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 Croix Vision Center Inc (NPI 1669698387)

Field	Value
Entity Type	Organization
Organization	St Croix Vision Center Inc
Address	4500 Sion Farm Unit #2
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Optometrist
NPI Enumerated	April 18, 2007

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the dataset: there is no Medicare billing on file (none below) while lifetime Medicaid revenue totals $3.6M. The absence of Medicare activity means analytic comparisons should focus on Medicaid performance and in‑state peers rather than national Medicare benchmarks.

Revenue is highly concentrated in optical supply codes: the top three Medicaid codes (V2020, V2200, V2100) account for 71.3% of the provider’s total Medicaid revenue. Specifically, V2020 accounts for $1M (28.2%), V2200 for $798.7K (22.4%), and V2100 for $742.1K (20.8%), signaling that frames and primary lens fabrication are the core revenue drivers.

The code mix points to a retail optical business model with substantial lens and frame sales rather than a medically oriented ophthalmology practice. Large activity in V2020 (frames), V2200 (bifocal sphere per lens), and V2100 (single‑vision sphere per lens), together with notable revenue in lens treatments like V2755 ($364.9K, 10.2%) and V2760 ($283.9K, 7.9%), indicates the practice generates most revenue from dispensing eyewear and value‑added lens services.

Competitive standing within the state is strong for optical items: the provider ranks #1 in‑state for multiple high‑revenue codes (V2020, V2200, V2100, V2755, V2760, V2745), commonly at the 100th percentile, while descriptive labels characterize these volumes as "typical, unremarkable" for the codes. In practical terms, the provider appears to be the leading supplier of frames and lenses in its state market even if payor‑level volumes for those specific codes are not out of line with expected norms.

Clinical evaluation and diagnostic billing are a small portion of Medicaid revenue, indicating limited medical ophthalmology activity relative to optical sales. For example, 99213 produced $67.7K (1.9%) and 92250 produced $62.4K (1.7%), while other exam and imaging codes such as 92014 and 92133 each contribute roughly 1.1% and minimal amounts respectively, which suggests professional E/M and diagnostic services are secondary to retail optical services.

Ancillary lens enhancements and accessory codes further diversify revenue beyond core frames and lenses: V2755 (U‑v lens) $364.9K (10.2%), V2760 (scratch resistant coating) $283.9K (7.9%), and V2745 (tint per lens) $140.9K (3.9%). The presence of these add‑ons indicates priced product bundles and upsell opportunities that materially support the Medicaid revenue base.

For several niche lens products the provider occupies a unique or sole position in the state peer set: V2107 (spherocylinder single vision) ranks #1 of 1 providers in‑state and V2107 generated $49.4K (1.4%), which suggests limited statewide competition for that specific lens type. Conversely, some diagnostic codes show minimal peer activity (for example, 92250 ranks #2 of 2 providers in‑state with $62.4K), highlighting uneven competition across service categories.

The provider has long tenure in the NPI file, enumerated on 2007-04-18 (~19 years ago), which supports interpretation of its established local presence and gives context to its leading in‑state position for optical dispensing codes. This longevity combined with a concentrated Medicaid revenue mix suggests an entrenched retail optical operation serving the local Medicaid population.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	20,160	$50	$1M
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	7,990	$100	$798.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	10,450	$70	$742.1K
V2755	U-v lens, per lens	20,270	$20	$364.9K
V2760	Scratch resistant coating, per lens	20,280	$10	$283.9K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	20,140	$10	$140.9K
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…	930	$70	$67.7K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	1,690	$40	$62.4K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	540	$90	$49.4K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	950	$40	$38.9K

Showing 1–10 of 15

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 Croix Vision Center Inc — 6 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	1	10	3,020	$50	$347.7K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1	10	1,770	$100	$332.1K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	2	10	950	$80	$311.6K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1	10	1,910	$70	$311.4K
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…	14	40	430	$110	$260.9K
V2755	U-v lens, per lens	1	10	3,040	$20	$122K
V2760	Scratch resistant coating, per lens	1	10	4,160	$10	$121.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	13	20	130	$110	$64.8K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	1	10	3,110	$10	$60.6K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	2	10	1,850	$30	$58.2K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with St Croix Vision Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ria Lutchmeesingh	VI	Optometrist	$53K	$0
Jaclyn Robak	VI	Optometrist	$29.4K	$0
Carl Maschauer	VI	Optometrist	$10.8K	$0
Julie Wolf	VI	Optometrist	$1.8K	$0

Nearby Providers

Other providers in the same ZIP code as St Croix Vision Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

St Croix Vision Center Inc — 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