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.

Joseph Dejames (NPI 1336231463)

Field	Value
Entity Type	Individual
Organization	Joseph Dejames
Address	Myrah Keating Smith Community Health Center
City	St.john
State	VI
ZIP	00831
Taxonomy	Legal Medicine
NPI Enumerated	September 28, 2006

Payer Source	Total Paid
Medicare	$26.5K
Medicaid	$0

Key Findings

This provider’s Medicare business is concentrated in office/outpatient evaluation-and-management visits: the top three Medicare codes are 99214 ($7.1K, 27.0%), 99213 ($5.7K, 21.7%), and 99203 ($2.8K, 10.5%), which together account for 59.2% of the provider’s Medicare revenue. The dominance of these E/M codes indicates the operation is primarily an ambulatory clinic or office-based practice focused on established-patient follow-ups and a smaller volume of new-patient visits rather than procedural specialties.

The practice reports total Medicare revenue of $26.5K and no Medicaid billing on file, so the revenue profile is effectively single-payer with Medicare-only activity documented. The absence of any Medicaid codes means comparisons of Medicaid mix or in-state competitive standing are not possible from the available data.

Competitive standing on core E/M codes is modest: 99214 ranks #255331 of 479517 providers nationally (46th percentile) and is described as "typical, unremarkable volume," while 99213 (rank #170914 of 457151, 62nd percentile) and 99203 (rank #65923 of 161519, 58th percentile) are similarly characterized as typical volumes. In short, the provider is not a dominant national player for these codes but reports activity in line with many peer clinicians.

Although E/M visits drive most revenue, the code mix also includes a meaningful number of laboratory and point-of-care services—examples include 80053 (108 claims), 85025 (87 claims), 36415 (94 claims) and 84443 (40 claims). The frequency of blood-draw code 36415 and multiple lab-panel codes suggests in-office specimen collection and routine diagnostic testing are part of the workflow supporting ambulatory care.

A small but notable presence of infusion and administration codes (96374, 96360, 96372 and J7030) appears in the claims data, but these ranks sit at very low national percentiles (96374 at the 5th percentile, 96360 at the 2nd percentile, 96372 at the 1st percentile) and are described as low-volume relative to peers. That pattern indicates occasional IV medication/infusion or hydration services rather than a sustained infusion practice line.

The provider’s NPI was enumerated on 2006-09-28 (~20 years ago), indicating long tenure in the Medicare enrollment universe, yet the absolute Medicare revenue ($26.5K) and the national percentile placements point toward a small-scale Medicare practice or restricted Medicare patient panel. Long enrollment with low current Medicare receipts can reflect many scenarios—part-time practice, small patient base, location-specific demand, or retirement transition—none of which can be resolved from claims alone.

Several lab-specific codes (e.g., 80053, 85025, 80061, 84484, 83874) fall in mid-range national ranks often labeled as "typical, unremarkable volume," reinforcing that diagnostic laboratory testing is routine but not outsized compared with peers. This code mix supports an operational profile of general ambulatory care with on-site diagnostics rather than a specialty lab or high-throughput testing center.

Given the small overall Medicare revenue and the percentile profile of top codes, the provider represents a modest, locally focused participant in Medicare E/M and routine outpatient diagnostics. Analysts evaluating competitive strategy or network adequacy should treat this entity as a low-volume Medicare office practice with occasional ancillary services rather than a high-capacity or specialty service provider.

Medicare: Complete Services Breakdown

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

22 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…	100	$80	$7.1K
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…	110	$50	$5.7K
99203	The provider sees a new 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 provider…	40	$70	$2.8K
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…	20	$120	$2.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$30	$1.2K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	110	$10	$1.1K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	30	$30	$780
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	90	$10	$750
85025	A 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…	90	$10	$700
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	40	$20	$640

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Joseph Dejames — 0 of 22 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

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	40	80	100	$80	$15.5K
84443	4	10	310	$20	$10.4K
80061	5	10	60	$10	$10.1K
99213	34	80	100	$50	$7.6K
80053	4	10	70	$10	$7.5K
85025	6	10	160	$10	$6.9K
99204	23	40	40	$100	$4.4K
99203	19	30	50	$60	$3.8K
36415	15	30	100	$10	$3.2K
87088	4	10	290	$10	$2.1K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physician Services Of New York, P.C.	NY	Emergency Medicine Physician	$0	$33.9M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
David Goldstein	RI	Emergency Medicine Physician	$42.3K	$1.9M
Myrah Keating Smith Community Health Center	VI	Clinic/Center	$0	$938.1K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Andre Bonnet	NJ	Emergency Medicine Physician	$448.2K	$9.9K
Sekuleo Gathers	NY	Family Medicine Physician	$221.2K	$181.5K
Jody Gerard	CT	Family Medicine Physician	$378.2K	$0
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Shakeel Usmani	NY	Internal Medicine Physician	$160.1K	$82.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elizabeth Barot	VI	Emergency Medicine Physician	$16.8K	$0
Jessica Schnell	VI	Physical Therapist	$11.2K	$0

Joseph Dejames — 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