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.

Michelle Dizon (NPI 1700809670)

Field	Value
Entity Type	Individual
Organization	Michelle Dizon
Address	4500 Sion Farm Suite 3b
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicare	$92.2K
Medicaid	$0

Key Findings

This provider’s revenue profile is effectively single-payer: lifetime Medicare revenue is $92.2K and there is no Medicaid billing on file. The absence of any Medicaid claims indicates the provider’s publicly visible payer mix is concentrated in Medicare only.

Revenue concentration is very high: the precomputed top-3 Medicare codes account for 95.5% of the provider’s total Medicare revenue. Those three are 99215 (48.2% of Medicare revenue, $44.5K), 99214 (39.4%, $36.4K), and G0439 (7.9%, $7.3K), showing most revenue is captured by a narrow set of E&M and preventive visit codes.

The code mix aligns with the provider’s taxonomy as an Endocrinology, Diabetes & Metabolism Physician: dominant codes are E&M for established patients (99215: 374 claims, $119 avg paid/claim; 99214: 467 claims, $78 avg paid/claim) and an annual wellness code (G0439: 57 claims, $128 avg paid/claim), plus a point-of-care glucose test (82947: 229 claims, $4 avg paid/claim). This pattern suggests an ambulatory practice focused on ongoing chronic disease management and routine diabetes monitoring rather than procedural or inpatient work.

For the highest-value established visit, 99215, the provider is a relatively strong national performer: 99215 generated $44.5K (48.2% of Medicare revenue) and ranks #3744 of 145531 providers nationally (97th percentile; notably above typical national volume). That ranking indicates the provider bills a notably higher-than-typical volume of high-complexity established-patient visits compared with national peers.

Other commonly billed codes are more typical versus peers: 99214 produced $36.4K (39.4% of Medicare revenue) and ranks #54616 of 479517 providers (89th percentile; typical, unremarkable volume), while G0439 produced $7.3K (7.9% of Medicare revenue) and ranks #54246 of 105855 providers (48th percentile; typical, unremarkable volume). These ranks suggest moderate-to-typical activity on mid-complexity established visits and average use of annual wellness visits.

New-patient, high-complexity encounters are scarce in the billing mix: 99204 shows 19 claims and $1.6K revenue (1.8% of Medicare revenue) and 99205 shows 11 claims and $1.6K revenue (1.7% of Medicare revenue). The low counts and small revenue shares for 99204 and 99205 imply the practice is primarily managing established patients rather than onboarding large numbers of new Medicare patients.

Ancillary testing is present but modest in revenue terms: 82947 appears with 229 claims, $4 avg paid/claim, and $916 revenue (1.0% of Medicare revenue), ranking #469 of 3857 providers nationally (88th percentile; typical, unremarkable volume). This indicates routine point-of-care glucose testing is part of clinical workflows but does not drive a meaningful share of Medicare revenue.

The provider has long tenure in Medicare billing, with NPI enumeration dated 2006-07-25 (~20 years ago). Combined with the concentrated E&M billing profile, this tenure supports the interpretation of a stable, established outpatient endocrinology practice serving Medicare beneficiaries over an extended period.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	370	$120	$44.5K
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…	470	$80	$36.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$130	$7.3K
99204	The provider sees a new 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 provider…	20	$90	$1.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$140	$1.6K
82947	The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.	230	$1	$920

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Michelle Dizon — 0 of 6 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. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	6	30	60	$120	$19.8K
99214	10	80	100	$80	$15.5K
G0439	8	20	60	$120	$8.1K
99205	16	20	30	$140	$4.9K
99204	27	40	40	$100	$4.4K
82947	2	10	230	$1	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederiksted Health Care, Inc.	VI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M
Dept Of Health, Government Of The Virgin Islands	VI	Public Health or Welfare Agency	$0	$1.2M
Department Of Health Govt Of The Virgin Islands	VI	Public Health or Welfare Agency	$609K	$0
Department Of Health, Govt Of Vi/mch Clinic Elaine Co	VI	Public Health or Welfare Agency	$0	$407.4K
Department Of Health, Rls Community Health Center	VI	Public Health or Welfare Agency	$0	$328.1K
Marc Jerome	VI	Gynecology Physician	$186.2K	$0
Renee Georges	VI	Surgery Physician	$25.4K	$100.5K

Nearby Providers

Other providers in the same ZIP code as Michelle Dizon, 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
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
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Michelle Dizon — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References