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.

John Cook (NPI 1619966579)

Field	Value
Entity Type	Individual
Organization	John Cook
Address	4000 Beeston Hill Medical Ctr Ste 9
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicare	$78.7K
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single‑payer: total Medicare revenue is $78.7K and there is no Medicaid billing on file (none). The absolute Medicare revenue level is modest, indicating a relatively small Medicare practice or low overall Medicare case volume despite long tenure.

Revenue is highly concentrated: the precomputed top 3 Medicare codes (99213, 97597, 99203) account for 77.6% of the provider’s total Medicare revenue. That concentration signals dependence on a narrow set of office and wound‑care services for the majority of billing dollars, which could amplify revenue volatility if utilization of those specific services changes.

The code mix points to a classic foot & ankle/podiatry office focused on office‑based E&M and wound management: the top codes are 99213 (established patient visits), 97597 (wound debridement), and 99203 (new patient visits). Several additional codes—11721 (nail debridement) and 29580 (Unna boot application)—further support a clinical operation centered on outpatient podiatric procedures and wound care rather than high‑acuity surgical interventions.

Competitive standing for wound debridement is strong: 97597 generates $21.5K (27.3% of Medicare revenue) and ranks #330 of 6056 providers nationally (95th percentile) and is described in the data as having typical, unremarkable volume. In plain terms, this provider performs wound debridement at a rate well above most peers nationally, making wound care a distinctive revenue driver in their profile.

Visit volume is also concentrated at lower‑complexity office visits: 99213 accounts for $30.9K (39.3% of Medicare revenue) and ranks #27201 of 457151 providers nationally (94th percentile) while being labeled typical, unremarkable volume in the source. Similarly, 99203 contributes $8.6K (11.0%) and ranks #12221 of 161519 (92th percentile), indicating relatively high national rankings for both new and established outpatient E&M visits despite the descriptive label.

There is a noticeable skew away from higher‑complexity visits and therapy services: 99214 is only $6.4K (8.1%) and ranks in the 36th percentile, 11721 ranks in the 33th percentile, and 97110 ranks in the 3th percentile (all characterized as typical, unremarkable volume). This suggests the practice treats predominantly lower‑complexity office patients and performs fewer higher‑complexity evaluation or therapy sessions compared with national peers.

Medication and supply billing generates almost no Medicare revenue: J3301 shows 70 claims but only $70 total revenue (0.1% of Medicare revenue), and J1100 shows 208 claims with $0 revenue (0.0% of Medicare revenue). These entries imply minimal drug‑related reimbursement on Medicare claims in this profile and may reflect billing of low‑paid injectable products or bundled supply arrangements rather than material revenue from pharmaceuticals.

The provider has long tenure in the NPI registry, enumerated on 2005-10-13 (~21 years ago). Long enumeration suggests an established local presence in CHRISTIANSTED, VI, but the combination of modest total Medicare revenue ($78.7K) and heavy revenue concentration means the practice operates at a relatively small Medicare scale despite that tenure.

Medicare: Complete Services Breakdown

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

11 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…	500	$60	$30.9K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	280	$80	$21.5K
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…	130	$70	$8.6K
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…	70	$100	$6.4K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	140	$30	$4.2K
29580	The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to…	70	$50	$3.7K
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…	10	$120	$1.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	50	$20	$1.1K
64455	The provider injects a steroid or anesthetic agent or both into the area around the digital nerves on the sole of the foot to treat a condition such as Morton's neuroma.	30	$30	$800
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	70	$1	$70

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

John Cook — 1 of 10 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97597	1	10	280	$80	$21.5K
97110	21	20	710	$20	$16.8K
99214	45	80	100	$80	$15.5K
99213	3	80	100	$50	$7.6K
99204	34	40	40	$100	$4.4K
11721	1	10	140	$30	$4.1K
99203	3	30	50	$60	$3.8K
29580	1	10	70	$50	$3.7K
64455	1	10	30	$30	$810
J3301	8	10	100	$1	$230

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Plessen Medical Group, LLC	VI	Multi-Specialty Clinic/Center	$0	$671K
Jan Tawakol	VI	Nephrology Physician	$212.1K	$0
Tasnim Khan	VI	Nephrology Physician	$140.4K	$0
Malgorzata Dawiskiba	MA	Rheumatology Physician	$51.3K	$0
Saint Croix Podiatry LLC	VI	Foot & Ankle Surgery Podiatrist	$0	$19.4K
Lindsay Ray	VI	Family Nurse Practitioner	$15.6K	$0
Jamie Schmidt	VI	Physician Assistant	$7.7K	$0
Lisa Gay	VI	Family Nurse Practitioner	$2.2K	$0
Edward Gonzalez	WA	Family Nurse Practitioner	$1.7K	$0
Madel Villegas	VI	Family Medicine Physician	$1.2K	$0

Nearby Providers

Other providers in the same ZIP code as John Cook, 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

John Cook — 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