file makes this effectively a single-payer (Medicare-only) billing profile in the available data.

Revenue concentration is extremely high in a narrow set of emergency department E/M services: the precomputed top three Medicare codes (99285, 99284, 99283) together account for 99.0% of the provider's total Medicare revenue, with 99285 generating $19K (62.6%), 99284 $9.8K (32.3%), and 99283 $1.2K (4.1%). This concentration indicates the provider’s Medicare revenue is almost entirely driven by ED visit E/M work.

The code mix (99285 high complexity ED E/M; 99284 moderate complexity ED E/M; 99283 low complexity ED E/M) is consistent with practice in an emergency department or similar acute care setting, where high- and moderate-complexity E/M visits dominate revenue. The very small contribution from 93010 ($300, 1.0%) suggests only occasional ECG interpretation rather than a cardiology-focused service line.

Competitive standing across national Medicare peers is modest and generally characterized as "typical, unremarkable volume" for the reported ED codes: 99285 ranks #19963 of 61347 providers (67th percentile), 99284 ranks #9633 of 64306 providers (85th percentile), and 99283 ranks #10086 of 31069 providers (66th percentile). In plain terms, the provider shows a slightly stronger-than-average national position for 99284 but otherwise occupies a typical-volume niche rather than being a dominant national player for these services.

The absolute scale of activity is small: total Medicare revenue of $30.2K and the single largest code revenue of $19K for 99285 imply relatively low overall Medicare throughput despite the higher percentiles for specific codes. For payers and competitors assessing footprint or referral volume, this profile signals limited Medicare market exposure concentrated in ED E/M services rather than broad outpatient or specialty billing.

From a payer perspective the lack of Medicaid activity (none on file) means there is no in-state Medicaid footprint to evaluate or negotiate on; any network or utilization decisions should therefore treat this provider as Medicare-only in the available claims history. The absence of Medicaid billing also reduces the data available to gauge full patient-mix or socioeconomic case mix implications.

The mix of code-level ranks and the high revenue concentration suggest operational focus and predictable utilization: the provider consistently bills ED evaluation-and-management codes with typical national volumes, indicating stable, routine emergency-department practice patterns rather than episodic high-intensity or ancillary-service-driven billing. This pattern supports expectations of ongoing ED throughput if contractually engaged, but at a modest absolute volume level.

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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	160	$120	$19K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	130	$80	$9.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	30	$40	$1.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	50	$10	$300

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

John Salo — 1 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
99285	1	10	80	$120	$10.1K
99284	2	10	60	$80	$5.3K
99283	2	10	20	$50	$2.1K
93010	3	10	50	$10	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Corey Bousquet	CT	Physician Assistant	$29.4K	$0
Brian Williams	GA	Physician Assistant	$24.1K	$0
Laurie Foutty	ID	Nurse Practitioner	$22.4K	$0

Nearby Providers

Other providers in the same ZIP code as John Salo, 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

John Salo — 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