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.

Healthquest, LLC. (NPI 1679909717)

Field	Value
Entity Type	Organization
Organization	Healthquest, LLC.
Address	52b-1 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	September 20, 2013

Payer Source	Total Paid
Medicaid	$529.7K
Medicare	$0

Key Findings

HEALTHQUEST, LLC. is effectively a Medicaid-focused ESRD treatment operation: the provider has no Medicare billing on file and reported Total Medicaid revenue of $529.7K, indicating that all documented payer activity in the file comes through state Medicaid. The NPI was enumerated on 2013-09-20 (~13 years ago), so this entity has been registered long enough to establish a Medicaid-only billing pattern rather than a recent entrant.

Revenue is highly concentrated in dialysis-related billing: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the single listed code, 90999, carries the entire reported Medicaid revenue. This concentration means nearly all financial activity captured for HEALTHQUEST, LLC. flows from services reported under dialysis procedure coding rather than a diversified set of service lines.

The top Medicaid code, 90999, is the operational driver of the practice: it is described for use to report dialysis services or procedures that do not have a specific code, and it appears here as 8K claims with an $66 avg paid/claim generating $529.7K revenue (100.0% of provider Medicaid revenue). Analysts should interpret the facility’s service mix as centered on dialysis sessions or related procedures consistently reported with the unspecified dialysis code.

Competitive standing within the state is modest: 90999 ranks #4 of 4 providers in-state and is stated at the 0th percentile with a label of "typical, unremarkable volume for this code." That rank and percentile indicate HEALTHQUEST is not a leading statewide provider for dialysis services in terms of billed volume under this code and sits at the lower end of the state distribution.

Payer-mix implications and benchmarking limits: because there is no Medicare billing on file, comparisons to national Medicare peer activity are not possible and the practice should be treated as effectively single-payer (Medicaid) in the available data. This single-payer profile constrains cross-payer benchmarking and suggests analysts should rely on state-level Medicaid comparators for competitive assessment.

Operational and reimbursement sensitivity: the entire Medicaid revenue base is tied to a single nondistinct dialysis code (90999), which creates income vulnerability to changes in reimbursement policy, prior authorization practices, or coding guidance specific to dialysis procedure reporting. Any audit or policy change affecting 90999 reimbursement could materially affect the provider’s reported Medicaid revenue given that top-3 codes account for 100.0% of revenue.

The claim-level economics show many low-unit payments: the dataset reports 8K claims for 90999 at an $66 avg paid/claim, reflecting a high-claim-count, lower-unit-payment model typical of per-treatment dialysis billing. For payers and network planners, this pattern signals predictable, episodic service delivery rather than infrequent high-dollar procedures and may inform reimbursement and contracting approaches.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	8,030	$70	$529.7K

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

Healthquest, LLC. — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	4	10	20,040	$80	$1.4M

Nearby Providers

Other providers in the same ZIP code as Healthquest, LLC., ranked by combined Medicare and Medicaid revenue.

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

Healthquest, LLC. — Billing Profile & Reimbursement Data

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Healthquest, 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

Nearby Providers

Frequently Asked Questions

References