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.

The Heart Center PC (NPI 1629108154)

Field	Value
Entity Type	Organization
Organization	The Heart Center PC
Address	4500 Island Medical Center
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$34.7K
Medicare	$0

Key Findings

THE HEART CENTER PC shows effectively single-payer activity in available data: there is no Medicare billing on file while Medicaid revenue totals $34.7K, indicating the provider’s recorded Medicare footprint is nil and its billed care is concentrated in Medicaid for the period covered. This payer mix suggests financial exposure and growth/reimbursement analysis should focus on Medicaid dynamics rather than Medicare trends for this entity.

Revenue is highly concentrated: the top three Medicaid codes account for 100.0% of the provider’s Medicaid revenue, with 93306 accounting for 58.2%, 93010 for 37.9%, and 99222 for 3.9%. That concentration signals that a small set of diagnostic and initial inpatient codes drive virtually all recorded Medicaid dollars for this provider.

The service mix aligns with diagnostic cardiology and hospital-based evaluation: 93306 (echocardiography) generated $20.2K on 492 claims, 93010 (ECG interpretation) generated $13.1K on 3.3K claims, and 99222 (initial inpatient E/M) generated $1.3K on 14 claims. Together these codes imply the practice focuses on cardiac imaging and ECG interpretation with some inpatient initial evaluations rather than high-volume interventional procedures.

There is a distinct volume-versus-reimbursement profile between the top codes: 93010 appears in very high claim volume (3.3K claims) but at a low $4 avg paid/claim producing $13.1K revenue, while 93306 appears in far fewer claims (492) but at a higher $41 avg paid/claim producing $20.2K revenue. This pattern indicates that imaging (93306) is the primary revenue driver despite lower claim counts, whereas ECG interpretation (93010) drives encounter volume but contributes less per claim.

Competitive standing in-state is mixed: for 93010 the provider ranks #1 of 2 in-state (100th percentile) but that ranking is characterized as "typical, unremarkable volume," meaning it is the top biller among a very small peer set without suggesting extraordinary utilization. For 93306 the provider ranks #4 of 6 in-state (40th percentile) and is also described as typical/unremarkable, indicating a modest market position on echocardiography relative to local peers.

The 99222 activity is small in revenue but notable in characterization: 14 claims at a $96 avg paid/claim produced $1.3K and the code ranks #1 of 1 providers in-state with a 0th percentile and a note of "no state peer volume comparison available." This suggests the provider is the only recorded state biller for that specific inpatient initial E/M in the dataset, but the lack of peers prevents conclusions about relative intensity or dominance.

The NPI tenure is long-standing: the provider’s NPI is enumerated/registered 2007-03-06 (~19 years ago), indicating an established presence in the market that may reflect sustained referral patterns and operational stability relevant to payer contracting or network analyses. Tenure combined with the concentrated service mix can inform discussions about specialty continuity and potential capacity for incremental services.

Several billed codes appear with claims but report $0 revenue in the Medicaid extract (examples include 93000: 63 claims, 99214: 41 claims, 99213: 28 claims, and 94760: 13 claims). These zero-paid-code occurrences warrant reconciliation in a payer review—possible explanations include bundled payments, non-covered services, claim denials, or reporting artifacts—so analysts should cross-check line-level adjudication and billing practices if assessing true service volume versus collected revenue.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	490	$40	$20.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,280	$1	$13.1K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.3K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	60	$0	$0
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	10	$0	$0
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…	30	$0	$0
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…	40	$0	$0

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

The Heart Center PC — 1 of 3 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

7 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…	36	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…	36	40	430	$110	$260.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4	10	510	$160	$73.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	5	10	750	$20	$21.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1	10	2,480	$10	$12.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1	10	10	$100	$1.3K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	1	10	10	$1	$1

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Heart Center PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dante Galiber	VI	Cardiovascular Disease Physician	$114K	$0

Nearby Providers

Other providers in the same ZIP code as The Heart Center PC, 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

The Heart Center PC — Billing Profile & Reimbursement Data

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The Heart Center PC — 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