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.

Governor Juan F. Luis Hospital & Medical Center (NPI 1740238534)

Field	Value
Entity Type	Organization
Organization	Governor Juan F. Luis Hospital & Medical Center
Address	4007 Estate Diamond Ruby
City	St Croix
State	VI
ZIP	00820
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$3M
Medicare	$0

Key Findings

This facility bills exclusively to Medicaid in the precomputed dataset and has no Medicare billing on file, making it effectively a single-payer (Medicaid-focused) operation in the available records. Total Medicaid revenue on file is $3M, and no Medicare revenue is recorded, so any payer-strategy or competitive analysis should treat Medicaid as the dominant and sole documented revenue source.

Revenue is highly concentrated in a small set of dialysis- and ESRD-related codes: 90999, J2501, and Q4081 together account for 99.4% of the provider's Medicaid revenue according to the precomputed share, indicating the facility’s output and reimbursement are overwhelmingly driven by core ESRD treatment and dialysis supplies/medications. This concentration implies limited revenue diversity beyond routine dialysis services and related injectable therapies.

The leading single code is 90999 (generic dialysis services), which generated $2.2M and represents 73.5% of the provider’s total Medicaid revenue. This dominance of 90999 signals that the center primarily provides and bills for dialysis sessions or procedures that do not map to specific procedure codes, consistent with an ESRD treatment clinic model focused on routine dialysis delivery.

Pharmaceutical administration is the next-largest revenue driver: J2501 (paricalcitol) produced $416.2K (13.9% of Medicaid revenue) and Q4081 (epoetin alfa for ESRD on dialysis) produced $357.8K (12.0% of Medicaid revenue). Together these two drug/biologic codes account for a meaningful portion of revenue, suggesting the clinic integrates routine anemia and mineral metabolism management into its dialysis care pathway.

Competitive standing in-state is modest to mixed: for 90999 the provider ranks #3 of 4 in the state and is described as in the 33th percentile, indicating typical, unremarkable volume relative to a small set of in-state peers rather than market dominance. For J2501 the provider ranks #2 of 2 (0th percentile), and for Q4081 it ranks #1 of 1 (0th percentile), but those latter percentile labels reflect limited peer counts rather than strong market leadership; overall the facility appears to be one of a few small ESRD providers in the state rather than a high-volume regional hub.

Operational scope is consistent with an ESRD dialysis clinic: the code mix is dominated by dialysis procedure coding (90999) plus injectable agents commonly used in dialysis management (paricalcitol, epoetin alfa, iron sucrose reported in smaller volumes). Ancillary items such as syringes (A4657) and routine lab/collection codes appear in the billing but contribute negligible revenue, reinforcing that consumables and labs are minor revenue centers relative to dialysis sessions and medications.

The provider’s NPI was enumerated on 2006-05-04 (approximately 20 years ago), indicating a relatively long tenure in the Medicare/Medicaid enrollments even though no Medicare claims are on file. That longevity suggests established operations and potential continuity of dialysis services in the market despite the Medicaid-only billing footprint in the available dataset.

Several codes show minimal or zero paid amounts despite appearing on claim volume (e.g., multiple lab CPTs and preventive vaccine or COVID specimen codes with $0 revenue). These entries likely reflect encounters or ancillary services that do not drive reimbursement for this provider; they underline how the provider’s financial picture is dominated by a small number of high-revenue dialysis and injectable drug codes rather than by routine labs or preventive services.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	17,160	$130	$2.2M
J2501	Injection, paricalcitol, 1 mcg	14,350	$30	$416.2K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	9,940	$40	$357.8K
J1756	Injection, iron sucrose, 1 mg	110	$90	$9.8K
A4657	Syringe, with or without needle, each	7,530	$1	$7.5K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	10	$20	$310
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	70	$0	$0
85014	The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.	20	$0	$0
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	20	$0	$0
G0008	Administration of influenza virus vaccine	20	$0	$0

Showing 1–10 of 11

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

Governor Juan F. Luis Hospital & Medical Center — 1 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. U.S. Virgin Islands median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	3	10	20,040	$80	$1.4M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	15	20	1,920	$110	$858.9K
J2501	Injection, paricalcitol, 1 mcg	2	10	15,640	$20	$386.5K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1	10	9,940	$40	$354K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	5	10	340	$50	$39.8K
85027	The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…	5	10	1,670	$10	$15.4K
A4657	Syringe, with or without needle, each	1	10	7,530	$1	$8.6K
85014	The lab analyst determines the volume percent of red blood cells, called hematocrit, contained in a whole blood specimen.	5	10	520	$10	$6.7K
J1756	Injection, iron sucrose, 1 mg	1	10	70	$70	$5.1K
G0008	Administration of influenza virus vaccine	2	10	30	$80	$2.6K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Governor Juan F. Luis Hospital & Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Governor Juan F. Luis Hospital & Medical Center	VI	General Acute Care Hospital	$0	$15.4M
Sherman Washington	CA	Emergency Medicine Physician	$1.7M	$0
Jennifer Roberts	IL	Emergency Medicine Physician	$52.2K	$692.5K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Angel Lake	VI	Internal Medicine Physician	$78.2K	$249.8K
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Ian Manuel Corpus	MN	Family Medicine Physician	$314.8K	$0
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K
Elizabeth Delgiacco	VI	Hematology & Oncology Physician	$261.5K	$0
Brendan Miner	MN	Diagnostic Radiology Physician	$225.6K	$11.2K

Nearby Providers

Other providers in the same ZIP code as Governor Juan F. Luis Hospital & Medical Center, 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
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
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Governor Juan F. Luis Hospital & Medical Center — Billing Profile & Reimbursement Data

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Governor Juan F. Luis Hospital & Medical Center — 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