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.

Delgiacco Medical (NPI 1619418233)

Key Findings

Field	Value
Entity Type	Organization
Organization	Delgiacco Medical
Address	6048 Estate Castle Coakley
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	March 15, 2017

Payer Source	Total Paid
Medicaid	$386.5K
Medicare	$0

DELGIACCO MEDICAL reports no Medicare billing on file (none) and $386.5K in lifetime Medicaid revenue, making its public payer footprint effectively single-payer Medicaid under the available data. This concentration in Medicaid billing means any payer-strategy or network negotiations should treat Medicaid as the primary source of claims and revenue for this NPI.

Revenue concentration in Medicaid is heavily weighted toward three codes: 99214 ($171.7K, 2.3K claims, $76 avg paid/claim), 99215 ($142.2K, 1.4K claims, $99 avg paid/claim), and 96413 ($28.2K, 408 claims, $69 avg paid/claim). Those top three codes together account for 88.5% of the provider’s total Medicaid revenue, indicating a narrow set of services driving nearly all Medicaid receipts.

The code mix and volumes point to an office-based hematology/oncology practice model focused on evaluation-and-management (E&M) visits and outpatient chemotherapy administration. High volumes of 99214 and 99215 (moderate- and high-complexity established-patient visits) combined with 96413 (IV chemotherapy administration) are consistent with ongoing cancer care management rather than one-off procedural or inpatient work.

Competitive standing for the principal E&M codes is above average in-state: 99215 ranks #3 of 17 providers (88th percentile), and 99214 ranks #9 of 43 providers (81th percentile). These ranks indicate DELGIACCO MEDICAL is a relatively high-volume Medicaid provider for higher-complexity office visits in the state, particularly for 99215 where it sits among the top in-state billers.

The chemotherapy administration code 96413 shows a unique in-state position: it ranks #1 of 1 providers in-state with a parenthetical note of (0th percentile; no state peer volume comparison available). This suggests DELGIACCO MEDICAL may be the only Medicaid-billing provider for 96413 in the dataset, signaling a potentially exclusive or uncommon service offering within the state Medicaid sample.

Ancillary services such as lab tests and basic phlebotomy (85025: $10.6K, 2.7K claims; 36415: $5.3K, 2.7K claims; 80053: $1.9K, 233 claims) are present but represent small shares of revenue. The low average paid/claim on those lab and specimen codes indicates these services contribute operational volume and clinical monitoring capacity but are not major revenue drivers relative to E&M and chemotherapy.

Lower-complexity E&M 99213 and brief visits 99212 are present at more modest volumes (99213: 312 claims, $19.7K, ranks #23 of 41, 45th percentile; 99212: 17 claims, $748, ranks #13 of 16, 7th percentile), showing the practice skews toward higher-complexity established-patient encounters rather than routine low-complexity visits. This mix reinforces the interpretation of a specialty oncology practice managing complex cases.

The NPI was enumerated 2017-03-15 (~9 years ago), indicating an established presence in the market long enough to accumulate the shown claim volumes and to be a recognizable Medicaid provider for oncology services; longevity combined with the above-average ranks on high-complexity E&M codes supports a stable, specialty-focused operating profile.

Medicaid: Complete Services Breakdown

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

12 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…	2,260	$80	$171.7K
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…	1,440	$100	$142.2K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	410	$70	$28.2K
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…	310	$60	$19.7K
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…	2,660	$1	$10.6K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	150	$40	$5.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	2,670	$1	$5.3K
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.	230	$10	$1.9K
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	$40	$750
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	110	$10	$630

Showing 1–10 of 12

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

Delgiacco Medical — 0 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	7	20	1,920	$110	$858.9K
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…	9	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…	23	40	430	$110	$260.9K
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.	10	10	1,720	$40	$171.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	5	10	420	$80	$113.7K
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…	3	20	200	$150	$93.5K
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,…	13	20	130	$110	$64.8K
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…	6	10	2,510	$10	$45.4K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	1	10	410	$70	$28K
J1200	Injection, diphenhydramine hcl, up to 50 mg	3	10	230	$10	$3.5K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mahdi Taha	FL	Medical Oncology Physician	$2.1M	$0
Elizabeth Delgiacco	VI	Hematology & Oncology Physician	$261.5K	$0
Erole Mclean	—	Hematology & Oncology Physician	$23.2K	$0
Beth Anne Joseph	CT	Emergency Medicine Physician	$16.7K	$0
Kelsey Brewington	VI	Medical Physician Assistant	$15.1K	$0

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

Delgiacco Medical — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References