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.

St Thomas Radiology Associates LLC (NPI 1659385011)

Key Findings

Field	Value
Entity Type	Organization
Organization	St Thomas Radiology Associates LLC
Address	9149 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicaid	$813K
Medicare	$0

This provider has no Medicare billing on file and reports $813K in lifetime Medicaid revenue, making its observable revenue profile effectively single-payer (Medicaid-only) in these data. The absence of Medicare claims is a notable characteristic for a Diagnostic Radiology Physician and should be treated as a material constraint when comparing this entity to typical radiology practices that bill both Medicare and Medicaid.

Revenue is concentrated in a small set of imaging services: the precomputed top three Medicaid codes (72148, 74177, 77067) account for 45.7% of this provider’s Medicaid revenue. Specifically, 72148 generated $144.5K (17.9%), 74177 generated $117.5K (14.5%), and 77067 generated $107.7K (13.3%) of the $813K total, indicating a reliance on spine MRI, abdominal/pelvic CT with contrast, and screening mammography as primary revenue drivers.

The CPT/HCPCS mix indicates a full-spectrum diagnostic imaging operation with cross-sectional and screening services: 72148 (lumbar MRI) had 876 claims, 74177 (CT abdomen/pelvis with contrast) had 1.4K claims, 77067 (screening mammography) had 2.4K claims, and 76856 (pelvic ultrasound) had 859 claims. This blend of MRI, CT, mammography, and ultrasound implies the provider performs both higher-acuity cross-sectional imaging and high-volume screening/diagnostic studies.

Competitive standing is mixed across codes: the provider is the sole in-state reporter for several MRI codes (e.g., 72148 and 73721 rank #1 of 1 with a 0th percentile note indicating no state peer volume comparison available), which can indicate unique in-state capacity for those specific MRI exams. Conversely, for high-revenue CT abdomen/pelvis (74177) the provider ranks #2 of 5 at the 75th percentile (mid-to-upper range), while screening mammography 77067 ranks #3 of 4 at the 33th percentile, showing moderate to below-median state volume for some high-volume services.

Volume-driven, low-per-claim services generate many claims but relatively modest revenue per claim: 71045 (single-view chest) shows 3.5K claims at $7 avg paid/claim yielding $24.3K, while 77067 (screening mammography) shows 2.4K claims at $44 avg paid/claim yielding $107.7K. This pattern suggests the practice’s throughput of routine radiography and screening studies contributes materially to claim counts and patient access but less so to Medicaid revenue per exam.

Several specialty ultrasound and CT services are top-ranked in-state: 76856 (pelvic ultrasound) is #1 of 4 at the 100th percentile with $60.1K revenue, 76816 (fetal reexamination) is #1 of 3 at the 100th percentile with $26.1K revenue, and 71260 (CT thorax with contrast) is #1 of 2 at the 100th percentile with $7.3K revenue. These 100th-percentile rankings indicate the provider is a leading Medicaid biller in the state for multiple focused ultrasound and CT procedures.

The provider’s NPI was enumerated on 2006-07-28 (~20 years ago), reflecting long-tenure in the registry. Combined with the modest $813K lifetime Medicaid revenue, this tenure suggests an established but regionally limited radiology operation rather than a large multi-site enterprise, which is consistent with the localized rank/percentile patterns observed across codes.

Medicaid: Complete Services Breakdown

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

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	880	$170	$144.5K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,420	$80	$117.5K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,450	$40	$107.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	490	$190	$91.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1,950	$30	$66.3K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	860	$70	$60.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	2,810	$10	$28.1K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	250	$100	$26.1K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	620	$40	$25.9K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	150	$160	$25.3K

Showing 1–10 of 35

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

St Thomas Radiology Associates LLC — 5 of 25 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

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	2	10	160	$290	$286.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	3	10	2,780	$80	$221.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	4	10	3,310	$60	$177.3K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	1	10	880	$170	$144.7K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2	10	700	$160	$112.4K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	3	10	1,950	$70	$100.3K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	3	10	80	$210	$92.7K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1	10	490	$190	$91.6K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	1	10	500	$150	$79.3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2	10	60	$100	$67.6K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kambiz Shamlou	FL	Diagnostic Radiology Physician	$1.4M	$0
Thomas Yuschok	FL	Diagnostic Radiology Physician	$1.2M	$0
Jacqueline Bernard	FL	Diagnostic Radiology Physician	$883K	$0
Ameneh Mashayekh	FL	Diagnostic Radiology Physician	$725.9K	$0
Amanda Aulls	FL	Diagnostic Radiology Physician	$647.6K	$0
Ridgely Meyers	CA	Diagnostic Radiology Physician	$599.1K	$2.4K
Vashti Hellein	FL	Diagnostic Radiology Physician	$578.9K	$0
Dana Allen	FL	Diagnostic Radiology Physician	$548K	$0
Brian Cartwright	FL	Diagnostic Radiology Physician	$546.4K	$0
Alexander Quiroz Casian	FL	Diagnostic Radiology Physician	$503.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

St Thomas Radiology Associates LLC — 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