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NPI 1356409130 · Christiansted, VI · Surgery Physician
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Renee Georges is a surgery physician provider located in Christiansted, U.S. Virgin Islands. This profile covers 7 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Renee Georges |
| Address | 4000 Beeston Hill Medical Ctr Ste 11 |
| City | Christiansted |
| State | VI |
| ZIP | 00820 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | December 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $100.5K |
| Medicare | $25.4K |
Provider tenure and registry: RENEE GEORGES has an NPI enumeration date of 2006-12-05 (~20 years ago), indicating an established presence in the market that may support sustained referral relationships and recurring patient panels over time. This longevity frames the billing patterns seen across both Medicare and Medicaid cohorts.
Payer mix and scale: The provider’s Medicaid revenue ($100.5K) is substantially larger than Medicare revenue ($25.4K), showing the practice is effectively more Medicaid-focused in scale. Medicare activity exists but is modest relative to Medicaid based on the reported totals.
Medicaid revenue concentration and drivers: The top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, led by 99205 with $64.8K (64.5% of Medicaid revenue) and 99215 with $32.9K (32.7%). This indicates Medicaid revenue is almost entirely driven by high-complexity E/M encounters rather than procedures or ancillary services.
Medicare revenue concentration and service mix: The top three Medicare codes represent 65.0% of Medicare revenue, mainly composed of E/M and colorectal screening services — 99203 ($6.8K, 27.0%), G0121 ($5.1K, 20.3%), and 99213 ($4.5K, 17.7%). The Medicare mix suggests a combination of outpatient evaluation-and-management work and colorectal screening/diagnostic procedures.
Business/service-line implication relative to taxonomy: With a Surgery Physician taxonomy, the strong Medicaid billing for high-complexity E/M codes (99205 and 99215) together with Medicare colonoscopy and endoscopy codes (G0121, 45380, 45385, 43239) is consistent with a surgical practice that performs procedural GI services while also billing for intensive consults and follow-up visits. This pattern is compatible with surgical consultations, pre- or post-operative management, and procedural work on the Medicare side.
Medicare competitive standing by code: For Medicare E/M and procedure codes the provider’s positions are mixed — 99203 ranks #18265 of 161519 (88th percentile), indicating relatively strong national standing for that new-patient E/M code, while procedural codes such as 45380 (#11972 of 16427, 26th percentile), 45385 (#15967 of 16310, 0th percentile), and 43239 (#15204 of 17140, 10th percentile) show modest to low national procedural volume. G0121 sits at #2269 of 7750 (69th percentile), an above-average but not dominant national position for colorectal screening.
Medicaid competitive standing in-state: The provider is a leading in-state biller for the highest-value Medicaid code 99205 (rank #2 of 7, 83th percentile), while 99215 is mid-range (rank #8 of 17, 56th percentile) and 99204 is low (rank #23 of 25, 8th percentile). This suggests state-level strength specifically around high-complexity new-patient E/M encounters rather than across all E/M tiers.
Concentration risk and operational implication: The combination of Medicaid revenue being concentrated entirely in three E/M codes (100.0% top-3 share) and two codes (99205 and 99215) accounting for the vast majority of Medicaid dollars means the provider’s Medicaid revenue is highly dependent on continued volume and reimbursement for high-complexity E/M visits. Given the relatively small absolute Medicare revenue ($25.4K) and Medicare top-3 share of 65.0%, any changes in payer mix, E/M coding policy, or referral patterns could materially affect overall practice revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 110 | $70 | $6.8K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 30 | $170 | $5.1K |
| 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… | 90 | $50 | $4.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 30 | $150 | $3.7K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 10 | $210 | $2.3K |
| 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… | 10 | $120 | $1.5K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 20 | $70 | $1.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 290 | $220 | $64.8K |
| 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… | 210 | $160 | $32.9K |
| 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 | $170 | $2.8K |
How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. U.S. Virgin Islands median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 8 | 20 | 200 | $150 | $93.5K |
| 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… | 2 | 10 | 140 | $240 | $42.7K |
| 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… | 23 | 30 | 80 | $150 | $27K |
Other providers in the same ZIP code as Renee Georges, ranked by combined Medicare and Medicaid revenue.
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