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    OpenPayerNPI Medicare & MedicaidDepartment Of Health Govt Of The Virgin Islands
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    Department Of Health Govt Of The Virgin Islands — Billing Profile & Reimbursement Data

    NPI 1396072716 · Christiansted, VI · Public Health or Welfare Agency

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    Department Of Health Govt Of The Virgin Islands is a public health or welfare agency provider located in Christiansted, U.S. Virgin Islands. This profile covers 2 Medicare and 0 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)

    FieldValue
    Entity TypeOrganization
    OrganizationDepartment Of Health Govt Of The Virgin Islands
    Address3500 Estate Richmond
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyPublic Health or Welfare Agency
    NPI EnumeratedNovember 5, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$609K
    Medicaid$0

    Key Findings

    The provider’s Medicare business is dominated by ambulance transports: the two Medicare codes reported are A0427 (Advanced Life Support emergency transport) and A0425 (Ground mileage), and the code mix indicates this entity operates primarily as an EMS/ambulance service rather than a multi-service clinical provider. A0427 alone accounts for $553.7K of Medicare receipts while A0425 contributes $50.8K, showing operational emphasis on emergency transport and mileage billing.

    Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, indicating almost all Medicare dollars flow from a very narrow set of services. This concentration suggests limited revenue diversification and a high dependence on transport-related reimbursements.

    A0427 is by far the single largest Medicare line item, representing 91.6% of this provider’s Medicare revenue ($553.7K) with 1.6K claims and an average paid-per-claim of $354; it ranks #456 of 6841 providers nationally (93th percentile; typical, unremarkable volume for this code). Despite its dominant share locally, the national rank places the provider among higher-volume billers for A0427 even as the code’s character is labeled "typical, unremarkable volume for this code."

    A0425 contributes 8.4% of Medicare revenue ($50.8K) across 8.5K claims at $6 avg paid/claim and ranks #2300 of 8934 providers nationally (74th percentile; typical, unremarkable volume for this code). The presence of a high claim count with low average payment per claim is consistent with mileage billing patterns that support the primary ALS transport activity.

    Payer mix is effectively single-payer: total Medicare revenue is $609K and there is no Medicaid billing on file, so this entity’s public-payor footprint is concentrated entirely in Medicare. The absence of any Medicaid billing on file limits comparability within state Medicaid markets and suggests either non-participation in Medicaid, use of another billing entity for Medicaid, or a focus on Medicare-eligible transports.

    Competitive standing is mixed: for its top revenue source (A0427) the provider ranks relatively high nationally (#456 of 6841, 93th percentile), indicating a meaningful presence in ALS emergency transport at a national level, while for A0425 it sits in the mid-upper range (#2300 of 8934, 74th percentile). Both codes carry the plain-English characterization provided as "typical, unremarkable volume for this code," so while the provider shows above-average national placement for A0427, overall activity is described as operationally typical rather than an extreme outlier.

    Tenure and stability: the provider’s NPI was enumerated on 2009-11-05 (~17 years ago), indicating long-standing registration in the Medicare system; combined with a focused service mix this suggests an established local EMS operation with sustained Medicare billing activity over many years.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,560$350$553.7K
    A0425Ground mileage, per statute mile8,460$10$50.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A04271101,560$350$554.2K
    A0425110470$10$20.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Department Of Health Govt Of The Virgin Islands, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marc JeromeVIGynecology Physician$186.2K$0
    Michelle DizonVIEndocrinology, Diabetes & Metabolism Physician$92.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Department Of Health Govt Of The Virgin Islands, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    One Dental Practice LLCVIDentist$0$3.2M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Department Of Health Govt Of The Virgin Islands — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands