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.

Kniquiah Hughes (NPI 1528781028)

Field	Value
Entity Type	Individual
Organization	Kniquiah Hughes
Address	9053 Estate Thomas
City	St. Thomas
State	VI
ZIP	00802
Taxonomy	Occupational Therapist
NPI Enumerated	September 21, 2022

Payer Source	Total Paid
Medicare	$18K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $18K while there is no Medicaid billing on file, indicating a single-payer footprint in the claims record rather than a mixed Medicaid–Medicare practice. Analysts should treat this profile as focused on Medicare reimbursement dynamics rather than a two‑payer strategy.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, driven primarily by 97110 (83.1% of Medicare revenue), with 97140 (8.9%) and 97165 (7.9%) making up the remainder. This concentration means changes to reimbursement or utilization for those specific codes would materially affect overall revenue.

The service mix corresponds to a high-volume, low-unit-value therapeutic model: 97110 (therapeutic exercise) accounts for $14.9K in revenue from 785 claims at an average paid/claim of $19, while 97140 (manual therapy) accounts for $1.6K from 100 claims at $16 avg/claim, and 97165 (OT evaluation, low complexity) contributes $1.4K from 19 claims at $75 avg/claim. These counts and average payment levels suggest routine, repeat therapy visits are the operational backbone, with comparatively few formal OT evaluations.

Competitive standing for the dominant code 97110 is middling nationally: the provider ranks #26207 of 79999 (67th percentile) for 97110, described as "typical, unremarkable volume for this code." In plain terms, the provider is neither a high-volume national outlier nor unusually inactive for therapeutic exercise billing.

For supporting codes the provider is a modest or smaller participant: 97140 ranks #52683 of 65133 (19th percentile) and is labeled "typical, unremarkable volume for this code," while 97165 ranks #2823 of 4250 (30th percentile). These percentiles indicate limited national penetration for manual therapy and OT evaluation relative to peers, consistent with a small or locally focused practice.

NPI tenure is relatively short: the provider was enumerated on 2022-09-21 (~4 years ago). Combined with total Medicare revenue of $18K, this suggests a small-scale operation or a more recent entrant still building volume rather than a long-established high-revenue practice.

From a payer-risk and business-development perspective, the dependence on a single payer and on 97110 in particular concentrates reimbursement exposure: any Medicare policy, coverage, or rate changes affecting therapeutic exercise could disproportionately impact this provider’s revenue. Analysts should flag this concentration when modelling downside scenarios or negotiating network participation.

Operational patterns implied by the claims mix—785 therapeutic exercise visits versus only 19 low-complexity OT evaluations—suggest a workflow oriented toward recurring treatment sessions rather than evaluation-driven episodic care. This profile could reflect referral flows that favor ongoing therapy orders and may influence how payers design utilization management or authorization controls for this clinician.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	790	$20	$14.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	100	$20	$1.6K
97165	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and…	20	$80	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Kniquiah Hughes — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	8	20	710	$20	$16.8K
97140	13	20	200	$20	$4.2K
97165	1	10	20	$70	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Hunter Garrison	VI	Physical Therapist	$82.6K	$0
Cheryl Finn	VI	Physical Therapist	$41.4K	$0
Sheniah Campbell	VI	Occupational Therapist	$22.5K	$0
Kelsey Roberts	VI	Physical Rehabilitation Occupational Therapist	$22.4K	$0

Nearby Providers

Other providers in the same ZIP code as Kniquiah Hughes, 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
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
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Kniquiah Hughes — 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