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.

Elizabeth Barot (NPI 1568574424)

Field	Value
Entity Type	Individual
Organization	Elizabeth Barot
Address	Myrah Keating Smith Community Health Center
City	St. John
State	VI
ZIP	00831
Taxonomy	Emergency Medicine Physician
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$16.8K
Medicaid	$0

Key Findings

The provider’s revenue mix is concentrated in office/outpatient evaluation and management services: the top three Medicare codes are 99213 ($5.9K, 35.4% of Medicare revenue), 99214 ($3.9K, 23.1%), and 99203 ($3.3K, 19.6%), and these E/M descriptors describe established- and new-patient outpatient visits rather than emergency-department–specific procedures. This pattern, together with modest ancillary testing, suggests the provider bills primarily for ambulatory E/M encounters rather than high-volume emergency room or inpatient procedural work.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 78.1% of this provider’s total Medicare revenue, and lifetime Medicare revenue on file is $16.8K. That concentration indicates a narrow set of services drives most billed Medicare dollars for this NPI.

Payer mix is effectively single-payer on file: there is no Medicaid billing on file, so Medicaid revenue is none and Medicare represents the only recorded public-payer activity. Analysts should treat this profile as Medicare-focused for comparatives and network participation analysis.

On scale and competitive standing, the provider’s absolute Medicare receipts are small ($16.8K lifetime), so this NPI is a modest Medicare participant overall. For the primary E/M codes the provider falls near typical national volumes: 99213 ranks #160502 of 457151 providers nationally (65th percentile; typical, unremarkable volume), 99203 ranks #52739 of 161519 (67th percentile; typical, unremarkable volume), while 99214 is lower at #336327 of 479517 (29th percentile; typical, unremarkable volume).

Code-level billing detail reinforces the ambulatory focus: 99213 shows 121 claims with $49 avg paid/claim, 99214 shows 51 claims with $76 avg paid/claim, and 99203 shows 49 claims with $67 avg paid/claim. Together these claim counts and average payments reflect routine office visit activity rather than high-intensity procedural throughput.

Ancillary and diagnostic services on file are limited and low-dollar: examples include 87426 (20 claims, $29 avg paid/claim, $580 revenue), 80053 (50 claims, $10 avg paid/claim, $500 revenue), 36415 (53 claims, $8 avg paid/claim, $424 revenue), and several other basic lab codes. These items total small amounts individually (each under a few percent of Medicare revenue) and generally rank in low-to-mid national percentiles, indicating routine point-of-care testing and phlebotomy rather than advanced laboratory services.

Treatment-level items indicate occasional basic therapies: codes such as 96372 (24 claims, $7 avg paid/claim, $168 revenue) and J7030 (23 claims, $2 avg paid/claim, $46 revenue) appear at low volume and low dollar impact. This combination of episodic injections and IV normal saline alongside E/M and basic labs is consistent with managing acute outpatient presentations or minor procedures in an ambulatory setting.

The NPI shows a long tenure: enumerated on 2006-08-31 (registered ~20 years ago), so the provider has an established enrollment record despite modest Medicare billing totals. That tenure may matter for credentialing, continuity, or historical claims review even though current Medicare revenue levels are low.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$50	$5.9K
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…	50	$80	$3.9K
99203	The provider sees a new 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 provider…	50	$70	$3.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	20	$30	$580
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	50	$10	$500
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	50	$10	$420
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	50	$10	$410
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$20	$410
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	20	$20	$370
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	20	$10	$230

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Elizabeth Barot — 0 of 16 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

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	49	80	100	$80	$15.5K
84443	6	10	310	$20	$10.4K
80061	6	10	60	$10	$10.1K
99213	30	80	100	$50	$7.6K
80053	6	10	70	$10	$7.5K
85025	8	10	160	$10	$6.9K
99203	16	30	50	$60	$3.8K
36415	18	30	100	$10	$3.2K
87088	5	10	290	$10	$2.1K
99212	10	10	40	$30	$1.8K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Myrah Keating Smith Community Health Center	VI	Clinic/Center	$0	$938.1K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Dejames	VI	Legal Medicine	$26.5K	$0
Jessica Schnell	VI	Physical Therapist	$11.2K	$0

Elizabeth Barot — Billing Profile & Reimbursement Data

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Elizabeth Barot — 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