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.

Healthquest, LLC. (NPI 1518964477)

Field	Value
Entity Type	Organization
Organization	Healthquest, LLC.
Address	5134 Sundial Park
City	Christiansted
State	VI
ZIP	00820
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	July 6, 2005

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Key Findings

HEALTHQUEST, LLC. is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in CHRISTIANSTED, VI, with an NPI enumerated on 2005-07-06 (~21 years ago). The long tenure suggests an established local presence in the territory's dialysis market.

This provider has no Medicare billing on file while reporting $2.4M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available claims data. The absence of Medicare activity means national benchmarking against Medicare peers is not possible for this entity.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue. The largest driver is 90999 with $2.3M revenue (93.7% of total), followed by 90960 with $133.9K (5.5%), and J0882 with $19.8K (0.8%), indicating that a very small set of services generates all reported Medicaid income.

The code mix is characteristic of an outpatient dialysis operation: 90999 (use to report dialysis services or procedures without a specific code) accounts for the vast majority of activity, and 90960 (monthly ESRD management) represents ongoing face-to-face ESRD care. The presence of J0882 (darbepoetin alfa injections) shows onsite anemia-management medication administration consistent with comprehensive dialysis center services.

Activity levels for the primary procedure code are substantial in absolute claims: 90999 shows 22.9K claims at $100 avg paid/claim, which produced $2.3M in revenue. Despite that volume, the provider ranks #2 of 4 in-state for 90999 and sits at the 67th percentile, a position described as typical or unremarkable versus state peers, so this appears to be a modest but not dominant statewide provider for that procedure.

For ESRD monthly management, 90960 appears in 853 claims at $157 avg paid/claim yielding $133.9K, and the provider ranks #3 of 4 in-state at the 33th percentile (typical, unremarkable volume). Use of erythropoiesis-stimulating agent J0882 is limited (175 claims, $113 avg, $19.8K revenue), ranking #2 of 2 in-state at the 0th percentile and likewise described as typical rather than exceptional.

Several ancillary drug codes contribute negligible Medicaid revenue: J1270 (373 claims, $2 avg, $746 revenue) ranks #1 of 1 in-state (0th percentile) with no peer-volume comparison available, while J2916 (50 claims, $7 avg, $350 revenue) ranks #2 of 2 in-state (0th percentile). These items represent a very small share of clinical revenue and suggest limited additional ancillary services billed to Medicaid.

The combination of heavy Medicaid concentration and dependence on a single procedural code (90999 generating $2.3M and 93.7% of Medicaid revenue) implies revenue concentration risk and limited payer diversification. Additionally, the lack of Medicare billing prevents assessment of the provider’s performance or market position against national Medicare peers, constraining competitive analysis to state-level Medicaid comparisons only.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	22,910	$100	$2.3M
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	850	$160	$133.9K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	180	$110	$19.8K
J1270	Injection, doxercalciferol, 1 mcg	370	$1	$750
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	50	$10	$350

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

Healthquest, LLC. — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	2	10	20,040	$80	$1.4M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	2	10	2,900	$120	$361.6K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	3	10	1,020	$150	$136.9K
J2916	Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg	2	10	1,900	$1	$4.5K
J1270	Injection, doxercalciferol, 1 mcg	1	10	370	$1	$780

Nearby Providers

Other providers in the same ZIP code as Healthquest, LLC., 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
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
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

Healthquest, LLC. — Billing Profile & Reimbursement Data

Sign up for Healthquest, LLC. — Billing Profile & Reimbursement Data policy alerts

Healthquest, LLC. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References