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NPI 1487699047 · St Thomas, VI · General Acute Care Hospital
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Vi Government Hospital And Health Facilities Corp is a general acute care hospital provider located in St Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 215 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 | Organization |
| Organization | Vi Government Hospital And Health Facilities Corp |
| Address | 9048 Sugar Estate |
| City | St Thomas |
| State | VI |
| ZIP | 00802 |
| Taxonomy | General Acute Care Hospital |
| NPI Enumerated | June 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $23.6M |
| Medicare | $0 |
This provider is effectively a Medicaid-only biller in the dataset: there is no Medicare billing on file while total Medicaid revenue is $23.6M, indicating near-complete reliance on state Medicaid for billed services and reimbursement. Analysts should treat payer-mix exposure as concentrated to Medicaid when assessing financial and contractual risk.
Revenue concentration is high: the precomputed top-3 Medicaid codes (36415, J1642, 99281) account for 50.2% of this provider's total Medicaid revenue. In particular, 36415 alone represents 31.9% of Medicaid revenue, so changes in reimbursement or utilization for phlebotomy and associated lab services would materially affect the provider's topline.
The code mix points to a facility that operates both high-volume outpatient/ED and dialysis-related services. High-volume lab and specimen codes (36415, 81003, 80053, 87635, 87426) alongside frequent ED E/M codes (99281, 99282, 99283) and dialysis/ESRD drug and procedure codes (J0882, J2501, J0606, 90999) suggest a general acute care hospital with significant laboratory throughput, emergency department utilization, and renal/dialysis support.
Several individual codes show statewide leadership or unusually high local volume: 36415 ranks #2 of 15 providers in-state and is described as notably above typical state volume, 81003 and 96372 are each described as notably above typical state volume and rank at the top among peers, and 90999 ranks #1 of 4 providers (100th percentile). These signals indicate the provider is a dominant source of phlebotomy, certain injections, and dialysis-related technical billing within the state.
A number of billed items have limited or no state peer comparison, which suggests unique local reporting or sole-provider status for those services. For example, J1642 (heparin lock flush) is #1 of 1 providers in-state with no state peer volume comparison available, and several J-codes (Q9962, J0606, J1644, 88313) also show no peer comparison; this can reflect that the provider is the primary in-state source for certain dialysis supplies, contrast agents, or specialized lab services.
The emergency department profile is weighted toward lower-acuity visits by volume: 99282 and 99283 have very high claim counts (28.7K and 22.1K claims respectively) but comparatively modest revenue shares (6.8% and 1.1% of total Medicaid revenue), while 99281 contributes 7.0% of revenue with 7.4K claims. This mix is consistent with a high-throughput ED where many encounters are straightforward or low-complexity, driving volume rather than high per-claim reimbursement.
Drug and dialysis-related revenue streams are notable and diversified across multiple J-codes and procedure codes: J0882 (darbepoetin alfa) contributes $702.5K, J2501 (paricalcitol) $355.6K, and 90999 (unspecified dialysis) $544.4K, among others. Together these entries reinforce that renal care and outpatient infusion/injectable therapy represent meaningful operational lines beyond routine lab and ED services.
The provider has longstanding enrollment in the NPI registry (enumerated 2006-06-18, ~20 years ago), indicating a sustained presence in the market; combine that tenure with the state-ranking data and the picture is of an established hospital hub for laboratory, ED, and dialysis-related billing within the state Medicaid population.
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.
215 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 27,390 | $240 | $6.7M |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 12,790 | $190 | $2.4M |
| 99281 | The provider sees a patient for the lowest level emergency department visit. | 7,380 | $200 | $1.5M |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 28,670 | $50 | $1.4M |
| 87635 | Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus… | 4,460 | $190 | $865.6K |
| 81003 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will… | 15,690 | $50 | $721.6K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 5,620 | $130 | $702.5K |
| Q9962 | High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml | 2,530 | $280 | $696.9K |
| 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… | 1,790 | $340 | $604.2K |
| 96372 | A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician… | 5,610 | $100 | $577.9K |
Showing 1–10 of 215
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
215 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 1 | 10 | 12,790 | $190 | $2.4M |
| 90999 | Use 90999 to report dialysis services or procedures that do not have a specific code. | 1 | 10 | 20,040 | $80 | $1.4M |
| 99281 | The provider sees a patient for the lowest level emergency department visit. | 1 | 10 | 6,090 | $210 | $1.3M |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 1 | 10 | 18,500 | $60 | $1.1M |
| 36415 | In this procedure, the provider inserts a needle into a vein to collect a blood sample. | 2 | 20 | 1,920 | $110 | $858.9K |
| Q9962 | High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml | 1 | 10 | 2,530 | $270 | $696.7K |
| 96374 | The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition. | 2 | 10 | 5,800 | $90 | $519.4K |
| J2501 | Injection, paricalcitol, 1 mcg | 1 | 10 | 15,640 | $20 | $386.5K |
| J0882 | Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) | 1 | 10 | 2,900 | $120 | $361.6K |
| 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… | 13 | 40 | 560 | $140 | $322K |
Showing 1–10 of 215
Other providers in the same ZIP code as Vi Government Hospital And Health Facilities Corp, ranked by combined Medicare and Medicaid revenue.
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