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.

Sarah Cooper (NPI 1659868123)

Field	Value
Entity Type	Individual
Organization	Sarah Cooper
Address	5030 Anchor Way Ste 9&10
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Physician Assistant
NPI Enumerated	April 19, 2018

Payer Source	Total Paid
Medicare	$22.9K
Medicaid	$0

Key Findings

This provider is a Physician Assistant (NPI enumerated 2018-04-19, ~8 years ago) with limited Medicare-scale revenue: Total Medicare revenue is $22.9K and there is no Medicaid billing on file. The absence of any Medicaid claims makes the practice effectively single-payer (Medicare) in the dataset provided, which should be considered when assessing payer mix and contracting exposure.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes by revenue account for 90.0% of this provider's total Medicare revenue. Those top three codes are 99214 ($11.5K, 49.9%), 90833 ($7.2K, 31.2%), and 99215 ($2.1K, 8.9%), indicating the bulk of income comes from a narrow combination of E/M and psychotherapy-related services.

The code mix suggests a blended medical-behavioral workflow rather than a pure primary care or pure psychiatry practice: frequent billing of 99214 (moderate-complexity established E/M, 174 claims, $66 avg paid/claim) alongside 90833 (psychotherapy add-on, 184 claims, $39 avg paid/claim) indicates many encounters include both evaluation/management and psychotherapy components in the same session. The concurrent use of 90792 (psychiatric evaluation, 13 claims, $116 avg paid/claim) further supports that behavioral health assessment and psychotherapy are meaningful parts of the service mix.

Operationally this provider bills more moderate-complexity E/M (99214) than high-complexity E/M (99215): 99214 accounts for $11.5K (49.9% of Medicare revenue) while 99215 contributes $2.1K (8.9% of Medicare revenue). That distribution points to a panel and scheduling pattern centered on established patients with moderate decision-making needs rather than a dominant high-intensity consult practice.

Competitive standing by code is generally modest-to-typical rather than dominant. For 99214 the provider ranks #170708 of 479517 (64th percentile), described as typical/unremarkable volume; for 90833 the provider ranks #1895 of 7842 (76th percentile), a relatively higher standing among peers for psychotherapy add-on work; conversely 99215 ranks at the 19th percentile (#114686 of 145531) and 90792 at the 11th percentile (#6895 of 8250), both low relative volumes compared with national peers.

Claim counts and average paid per claim reveal how revenue is earned: 90833 has the highest claim count (184 claims) but a lower $39 avg paid/claim, whereas 99215 and 90792 have higher avg paid/claim ($114 and $116 respectively) but far fewer claims. This pattern indicates revenue is driven more by frequent moderate-payment psychotherapy/E/M combinations than by infrequent, high-payment evaluation-only visits.

The total Medicare revenue scale ($22.9K) is small in absolute terms for a billing provider, suggesting either a part-time Medicare panel, an outpatient role within a larger organization where billing may be routed elsewhere, or a practice focused on non-Medicare populations. Given no Medicaid activity on file, analysts should treat this profile as low-volume Medicare-focused when benchmarking network impact or potential contract value.

Because 90.0% of Medicare revenue is tied to three codes, payer or policy changes affecting E/M or psychotherapy billing would disproportionately affect this provider's Medicare income. The concentration implies business sensitivity to coding rules, reimbursement changes for 99214/90833, and any shifts in psychotherapy add-on billing guidance.] }

Medicare: Complete Services Breakdown

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

6 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…	170	$70	$11.5K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	180	$40	$7.2K
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…	20	$110	$2.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	10	$120	$1.5K
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…	20	$30	$590
90785	This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of service.	30	$10	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Sarah Cooper — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	28	30	60	$120	$19.8K
99214	27	80	100	$80	$15.5K
99213	71	80	100	$50	$7.6K
90833	1	10	180	$40	$7.1K
90792	1	10	10	$120	$1.5K
90785	1	10	30	$10	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederiksted Health Care, Inc.	VI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Renee Georges	VI	Surgery Physician	$25.4K	$100.5K
Michelle Dizon	VI	Endocrinology, Diabetes & Metabolism Physician	$92.2K	$0
Luis Amaro	VI	Internal Medicine Physician	$72.1K	$0
Carolyn Merritt	VI	Procedural Dermatology Physician	$43.7K	$27.3K
Ria Lutchmeesingh	VI	Optometrist	$53K	$0
Gemaine Owen	VI	Family Medicine Physician	$22.1K	$23.2K
Josephine Kozloff	VI	Physician Assistant	$30.3K	$0
Larissa Leffingwell	VI	Medical Physician Assistant	$27.2K	$0

Nearby Providers

Other providers in the same ZIP code as Sarah Cooper, 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
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
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Sarah Cooper — Billing Profile & Reimbursement Data

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Sarah Cooper — 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