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.

Ria Lutchmeesingh (NPI 1497971550)

Field	Value
Entity Type	Individual
Organization	Ria Lutchmeesingh
Address	3006 Orange Grove
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Optometrist
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicare	$53K
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare biller: Total Medicare revenue is $53K and there is no Medicaid billing on file, so Medicaid represents 0% of recorded public‑payer activity and the practice’s public reporting is concentrated entirely in Medicare claims. Analysts should treat the profile as Medicare‑centric when evaluating payer mix or network participation.

Revenue is highly concentrated in a small set of services: the precomputed top‑3 Medicare codes account for 81.9% of total Medicare revenue, driven by 99214 (40.0%), 99213 (30.0%), and 92083 (11.9%). This concentration indicates that a few office evaluation/management visits and a single diagnostic test dominate the practice’s billed revenue.

The top revenue lines are clinical E/M visits and visual field testing: 99214 and 99213 are the two largest contributors and 92083 is the main diagnostic code, which together point to an optometry workflow focused on established patient office visits and functional visual field evaluation rather than surgical procedures or high‑margin interventional services. Ancillary imaging codes such as 92133 and 92134 appear lower in the mix, supporting a visit‑and‑testing practice model.

Competitive standing vs. national Medicare peers is modest but above median for core services: 99213 ranks at the 83th percentile and is described as "typical, unremarkable volume," 99214 is at the 71th percentile (also "typical, unremarkable volume"), and 92083 is at the 78th percentile ("typical, unremarkable volume"). These percentiles indicate a consistent, slightly above‑average national footprint for routine E/M and visual field testing but not a dominant national position.

Operational scale and throughput are visible in claim counts and per‑claim payments: the provider billed 241 claims for 99213 at $66 avg paid/claim, 221 claims for 99214 at $96 avg paid/claim, and 134 claims for 92083 at $47 avg paid/claim. Those per‑claim reimbursements and volumes align with outpatient optometry economics where visit volume, rather than high per‑procedure margins, drives Medicare revenue.

Imaging and advanced diagnostic activity is present but secondary: 92133 (OCT) appears with 85 claims and ranks at the 63th percentile, while 92134 ranks at the 24th percentile and 92136 at the 15th percentile. This pattern suggests access to some posterior‑segment imaging capabilities, but imaging generates a small share of overall Medicare revenue compared with E/M and visual field testing.

There is a contrast within ophthalmologic exam codes that points to service mix choices: 92014 (comprehensive established exam) is at the 7th percentile despite appearing in the top codes by revenue, indicating relatively low national activity for that comprehensive exam code compared with peers. This may reflect coding preferences or a focus on intermediate E/M and targeted testing rather than comprehensive ophthalmology exams.

The provider has long tenure in Medicare billing, with an NPI enumeration date of 2007-04-17 (~19 years ago), which implies continuity and an established practice presence in CHRISTIANSTED, VI. For payers and competitors, the combination of long tenure and concentrated Medicare revenue suggests predictable, stable Medicare utilization patterns to inform network decisions or comparative analyses.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	220	$100	$21.2K
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…	240	$70	$15.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	130	$50	$6.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	50	$50	$2.4K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	90	$30	$2.4K
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…	20	$100	$1.6K
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…	20	$90	$1.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	30	$30	$900
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	40	$10	$530
76514	The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.	20	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Ria Lutchmeesingh — 0 of 10 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

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	21	80	100	$80	$15.5K
92014	8	10	120	$70	$9.2K
99213	19	80	100	$50	$7.6K
92083	2	10	90	$40	$5.3K
92012	3	10	70	$40	$4.5K
99204	30	40	40	$100	$4.4K
92134	4	10	30	$30	$3.3K
92133	2	10	50	$20	$2.1K
92136	2	10	40	$20	$1.7K
76514	2	10	20	$10	$300

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederiksted Health Care, Inc.	VI	Federally Qualified Health Center (FQHC)	$0	$24.3M
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Carson Bee	NC	Ophthalmology Physician	$254K	$0
Renee Georges	VI	Surgery Physician	$25.4K	$100.5K
Michelle Dizon	VI	Endocrinology, Diabetes & Metabolism Physician	$92.2K	$0
Carolyn Merritt	VI	Procedural Dermatology Physician	$43.7K	$27.3K
Samuel Barone	MD	Ophthalmology Physician	$59.5K	$0
Gemaine Owen	VI	Family Medicine Physician	$22.1K	$23.2K

Nearby Providers

Other providers in the same ZIP code as Ria Lutchmeesingh, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
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
Dept Of Health, Government Of The Virgin Islands	VI	Public Health or Welfare Agency	$0	$1.2M

Ria Lutchmeesingh — Billing Profile & Reimbursement Data

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Ria Lutchmeesingh — 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