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.

Biscoe Enterprises PC (NPI 1497041297)

Field	Value
Entity Type	Organization
Organization	Biscoe Enterprises PC
Address	8000 Nisky Shopping Ctr Ste 19b
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 21, 2011

Payer Source	Total Paid
Medicaid	$50.5K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and all reported federal reimbursement is through Medicaid; lifetime Medicare revenue: none and lifetime Medicaid revenue: $50.5K, so the provider is effectively a single-payer (Medicaid) performer in the available dataset. The absence of Medicare activity suggests the provider’s Medicaid activity reflects its primary public-payer footprint rather than a broader dual-payer practice profile.

Revenue is highly concentrated in a very narrow set of ophthalmology exam codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, indicating a focused service mix rather than a broad procedural portfolio. This concentration implies the practice primarily bills for office-based comprehensive eye evaluations rather than surgical or ancillary ophthalmic procedures.

92014 is the dominant revenue driver for this provider, with 561 claims, $79 avg paid/claim, and $44.3K revenue, representing 87.7% of the provider’s Medicaid revenue. The code corresponds to comprehensive examinations for established patients, so the practice’s volume is weighted heavily toward routine follow-up and ongoing management visits.

92004 is the secondary Medicaid contributor with 53 claims, $117 avg paid/claim, and $6.2K revenue, accounting for 12.3% of Medicaid revenue; this code represents comprehensive new-patient ophthalmologic evaluations. The higher $117 avg paid/claim compared with 92014 suggests new-patient visits yield higher per-encounter reimbursement, but they comprise a small share of total encounters and revenue.

Competitive standing in-state is modest: for 92014 the provider ranks #3 of 3 providers in-state (0th percentile; typical, unremarkable volume for this code), and for 92004 it ranks #3 of 4 providers in-state (33th percentile; typical, unremarkable volume for this code). Those rank/percentile positions indicate the provider is not a dominant statewide player for these codes and sits at or below typical volume ranges among in-state peers.

Both high-level labels applied to the top codes are “typical, unremarkable volume for this code,” meaning the provider’s activity does not register as an outlier in the available in-state comparison. From an analytic perspective, there is no indication of abnormal concentration beyond the expected result of a small, focused ophthalmology practice.

Operational scale is small: total Medicaid revenue of $50.5K derived primarily from 561 claims for 92014 and 53 claims for 92004, which signals a low-to-moderate patient panel size under Medicaid and a practice workflow centered on office exams. The mix of many established-patient visits versus relatively few new-patient examinations suggests ongoing chronic eye care/management rather than rapid patient acquisition.

The provider’s NPI was enumerated on 2011-06-21 (~15 years ago), indicating a long-tenured registration despite the modest Medicaid billing footprint; longevity combined with small revenue suggests either a small solo/group practice or limited Medicaid participation rather than a recently established or transient billing entity.

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
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	560	$80	$44.3K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	50	$120	$6.2K

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

Biscoe Enterprises 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
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	3	10	950	$80	$311.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	3	10	360	$90	$47.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byron Biscoe	VI	Ophthalmology Physician	$38.2K	$0

Nearby Providers

Other providers in the same ZIP code as Biscoe Enterprises PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Biscoe Enterprises PC — Billing Profile & Reimbursement Data

Sign up for Biscoe Enterprises PC — Billing Profile & Reimbursement Data policy alerts

Biscoe Enterprises PC — Billing Profile & Reimbursement Data

Sign up for Biscoe Enterprises PC — Billing Profile & Reimbursement Data policy alerts

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