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.

Ophthalmology Consultants, PC (NPI 1699045849)

Key Findings

Field	Value
Entity Type	Organization
Organization	Ophthalmology Consultants, PC
Address	3006 Orange Grove
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 5, 2012

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

This provider reports no Medicare billing on file and $2.1M in lifetime Medicaid revenue, making its public claims footprint effectively single-payer Medicaid in the available data. The absence of Medicare billing suggests its measurable payer presence in these datasets is narrow and concentrated in state Medicaid programs rather than dual federal/state activity.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 64.0% of the provider’s total Medicaid revenue, driven by 92014 ($854.3K, 41.7%), 99214 ($242.4K, 11.8%), and 67028 ($215.9K, 10.5%). This concentration implies that a small set of office evaluation and intravitreal injection services dominate the practice’s Medicaid billing.

The code mix indicates a clinic organized around routine and problem-focused ophthalmic care plus intravitreal procedures: 92014 and 99214 are the top revenue drivers (comprehensive established patient eye exams and moderate-complexity E/M visits), while 67028 (intravitreal injection) is a major procedural revenue source. Supporting diagnostic and imaging codes such as 92134, 92133, 92250 and visual field testing codes appear throughout the top list, consistent with an outpatient ophthalmology practice that pairs clinic visits with imaging and injection-based retina care.

92014 ranks #1 of 3 in-state and is labeled as "typical, unremarkable volume," indicating the provider is the top reporter of comprehensive established eye exams within a very small in-state peer set but that the observed volume is not described as an outlier. Being #1 in a three-provider group signals local prominence for routine ophthalmic exams, but the small peer pool tempers conclusions about broader market dominance.

99214 ranks #7 of 43 in-state (86th percentile) and is described as "typical, unremarkable volume," which signals above-average ambulatory E/M throughput among a larger statewide peer group. This placement suggests the practice handles substantial moderate-complexity office visits relative to many peers, supporting steady outpatient clinic volume.

67028 is reported with 3K claims and $215.9K revenue and ranks #1 of 1 providers in-state with the note that there is "no state peer volume comparison available." That status—along with other single-reporter injectables like J9035 and J2778 appearing as sole-state reporters—indicates the provider is a primary or solitary source of intravitreal injection billing in the available state dataset, but benchmarking against peers is not possible from these data.

The practice also bills for a mix of diagnostics and procedures that point to a full outpatient ophthalmology service line: 66984 (cataract surgery) appears with 138 claims and $47.2K (2.3% of Medicaid revenue), while retinal and optic nerve imaging codes (92134, 92133, 92250) collectively contribute meaningful ancillary revenue. These items show the provider performs some surgical and imaging services in addition to high-volume clinic visits and injections, suggesting capability for a range of common ophthalmic care rather than exclusively clinic-based management.

The NPI was enumerated on 2012-01-05 (~14 years ago), indicating a stable, long-tenured billing presence in the Medicaid data. Combined with the concentrated code mix and leading in-state ranks for several codes, this tenure supports the interpretation of an established local ophthalmology practice whose measurable public claims activity is centered on Medicaid-funded outpatient and injection services.

Medicaid: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,600	$90	$854.3K
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…	3,320	$70	$242.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	3,000	$70	$215.9K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	4,520	$30	$122K
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…	1,730	$60	$98.6K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	1,510	$60	$90.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	670	$130	$89.8K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	1,390	$40	$55.6K
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,…	2,010	$30	$54.2K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	140	$340	$47.2K

Showing 1–10 of 25

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

Ophthalmology Consultants, PC — 7 of 25 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

25 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…	7	40	560	$140	$322K
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…	1	10	950	$80	$311.6K
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…	10	40	430	$110	$260.9K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1	10	3,000	$70	$216.9K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1	10	4,520	$30	$120.3K
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,…	11	20	130	$110	$64.8K
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	10	1,850	$30	$58.2K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	2	10	360	$90	$47.9K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	1	10	160	$70	$42.6K
J9035	Injection, bevacizumab, 10 mg	1	10	740	$50	$37.6K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Carson Bee	NC	Ophthalmology Physician	$254K	$0
Samuel Barone	MD	Ophthalmology Physician	$59.5K	$0
Ria Lutchmeesingh	VI	Optometrist	$53K	$0
Alfred Anduze	VI	Ophthalmology Physician	$13.9K	$0
Elizabeth Dumas	—	Certified Registered Nurse Anesthetist	$2.3K	$0

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
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

Ophthalmology Consultants, PC — Billing Profile & Reimbursement Data

Sign up for Ophthalmology Consultants, PC — Billing Profile & Reimbursement Data policy alerts

Ophthalmology Consultants, PC — Billing Profile & Reimbursement Data

Sign up for Ophthalmology Consultants, PC — Billing Profile & Reimbursement Data policy alerts

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