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    OpenPayerNPI Medicare & MedicaidDr. Marshall's Consulting Services, LLC
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    Dr. Marshall's Consulting Services, LLC — Billing Profile & Reimbursement Data

    NPI 1689803819 · Christiansted, VI · Clinic/Center

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    Dr. Marshall's Consulting Services, LLC is a clinic/center provider located in Christiansted, U.S. Virgin Islands. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDr. Marshall's Consulting Services, LLC
    Address3000 Golden Rock Suite 8a
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyClinic/Center
    NPI EnumeratedJuly 9, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$168.9K
    Medicare$0

    Key Findings

    DR. MARSHALL'S CONSULTING SERVICES, LLC reports no Medicare revenue (no Medicare billing on file) while reporting $168.9K in lifetime Medicaid revenue, indicating an effectively single‑payer billing footprint concentrated in Medicaid rather than a dual‑payer mix. Analysts should treat this provider as Medicaid‑focused when comparing payer exposure or forecasting revenue sensitivity to payer policy changes.

    Precomputed data show the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue; the listed top code 90837 alone represents $168.9K (100.0%) of Medicaid revenue, with 1.1K claims and $152 avg paid/claim. This indicates an extremely concentrated revenue profile tied to a narrow set of services rather than a diversified CPT mix.

    The dominance of 90837 (psychotherapy, session typically ≥53 minutes) in the revenue mix signals that the operation is primarily delivering psychotherapy or behavioral‑health services consistent with its Clinic/Center taxonomy. The coding mix suggests a time‑based, clinician‑delivered outpatient service model rather than procedure‑heavy or facility services.

    In-state competitive standing for the principal code is modest: the provider ranks #4 of 10 and sits at the 67th percentile for 90837, which the data describe as 'typical, unremarkable volume for this code.' That rank positions the provider as a middle‑tier participant in long psychotherapy sessions statewide rather than a dominant market leader.

    The NPI was enumerated on 2009-07-09 (~17 years ago), indicating a long‑tenured presence in the market. Despite this tenure, the billing footprint remains modest — $168.9K in Medicaid lifetime revenue and no Medicare billing — suggesting limited scale of operations relative to longer‑established or multi‑payer clinics.

    Because 100.0% of Medicaid revenue is concentrated in the top three codes and there is no Medicare revenue, the practice exhibits concentrated payer and service risk: reimbursement changes, utilization shifts, or policy edits affecting 90837 could materially impact total revenue. This concentration should be factored into risk assessments, contracting discussions, and capacity planning.

    The utilization pattern of 1.1K claims for 90837 at $152 avg paid/claim is consistent with high‑frequency, session‑based outpatient psychotherapy rather than episodic procedural care. Operationally, this implies scheduling, clinician staffing, and revenue cycles aligned with recurring therapeutic visits and time‑based billing rather than one‑time procedures.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    90837In 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…1,110$150$168.9K

    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.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837In 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…410790$180$229K

    Nearby Providers

    Other providers in the same ZIP code as Dr. Marshall's Consulting Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    One Dental Practice LLCVIDentist$0$3.2M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Dr. Marshall's Consulting Services, 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