Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDepartment Of Health, Ems Stx
    Ask Trek AI about this page

    Department Of Health, Ems Stx — Billing Profile & Reimbursement Data

    NPI 1518380674 · Christiansted, VI · Land Ambulance

    Customize your policy alerts

    Sign up for Department Of Health, Ems Stx — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Department Of Health, Ems Stx is a land ambulance provider located in Christiansted, U.S. Virgin Islands. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDepartment Of Health, Ems Stx
    Address3500 Estate Richmond
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyLand Ambulance
    NPI EnumeratedJanuary 27, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.2M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively single-payer in the claims dataset: total Medicaid revenue is $2.2M and Medicare revenue is listed as none. Analysts should therefore treat Medicaid payment trends and policy changes as the primary drivers of the provider's revenue performance.

    Revenue is highly concentrated in a narrow set of ambulance services: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with A0427 alone representing 89.4% ($2M) and A0425 representing 10.6% ($236.6K). This concentration indicates that a single service line (advanced life support emergency transport) dominates the financial profile.

    Code mix and taxonomy align with an emergency ground-ambulance operation: the provider taxonomy is Land Ambulance and the dominant code A0427 (advanced life support, emergency transport, level 1) plus mileage code A0425 indicate routine billing for ALS emergency transports with per-mile billing. The presence of both high-unit ALS charges and ground mileage suggests standard EMS transport operations rather than non-transport or ancillary services.

    Unit economics and throughput point to sustained operational volume: both A0427 and A0425 show 6.6K claims each, with average paid/claim of $302 for A0427 and $36 for A0425. The combination of high per-claim payment for A0427 and matching claim counts for both codes supports a pattern of frequent ALS emergency transports billed with associated mileage.

    Competitive standing in-state is notable but framed by a small peer set: A0427 ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume), and A0425 ranks #1 of 3 providers in-state (100th percentile; typical, unremarkable volume). In other words, this entity is the top reported biller for these ambulance codes locally, but the statewide market for these codes appears limited in depth and the activity level is described as typical.

    The provider's financial exposure is concentrated and therefore sensitive to Medicaid reimbursement changes for ambulance transports and mileage: because A0427 and A0425 together make up the full reported Medicaid revenue base (100.0%), any policy, rate, or utilization changes affecting ALS 1 transport or mileage would materially impact the $2.2M revenue stream. Analysts should prioritize monitoring Medicaid rate updates and utilization trends for these specific codes.

    This NPI has been enumerated since 2014-01-27 (~12 years ago), indicating more than a decade of enrollment in Medicare/Medicaid systems. That tenure supports interpreting the billing profile as established operational behavior rather than a short-lived or newly emerging billing pattern.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    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 CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)6,580$300$2M
    A0425Ground mileage, per statute mile6,570$40$236.6K

    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.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1105,520$300$1.7M
    A0425Ground mileage, per statute mile1104,440$30$126K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Department Of Health, Ems Stx, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M
    Dept Of Health, Government Of The Virgin IslandsVIPublic Health or Welfare Agency$0$1.2M
    Department Of Health, Govt Of Vi/mch Clinic Elaine CoVIPublic Health or Welfare Agency$0$407.4K
    Department Of Health, Rls Community Health CenterVIPublic Health or Welfare Agency$0$328.1K
    Marc JeromeVIGynecology Physician$186.2K$0
    Michelle DizonVIEndocrinology, Diabetes & Metabolism Physician$92.2K$0
    Tai HunteVIInfectious Disease Physician$15.9K$8.7K
    Jozette MatthewsVIFamily Nurse Practitioner$13.9K$0
    Jong ParkVIEmergency Medicine Physician$9K$0

    Nearby Providers

    Other providers in the same ZIP code as Department Of Health, Ems Stx, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    One Dental Practice LLCVIDentist$0$3.2M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M
    Island Dental Specialties Dba ToothworksVIEndodontics$0$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Department Of Health, Ems Stx — 2 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands