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.

Arakere Prasad (NPI 1619931276)

Field	Value
Entity Type	Individual
Organization	Arakere Prasad
Address	4040 Est La Grande Princess
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 12, 2006

Payer Source	Total Paid
Medicare	$105.3K
Medicaid	$0

Key Findings

ARAKERE PRASAD's Medicare billing is concentrated in office/outpatient evaluation-and-management and preventive visits rather than high-acuity emergency procedures: the top three Medicare codes are 99214 ($50.2K revenue, 47.5%), 99215 ($19.5K revenue, 18.4%), and G0439 ($13.8K revenue, 13.1%), and these three codes account for 79.0% of this provider's total Medicare revenue. This mix of established-patient E/M codes and annual wellness visits indicates the provider is operating with a strong ambulatory/preventive care orientation in their Medicare practice.

Revenue scale and payer mix are highly Medicare-dominant: lifetime Medicare revenue is $105.3K and there is no Medicaid billing on file, so this provider is effectively single-payer (Medicare) in the available data. The absence of any Medicaid claims means analyses of in-state Medicaid share or competitive standing among Medicaid peers are not applicable for this NPI.

99214 is a clear outlier in national volume for this provider: the code generated $50.2K (47.5% of Medicare revenue) and the provider ranks #24918 of 479517 providers nationally (95th percentile; notably above typical national volume for this code), signaling unusually high utilization of mid- to high-level established-patient office visits relative to peers. By contrast, 99215 ($19.5K, 18.4%) ranks #16269 of 145531 (89th percentile; typical, unremarkable volume) and G0439 ($13.8K, 13.1%) ranks #30602 of 105855 (71th percentile; typical, unremarkable volume), which together indicate strong concentration in a few high-revenue E/M items but otherwise typical national standing for the remaining top codes.

The provider's NPI has been enumerated since 2006-04-12 (~20 years ago), indicating a long-tenured presence in the Medicare billing system; this tenure supports interpretation of the observed billing mix as a settled practice pattern rather than a short-term anomaly. Long enumeration paired with concentrated E/M and wellness billing suggests established workflows and patient panels consistent with outpatient follow-up and preventive visits.

Preventive and screening services form a visible secondary component of the Medicare profile: G0439 (annual wellness, subsequent visit) generated $13.8K, G0438 (annual wellness, initial) generated $3.1K, G0402 (initial preventive physical) generated $1.8K, and screening codes G0444 and G0442 each generated $1.4K. These items show the provider bills for both initial and subsequent wellness visits and for routine behavioral/alcohol screening, consistent with a preventive-care or primary-care–oriented service mix within the Medicare population.

The practice also bills low-dollar, high-frequency ancillary items and point-of-care testing: 82962 produced $507, 36415 produced $480, 87426 (COVID antigen/assay) produced $1.3K, and 93000 produced $272. Several of these small-revenue services are relatively common in the provider's profile (for example 82962 ranks #1167 of 6715 providers nationally, 83th percentile), indicating routine use of quick diagnostics and specimen collection alongside E/M visits.

Competitive standing is mixed: for the signature code 99214 the provider is a high-volume national outlier (95th percentile; notably above typical national volume), while for many other top codes the provider sits in typical percentile ranges (for example 99215 at the 89th percentile and G0439 at the 71th percentile, both noted as typical, unremarkable volume). This pattern suggests the provider is a leading local biller for mid-level established-patient visits but otherwise participates at a conventional level for other Medicare services.

Operational implication for payers and network planners: given a $105.3K Medicare footprint, a 79.0% concentration in three codes, and no Medicaid billing, the provider represents a narrowly focused Medicare outpatient/Waiver-of-Emergency-type billing profile with limited diversification across payers and services. Contracts, risk-sharing arrangements, or care-management outreach tied to ambulatory chronic care and annual wellness visits would align with the provider's observed revenue drivers, while Medicaid-focused initiatives would have no immediate claims basis with this NPI.

Medicare: Complete Services Breakdown

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

17 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…	720	$70	$50.2K
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…	160	$120	$19.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	$130	$13.8K
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…	220	$40	$7.8K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$160	$3.1K
99203	The provider sees a new 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 provider…	40	$50	$2.3K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$160	$1.8K
G0444	Annual depression screening, 5 to 15 minutes	80	$20	$1.4K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	80	$20	$1.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	40	$30	$1.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Arakere Prasad — 0 of 17 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

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	10	30	60	$120	$19.8K
99214	6	80	100	$80	$15.5K
G0439	4	20	60	$120	$8.1K
99213	20	80	100	$50	$7.6K
G0438	4	10	20	$160	$4.8K
99204	31	40	40	$100	$4.4K
99203	18	30	50	$60	$3.8K
36415	8	30	100	$10	$3.2K
G0442	2	10	140	$20	$2.5K
G0008	11	10	50	$30	$1.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Care, PLLC	VI	Preferred Provider Organization	$0	$261.8K
Jennifer Samuel	VI	Physician Assistant	$25.8K	$0
Carmen Cintron	VI	Internal Medicine Physician	$9.8K	$0

Nearby Providers

Other providers in the same ZIP code as Arakere Prasad, 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

Arakere Prasad — Billing Profile & Reimbursement Data

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Arakere Prasad — 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