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.

Reva Richardson (NPI 1588672067)

Field	Value
Entity Type	Individual
Organization	Reva Richardson
Address	9149 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Internal Medicine Physician
NPI Enumerated	August 3, 2006

Payer Source	Total Paid
Medicare	$154.4K
Medicaid	$0

Key Findings

This provider’s lifetime billing is effectively single-payer: total Medicare revenue is $154.4K and there is no Medicaid billing on file, so payer mix is dominated by Medicare and Medicaid activity does not appear in the record. Analysts should treat this profile as Medicare-centric when evaluating local network capacity or cost exposure.

Revenue concentration is high: the precomputed top 3 Medicare codes (99214, G0439, 99232) together account for 58.0% of the provider’s total Medicare revenue, with individual shares of 23.8%, 18.5%, and 15.7% respectively. This level of concentration indicates a small set of core services drives the majority of payment.

The code mix points to a primary care–oriented practice with inpatient follow-up activity: high-volume office E/M codes (99214, 99213, 99215) and Annual Wellness Visits (G0439, G0438) dominate outpatient work, while substantial claims for 99232 and other inpatient subsequent-care codes show a meaningful inpatient follow-up/hospitalist component. Together these suggest the provider delivers longitudinal outpatient primary care plus continuity care inside a hospital or observation setting.

On national standing for key codes the provider is above median but not an extreme outlier: 99214 ranks #43040 of 479517 providers (91th percentile; typical, unremarkable volume for this code), G0439 ranks #8206 of 105855 providers (92th percentile; typical, unremarkable volume for this code), and 99232 ranks #19599 of 177383 providers (89th percentile; typical, unremarkable volume for this code). These rankings imply solid participation in common primary care and AWV activity relative to national peers, without indicating dominant market share.

Reported claim volumes support steady throughput: the provider billed 540 claims for 99214, 234 claims for G0439, and 419 claims for 99232, showing a mix of frequent established-patient office visits, routine Annual Wellness Visits, and regular inpatient follow-up encounters. This pattern is consistent with a small-to-mid sized practice managing both clinic panels and inpatient responsibilities.

There is heterogeneity in complexity and competitive standing across codes: higher-complexity new-patient and initial inpatient codes appear at much lower relative volume (for example, 99205 has 14 claims and ranks #52998 of 66257 providers (16th percentile; typical, unremarkable volume for this code), and 99222 ranks #93136 of 117621 providers (17th percentile; typical, unremarkable volume for this code)). This suggests the provider sees fewer very high-complexity initial encounters and instead generates more revenue from ongoing management and follow-up care.

The provider has an established tenure in the Medicare program, with NPI enumeration dated 2006-08-03 (~20 years ago), indicating a long-standing presence in the market. Despite this longevity, lifetime Medicare revenue is modest at $154.4K, which may reflect a small practice scale, part-time Medicare panel, or a focus on non-Medicare payers and services not captured here.

Medicare: Complete Services Breakdown

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

14 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…	540	$70	$36.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	230	$120	$28.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	420	$60	$24.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	190	$120	$23.3K
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…	440	$50	$19.7K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	30	$160	$5.1K
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…	60	$80	$4.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$90	$3.1K
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,…	90	$30	$3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	30	$60	$1.7K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Reva Richardson — 2 of 14 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

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	9	30	60	$120	$19.8K
99214	9	80	100	$80	$15.5K
99232	3	10	140	$60	$12.8K
99233	6	10	70	$90	$8.2K
G0439	1	20	60	$120	$8.1K
99213	4	80	100	$50	$7.6K
99205	13	20	30	$140	$4.9K
G0438	3	10	20	$160	$4.8K
99204	9	40	40	$100	$4.4K
99203	24	30	50	$60	$3.8K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Reva Richardson, 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
James Nelson	VI	Neurology Physician	$143.2K	$0
Caricare Family Health Services, L.L.C	VI	Internal Medicine Physician	$0	$139.8K
Jeanette Dilan-koetje	MO	Internal Medicine Physician	$133.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
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
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
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

Reva Richardson — 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