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.

Marc Jerome (NPI 1477680114)

Field	Value
Entity Type	Individual
Organization	Marc Jerome
Address	184 Ruby Plaza
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Gynecology Physician
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicare	$186.2K
Medicaid	$0

Key Findings

This provider has reported $186.2K in lifetime Medicare revenue and no Medicaid billing on file, making their publicly observed payer footprint effectively single-payer (Medicare) for the available dataset. The absence of any Medicaid codes or revenue means comparisons and risk assessments should focus on Medicare activity rather than mixed payer dynamics.

Revenue is extremely concentrated: the precomputed top-3 Medicare codes together account for 98.0% of the provider's total Medicare revenue, with a single code, 99350, contributing $175.8K (94.2% of Medicare revenue). Such concentration indicates the practice’s financial position is heavily dependent on a narrow set of services rather than a broad mix of outpatient or procedural care.

Code 99350 dominates the profile by volume and dollar value (1.3K claims, $139 avg paid/claim, $175.8K revenue) and ranks #99 of 7304 providers nationally (99th percentile; extreme outlier). This national ranking and the label "extreme outlier" indicate the provider bills far more for this prolonged home/residence E/M code than typical peers, suggesting a practice model centered on long-duration home visits or prolonged face-to-face encounters.

The other two revenue contributors in the top-three are 99214 (47 claims, $84 avg, $3.9K revenue) and 82947 (776 claims, $4 avg, $3.1K revenue), but both are small relative to 99350. 99214 ranks #346001 of 479517 (27th percentile; typical, unremarkable volume) and 82947 ranks #109 of 3857 (97th percentile; typical, unremarkable volume), indicating that while 82947 appears relatively high nationally on rank, the dataset’s plain-English characterization treats both as unremarkable in clinical mix compared with the exceptional 99350 activity.

The code mix (dominant use of 99350 supplemented by office E/M 99214, point-of-care glucose testing 82947, plus sporadic vaccine administration G0008/90688 and ECG 93000) points to a blended service line that includes prolonged home or residence visits as the primary revenue driver and a smaller set of routine outpatient and diagnostic services. For a Gynecology Physician taxonomy, the predominance of prolonged home visits is notable and suggests either a focused home-visit service line or a workload skewed to lengthy patient encounters rather than high-volume in-office procedures.

From a competitive standpoint, the provider is a national outlier on one specific service (99350) and therefore may occupy a specialized niche for prolonged home/residence E/M care; however, total Medicare revenue of $186.2K remains modest in absolute terms, so the provider’s overall market footprint is small despite dominance on that single code. Analysts should interpret the high percentile and extreme-outlier designation for 99350 as evidence of differentiated coding volume for that service line, not necessarily broad market dominance across other gynecology or outpatient codes.

Operational and financial risk considerations follow from the observed mix: with 98.0% of Medicare revenue tied to the top three codes and $175.8K (94.2%) from one prolonged-visit code, any payer policy change, audit focus, or patient-volume shift affecting 99350 would disproportionately affect revenue. The absence of Medicaid billing removes diversification benefits from a secondary public payer and increases sensitivity to Medicare reimbursement and utilization trends.

The provider has an NPI enumerated on 2007-02-28 (~19 years ago), indicating long-standing participation in the Medicare program; this tenure supports that the observed billing pattern is not a transient artifact and may reflect an established, stable practice model emphasizing the services shown above.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	1,270	$140	$175.8K
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…	50	$80	$3.9K
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	780	$1	$3.1K
G0008	Administration of influenza virus vaccine	40	$30	$1.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$50	$1.3K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	30	$20	$640
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30	$10	$350

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Marc Jerome — 1 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	1	10	1,270	$140	$175.6K
99214	51	80	100	$80	$15.5K
G0008	7	10	50	$30	$1.7K
90688	2	10	80	$20	$1.6K
82947	1	10	230	$1	$1.4K
93000	10	20	30	$10	$1.3K
99202	3	10	30	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M
Dept Of Health, Government Of The Virgin Islands	VI	Public Health or Welfare Agency	$0	$1.2M
Department Of Health Govt Of The Virgin Islands	VI	Public Health or Welfare Agency	$609K	$0
Department Of Health, Govt Of Vi/mch Clinic Elaine Co	VI	Public Health or Welfare Agency	$0	$407.4K
Department Of Health, Rls Community Health Center	VI	Public Health or Welfare Agency	$0	$328.1K
Michelle Dizon	VI	Endocrinology, Diabetes & Metabolism Physician	$92.2K	$0
Tai Hunte	VI	Infectious Disease Physician	$15.9K	$8.7K
Jozette Matthews	VI	Family Nurse Practitioner	$13.9K	$0

Nearby Providers

Other providers in the same ZIP code as Marc Jerome, 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
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
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Marc Jerome — Billing Profile & Reimbursement Data

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Marc Jerome — 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