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.

Rachel's Place (NPI 1730700162)

Field	Value
Entity Type	Organization
Organization	Rachel's Place
Address	21 A Strand Street
City	Frederiksted
State	VI
ZIP	00840
Taxonomy	Clinical Social Worker
NPI Enumerated	April 27, 2020

Payer Source	Total Paid
Medicaid	$222.1K
Medicare	$0

Key Findings

RACHEL'S PLACE has no Medicare billing on file and therefore operates effectively as a single-payer Medicaid provider, with total Medicaid revenue of $222.1K. The profile explicitly notes that the top 3 codes by revenue account for 100.0% of this provider's total Medicaid revenue, indicating a very concentrated Medicaid service mix.

The provider’s billing mix is consistent with a Clinical Social Worker focused on psychotherapy: the two listed codes are 90837 (long psychotherapy sessions, 53+ minutes) and 90834 (psychotherapy, 38–52 minutes). The counts and payment levels — 90837 with 1.4K claims at $152 avg paid/claim and 90834 with 113 claims at $90 avg paid/claim — point to a practice built around scheduled therapy encounters rather than procedural or ancillary services.

Revenue concentration is heavily skewed to long-session psychotherapy: 90837 accounts for $211.9K (95.4% of Medicaid revenue) while 90834 accounts for $10.2K (4.6% of Medicaid revenue). Together these codes (and the precomputed top-3 grouping) make up the entirety of reported Medicaid revenue, reinforcing that a single clinical service line drives financial performance.

In-state competitive standing for 90837 is moderate: the provider ranks #3 of 10 in-state (78th percentile) with the data label “typical, unremarkable volume for this code.” This suggests the practice has above-median volume for long psychotherapy sessions in the state but is not a dominant statewide provider for that service.

For 90834 the provider ranks #2 of 4 in-state (67th percentile) and the activity level is also described as “typical, unremarkable volume for this code.” The pattern indicates 90834 is a secondary revenue stream relative to 90837 and that the provider is a modest participant in the shorter psychotherapy market segment.

The NPI was enumerated on 2020-04-27 (~6 years ago), indicating a relatively recent tenure compared with long-established providers; this timing is consistent with a smaller or newer outpatient behavioral health practice scaling around core psychotherapy offerings. Tenure combined with concentrated code mix may reflect a solo clinician or small group focusing on direct patient therapy.

Both high-volume codes are explicitly labeled in the source as having typical or unremarkable in-state volumes, so there are no statistical outlier flags in the available Medicaid billing data. From a utilization review or risk-assessment perspective, the dataset does not indicate anomalous billing patterns for the reported psychotherapy services.

Operationally, the very large disparity in claim counts — 1.4K claims for 90837 versus 113 claims for 90834 — plus the difference in avg paid/claim ($152 vs $90) implies scheduling and capacity are optimized for longer-session psychotherapy appointments. Payers or network planners evaluating capacity or network adequacy should expect this provider to deliver predominantly longer individual psychotherapy encounters rather than brief therapy or higher-turnover visit types.

Medicaid: Complete Services Breakdown

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

2 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…	1,390	$150	$211.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	110	$90	$10.2K

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

Rachel's Place — 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

2 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…	3	10	790	$180	$229K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	2	10	70	$90	$33.1K

Nearby Providers

Other providers in the same ZIP code as Rachel's Place, 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
First Step Therapy	VI	Rehabilitation Hospital	$0	$757.8K
Hercare Inc	VI	Obstetrics & Gynecology Physician	$0	$182.9K
Kamaria Alexander	VI	Physician Assistant	$21.7K	$0
Luis Frias Mendoza	VI	Neurology Physician	$19K	$1.7K
Jozette Matthews	VI	Family Nurse Practitioner	$13.9K	$0
Shavell Karel	VI	Obstetrics & Gynecology Physician	$4.1K	$0
Shelley Timmons	VI	Physical Therapist	$2.1K	$0
Neighborhood Pharmacy LLC	VI	Community/Retail Pharmacy	$1.6K	$0

Rachel's Place — Billing Profile & Reimbursement Data

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Rachel's Place — 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

Nearby Providers

Frequently Asked Questions

References