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 & MedicaidProfessional Psychological Services
    Ask Trek AI about this page

    Professional Psychological Services — Billing Profile & Reimbursement Data

    NPI 1588827679 · St Thomas, VI · Community/Behavioral Health Agency

    Customize your policy alerts

    Sign up for Professional Psychological Services — 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.

    Professional Psychological Services is a community/behavioral health agency provider located in St Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 1 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
    OrganizationProfessional Psychological Services
    Address31 D Sapphire Bay W
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedJuly 8, 2008

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

    Payer SourceTotal Paid
    Medicaid$140.9K
    Medicare$0

    Key Findings

    PROFESSIONAL PSYCHOLOGICAL SERVICES is categorized as a Community/Behavioral Health Agency and its Medicaid billing is dominated by psychotherapy-type services; the single top-listed code is 90837, which denotes psychotherapy sessions of 53 minutes or more, indicating the practice’s primary clinical offering is longer individual psychotherapy encounters. This code profile aligns with a behavioral-health agency model focused on direct patient psychotherapy rather than procedure-based or ancillary services.

    Revenue concentration is extreme on Medicaid: the precomputed metric shows the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the listed code 90837 is responsible for $140.9K in revenue (100.0% of total Medicaid revenue). This indicates virtually all Medicaid income is captured by a very narrow set of psychotherapy services.

    Volume and reimbursement details for the leading code show 1.1K claims with an average paid per claim of $128 and total revenue of $140.9K for 90837. These figures suggest modest per-claim reimbursement combined with consistent use of the long-visit psychotherapy code across the provider’s Medicaid activity.

    Payer mix is effectively single-payer: there is no Medicare billing on file and all reported program revenue is Medicaid-based (Total Medicaid revenue: $140.9K; no Medicare revenue). As a result, the provider’s commercial/Medicare exposure is minimal-to-none in the available data, increasing dependence on Medicaid policy and reimbursement dynamics.

    In-state competitive standing on the principal code is middling: 90837 ranks #5 of 10 providers in-state (56th percentile) with a characterization of typical, unremarkable volume for this code. This positioning indicates the provider is a modest participant in the regional psychotherapy billing market rather than a dominant programmatic leader.

    The provider has an established enrollment history, with its NPI enumerated on 2008-07-08 (~18 years ago), signaling a long-tenured presence in the market that may reflect operational stability despite modest revenue scale. Long tenure combined with a narrow service mix suggests an entrenched, specialized practice rather than a newly entered or rapidly expanding operation.

    Operational and business implications of the observed concentration include revenue vulnerability to changes in Medicaid reimbursement or utilization for psychotherapy visits and limited diversification of billable services. Given the near-total dependence on 90837 and Medicaid, strategic changes in coding mix, payer contracts, or service lines would likely be required to materially change revenue scale or payer diversification.

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…1,100$130$140.9K

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…510790$180$229K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ramona MossVIPsychologist$14.6K$0
    Gloria MendezVIPsychologist$9.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Professional Psychological Services, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M

    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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Professional Psychological Services — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands