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.

Melinda Richards (NPI 1689017519)

Field	Value
Entity Type	Individual
Organization	Melinda Richards
Address	1619 Sixth St Unit 3
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Professional Counselor
NPI Enumerated	April 10, 2013

Payer Source	Total Paid
Medicaid	$21.6K
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid practice: there is no Medicare billing on file and lifetime Medicaid revenue is reported as $21.6K. The combination of a small total Medicaid take and absence of Medicare activity indicates limited scale and a concentrated reliance on state Medicaid reimbursement.

The provider has an established billing history, with NPI enumeration dated 2013-04-10 (~13 years ago), and is listed in ST THOMAS, VI under the Professional Counselor taxonomy. Tenure of this length with low aggregate Medicaid revenue suggests a small, steady outpatient counseling operation rather than a high-volume clinic.

Medicaid revenue is highly concentrated in a very small set of services: the top three Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and 90837 alone represents 93.8% of that revenue. This concentration indicates most billed activity and reimbursement depends on a single service line.

The code mix points to a predominantly individual psychotherapy practice: 90837 (long psychotherapy sessions) generated 228 claims at an $89 avg paid/claim and $20.3K revenue, reflecting that lengthy one-on-one psychotherapy is the core service. Secondary activity includes psychiatric evaluation (90791) and group therapy (90853), but these are minor contributors to reported Medicaid revenue.

For 90837 the provider is a modest in-state participant: the code yields $20.3K from 228 claims and ranks #7 of 10 providers in-state (33th percentile; labeled typical, unremarkable volume for this code). The $89 avg paid/claim for this high-share code frames expectations for per-session reimbursement at this Medicaid rate.

90791 (psychiatric evaluation) is a small contributor and a low comparative performer: 21 claims, $64 avg paid/claim, $1.3K revenue (6.2% of Medicaid revenue) and it ranks #4 of 4 providers in-state (0th percentile; typical, unremarkable volume). This rank and dollar contribution show the provider does some initial diagnostic work but is not a statewide leader for evaluations.

90853 (group psychotherapy) shows an unusual payment pattern: 66 claims were reported but avg paid/claim is $0 and reported revenue is $0 (0.0% of Medicaid revenue); this code ranks #2 of 2 providers in-state (0th percentile; typical, unremarkable volume). The presence of nonzero claim counts with zero reported payment suggests claims that were not reimbursed or were billed in a manner that resulted in no stand-alone Medicaid payments.

The overall profile—$21.6K total Medicaid revenue, 100.0% of that revenue coming from the top three codes, and 93.8% from a single code (90837)—indicates revenue vulnerability to reimbursement changes for long psychotherapy sessions and limited diversification across payers and services. For analysts, this pattern signals a small, focused counseling practice with concentrated Medicaid exposure rather than a broad multi-payer behavioral health provider.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	230	$90	$20.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$60	$1.3K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	70	$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

Melinda Richards — 0 of 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	7	10	790	$180	$229K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4	10	60	$180	$39K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	2	10	80	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rts Services Unlimited, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Sarah Cooper	VI	Physician Assistant	$22.9K	$0
Laura Hughes	SD	Clinical Psychologist	$18.4K	$0
Gloria Mendez	VI	Psychologist	$9.8K	$0
G Rita Dudley Grant	VI	Psychologist	$9.1K	$0
Mary Payne	WV	Neurology with Special Qualifications in Child Neurology Physician	$9K	$0
Sophia Parrilla	VI	Clinical Psychologist	$8.3K	$0

Nearby Providers

Other providers in the same ZIP code as Melinda Richards, 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

Melinda Richards — Billing Profile & Reimbursement Data

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Melinda Richards — 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