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.

Advanced Surgical Partners, PC (NPI 1417265422)

Field	Value
Entity Type	Organization
Organization	Advanced Surgical Partners, PC
Address	4500 Sunny Isle Ste 26b
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Surgery Physician
NPI Enumerated	September 24, 2010

Payer Source	Total Paid
Medicaid	$26.7K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports a total Medicaid lifetime revenue of $26.7K, making its public payer footprint effectively single-payer (Medicaid) based on available claims data. The absence of Medicare activity suggests the provider either does not participate in Medicare or has not billed Medicare during the reporting period.

Revenue is highly concentrated in a very small set of evaluation-and-management codes: the precomputed top 3 Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with a single code, 99204, representing the dominant share. That concentration indicates the provider’s Medicaid receipts are driven almost entirely by initial new-patient office evaluations rather than a broad mix of procedures or ancillary services.

The code 99204 drives $25.5K in revenue (95.6% of total Medicaid revenue) from 181 claims at an average paid amount of $141 per claim. In-state this volume ranks #5 of 25 providers (83th percentile) and is described as typical/unremarkable volume, which signals a meaningful local presence for moderate-complexity new-patient consultations without being an extreme outlier.

The code 99213 contributes $1.2K in revenue (4.4% of total Medicaid revenue) from 33 claims at $36 average paid per claim, and ranks #35 of 41 providers in-state (15th percentile) with typical/unremarkable volume. This low relative rank for an established-patient E/M suggests limited follow-up visit billing to Medicaid compared with peers, reinforcing the practice’s skew toward new-patient evaluations.

Given the provider taxonomy of Surgery Physician and the dominance of E/M codes (99204 and 99213), the billing mix suggests an office-based surgical practice model that emphasizes initial consultations and evaluation visits rather than procedural or facility-based surgical billing. The pattern is consistent with a referral/consultation role in the care pathway, where revenue is derived primarily from evaluation and management encounters.

Although 99204 ranks in the upper range of in-state peers (#5 of 25), the provider’s overall Medicaid scale is small ($26.7K lifetime), which frames its competitive standing as a modest, locally active participant rather than a major statewide player. The combination of a high percentile rank on a single code and low absolute revenue totals points to niche local activity rather than broad market share.

The provider’s NPI was enumerated on 2010-09-24 (~16 years ago), indicating long-standing enrollment in the public payer system; however, the limited Medicaid billing totals and lack of Medicare claims could reflect a narrow payer participation strategy, low overall patient volume billed to public programs, or billing focus outside these payers. Tenure without parallel billing scale is a notable characteristic for contracting or network analysis.

Both top Medicaid codes are labeled in the source as having typical, unremarkable volume rather than statistical outlier status, so the claim mix appears ordinary relative to peers; nevertheless, the fact that one code (99204) accounts for 95.6% of Medicaid revenue concentrates operational and reimbursement risk. Any policy, coding, or referral changes affecting moderate-complexity new-patient E/Ms would disproportionately impact this provider’s Medicaid receipts.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	180	$140	$25.5K
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…	30	$40	$1.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.

Claims Volume vs. U.S. Virgin Islands Distribution

Advanced Surgical Partners, PC — 0 of 2 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. U.S. Virgin Islands median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	35	40	430	$110	$260.9K
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…	5	30	80	$150	$27K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advanced Surgical Partners, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Albert Titus	VI	Surgery Physician	$23.3K	$0

Nearby Providers

Other providers in the same ZIP code as Advanced Surgical Partners, PC, 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

Advanced Surgical Partners, PC — Billing Profile & Reimbursement Data

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Advanced Surgical Partners, PC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References