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.

Keralajolisa (NPI 1598985681)

Field	Value
Entity Type	Organization
Organization	Keralajolisa
Address	3000 Golden Rock Shopping Center
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Optometrist
NPI Enumerated	April 30, 2007

Payer Source	Total Paid
Medicaid	$720.9K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and records $720.9K in lifetime Medicaid revenue, making its commercial public-payer footprint effectively single-payer and concentrated in Medicaid billing activity rather than a mixed Medicare/Medicaid practice. Analysts should treat KERALAJOLISA as a Medicaid-focused optometry supplier for comparative and network analyses.

KERALAJOLISA has an established NPI enumerated on 2007-04-30 (~19 years ago), indicating long tenure in the market; this duration supports stable operational presence rather than a recent entrant. Longevity combined with concentrated Medicaid activity suggests an entrenched local dispensing operation.

Revenue is highly concentrated: the top three Medicaid codes (V2020, V2200, V2100) account for 76.3% of the provider's total Medicaid revenue. Individually these are V2020 $224.7K (31.2%), V2200 $182.1K (25.3%), and V2100 $143.6K (19.9%), showing most dollars derive from a few eyewear-related codes.

The code mix is dominated by optical dispensing and durable eyewear items—V2020 (Frames, purchases), V2200 (Sphere, bifocal, per lens), and V2100 (Sphere, single vision, per lens) — and the high claim counts (e.g., V2020 4.2K claims, V2100 1.9K, V2200 1.8K) point to a high-throughput retail dispensing model rather than revenue driven by professional ocular exam codes. The absence of Medicare clinical CPTs among top billings reinforces that product provision (frames and lenses) is the primary service line.

Competitive standing within the state is modest: for the largest code V2020 this provider ranks #2 of 4 in-state at the 67th percentile and is described as typical/unremarkable volume, while V2200 and V2100 both rank #2 of 3 at the 50th percentile and are likewise characterized as typical. These rank/percentile positions indicate KERALAJOLISA is not a dominant statewide player on these codes but is a consistent, mid-tier participant in Medicaid eyewear claims.

Several secondary lens-related add-on codes also contribute meaningful revenue—V2755 $83.3K (11.5%), V2760 $62.4K (8.7%), and V2745 $24.9K (3.4%)—reflecting routine provision of coatings and lens customizations alongside frames and primary lenses. This pattern suggests bundled eyewear sales with consistent demand for accessory services rather than isolated one-off procedures.

Operationally, the combination of large claim volumes for frames and lenses (for example, 4.2K claims for V2020 and 4.2K claims for V2755/V2760) indicates a high-volume dispensing workflow, likely serving a sizable Medicaid patient base needing durable eyewear. Despite high throughput, the statistical descriptors for these codes are “typical, unremarkable volume,” reinforcing that the provider’s activity mirrors common in-state practice patterns rather than representing outlier behavior.

The provider’s heavy dependence on Medicaid for all reported public-payer revenue creates sensitivity to state Medicaid fee schedule changes or program policy shifts; with no Medicare billing to diversify payer risk, reimbursement or eligibility adjustments at the state level would disproportionately affect this practice’s revenue stream.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	4,160	$50	$224.7K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1,770	$100	$182.1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,910	$80	$143.6K
V2755	U-v lens, per lens	4,160	$20	$83.3K
V2760	Scratch resistant coating, per lens	4,160	$20	$62.4K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	3,110	$10	$24.9K

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.

Claims Volume vs. U.S. Virgin Islands Distribution

Keralajolisa — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	2	10	3,020	$50	$347.7K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	2	10	1,770	$100	$332.1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2	10	1,910	$70	$311.4K
V2755	U-v lens, per lens	2	10	3,040	$20	$122K
V2760	Scratch resistant coating, per lens	2	10	4,160	$10	$121.6K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	2	10	3,110	$10	$60.6K

Nearby Providers

Other providers in the same ZIP code as Keralajolisa, 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
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
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

Keralajolisa — Billing Profile & Reimbursement Data

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Keralajolisa — 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