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NPI 1609100916 · St Thomas, VI · Public Health or Welfare Agency
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Department Of Health, Rls Community Health Center is a public health or welfare agency provider located in St Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Department Of Health, Rls Community Health Center |
| Address | 9048 Sugar Estate |
| City | St Thomas |
| State | VI |
| ZIP | 00802 |
| Taxonomy | Public Health or Welfare Agency |
| NPI Enumerated | September 21, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $328.1K |
| Medicare | $0 |
DEPARTMENT OF HEALTH, RLS COMMUNITY HEALTH CENTER shows effectively single-payer Medicaid activity with no Medicare billing on file; total Medicaid revenue is $328.1K, and this appears to be the sole documented federal payer revenue stream for the entity in the dataset. The absence of Medicare claims suggests the organization focuses its clinical services on Medicaid-eligible populations or operates in service lines that do not bill Medicare.
Revenue is highly concentrated in a small set of outpatient evaluation-and-management codes: the top 3 Medicaid codes by revenue account for 92.1% of the provider's Medicaid receipts. This concentration indicates a narrow service mix where routine office visits for established patients dominate revenue, increasing dependence on a few visit types for financial performance.
The single largest revenue driver is code 99213, which generated $185.6K (56.6% of Medicaid revenue) across 3.1K claims and ranks #7 of 41 in-state (85th percentile). This placement—well above median statewide volume but not the top provider—marks the center as a meaningful, above-typical provider of low-complexity established-patient office visits in the state.
Code 99214 is the second major driver with $69K (21.0% of Medicaid revenue) over 670 claims and ranks #18 of 43 in-state (60th percentile). That rank and share suggest moderate provision of mid-level evaluation-and-management visits; the mix of 99213 and 99214 together implies a continuum of primary care/ambulatory management where both lower- and moderate-complexity follow-up visits are common.
99212 contributes $47.5K (14.5% of Medicaid revenue) from 913 claims and ranks #4 of 16 in-state (80th percentile), reinforcing that a large volume of brief, straightforward established-patient visits is part of the practice profile. Together with 99213 and 99214, these E/M codes make up the overwhelming majority of clinical activity and point toward primary-care focused operations rather than specialty procedural services.
Support services and preventive care appear but at much smaller scale: notable secondary codes include 81002 (urine dipstick testing) with $7.7K (2.3% of revenue) and 90471 (vaccine administration) with $1.7K (0.5% of revenue). These ancillary codes, coupled with 99392 preventive visits ($1.9K, 0.6%), are consistent with a community health center offering basic diagnostics, immunizations, and periodic preventive care alongside routine E/M visits.
Competitive standing by code shows the center is a modest-to-strong statewide participant for common outpatient E/M codes: 99213 at the 85th percentile and 99212 at the 80th percentile mark it as an above-typical provider for those low-complexity visit types, while 99214 at the 60th percentile is closer to typical statewide activity. These ranks imply the center holds meaningful share in routine ambulatory care within the state but is not the dominant player for higher-complexity visits.
The provider has long tenure in the NPI registry, enumerated on 2009-09-21 (~17 years ago). This duration supports the interpretation that current Medicaid billing patterns reflect an established operational model rather than a recent shift in services or payer focus.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 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… | 3,150 | $60 | $185.6K |
| 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… | 670 | $100 | $69K |
| 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,… | 910 | $50 | $47.5K |
| 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… | 80 | $160 | $12.2K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 850 | $10 | $7.7K |
| 99442 | N/A | 80 | $30 | $2.4K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 20 | $120 | $1.9K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 80 | $20 | $1.6K |
| 99441 | N/A | 20 | $10 | $220 |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 18 | 40 | 560 | $140 | $322K |
| 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… | 7 | 40 | 430 | $110 | $260.9K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 6 | 10 | 1,540 | $150 | $221.8K |
| 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,… | 4 | 20 | 130 | $110 | $64.8K |
| 81002 | The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen… | 3 | 10 | 850 | $10 | $49.8K |
| 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… | 15 | 30 | 80 | $150 | $27K |
| 99442 | N/A | 2 | 10 | 80 | $40 | $22.5K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 7 | 10 | 830 | $20 | $21.6K |
| 99441 | N/A | 3 | 10 | 280 | $40 | $21K |
Other providers in the same ZIP code as Department Of Health, Rls Community Health Center, ranked by combined Medicare and Medicaid revenue.
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