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.

Saint Croix Podiatry LLC (NPI 1689453722)

Field	Value
Entity Type	Organization
Organization	Saint Croix Podiatry LLC
Address	4000 Beeston Hill Medical Ctr Ste 9
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	September 27, 2023

Payer Source	Total Paid
Medicaid	$19.4K
Medicare	$0

Key Findings

SAINT CROIX PODIATRY LLC is a Foot & Ankle Surgery Podiatrist located in CHRISTIANSTED, VI with an NPI enumerated on 2023-09-27 (~3 years ago), indicating relatively recent enrollment in federal programs. The provider's public billing footprint is small and geographically localized based on available Medicaid data.

This provider has no Medicare billing on file and reports $19.4K in lifetime Medicaid revenue, making its observed payer mix effectively single-payer (Medicaid) in the federal claims data. Analysts should treat Medicare comparisons as not applicable for this entity due to the absence of Medicare billing.

Revenue is highly concentrated: the top three Medicaid codes (99213, 99203, 99214) account for 96.6% of the provider's total Medicaid revenue, and the single top code, 99213, represents $16K or 82.6% of Medicaid receipts. That concentration indicates most clinic revenue is tied to routine evaluation-and-management office visits rather than a diverse procedure mix.

The code mix is dominated by evaluation-and-management office visits (99213, 99203, 99214) with a smaller contribution from a minor procedural code (11721 for debridement of nails). This pattern suggests the practice operates primarily as an outpatient podiatry clinic focused on routine consultations and conservative treatments, with occasional minor procedural work (39 claims for 11721, $17 avg paid/claim, $663 revenue).

For its largest code, 99213 the provider filed 302 claims at $53 avg paid/claim generating $16K and ranks #24 of 41 providers in-state (43th percentile; typical, unremarkable volume for this code), which positions the practice as a modest, typical participant in established-patient office visit volume rather than a high-volume regional leader. The absolute volume supports steady clinic throughput but not market dominance on this service.

New-patient and higher-complexity visit volumes are comparatively low: 99203 shows 25 claims at $81 avg paid/claim for $2K (10.5% of Medicaid revenue) and ranks #19 of 20 providers in-state (5th percentile; typical, unremarkable volume for this code), while 99214 has 17 claims at $40 avg paid/claim for $680 (3.5% of revenue) and ranks #42 of 43 providers in-state (2th percentile; typical, unremarkable volume for this code). These low ranks imply limited volume in new-patient intake and moderate-complexity visits relative to in-state peers.

The procedural code 11721 (39 claims, $17 avg paid/claim, $663 revenue, 3.4% of Medicaid revenue) ranks #2 of 2 providers in-state (0th percentile; typical, unremarkable volume for this code), reflecting a very small procedural footprint and a state peer set too small for robust benchmarking. Given its modest contribution to revenue, procedural services do not currently drive the practice’s financial profile.

Implications for analytic users: with only $19.4K in Medicaid revenue and no Medicare billing, this provider represents a small, Medicaid-focused outpatient podiatry practice whose financial performance and network leverage will be highly sensitive to changes in reimbursement or E/M utilization. The concentrated reliance on 99213 and related E/M codes (96.6% of Medicaid revenue from the top three codes) should be highlighted in any utilization, contract, or access analyses as a central operational dependency.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$50	$16K
99203	The provider sees a new 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 provider…	30	$80	$2K
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…	20	$40	$680
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	40	$20	$660

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

Saint Croix Podiatry LLC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	42	40	560	$140	$322K
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…	24	40	430	$110	$260.9K
99203	The provider sees a new 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 provider…	19	20	80	$90	$27K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	2	10	50	$20	$1.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Saint Croix Podiatry LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Cook	VI	Foot & Ankle Surgery Podiatrist	$78.7K	$0

Nearby Providers

Other providers in the same ZIP code as Saint Croix Podiatry LLC, 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
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

Saint Croix Podiatry LLC — Billing Profile & Reimbursement Data

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Saint Croix Podiatry 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