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.

Vi Neurological Medical Group Inc. (NPI 1750323903)

Field	Value
Entity Type	Organization
Organization	Vi Neurological Medical Group Inc.
Address	Upperhavensite Bld3 305
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicaid	$773.4K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $773.4K in lifetime Medicaid revenue, making its public billing footprint effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid practice. The absence of Medicare activity should be treated as a central characteristic when comparing its scale to other practices that bill both programs.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 95.8% of this provider's total Medicaid revenue. Those three codes are 99214 ($395.9K, 51.2% of Medicaid revenue), 95819 ($262.8K, 34.0%), and 99205 ($82.2K, 10.6%), indicating that a very small number of services drive the vast majority of billed Medicaid dollars.

The service mix is consistent with a neurology‑focused outpatient diagnostic and consultation practice despite the listed taxonomy as Internal Medicine Physician. High revenue from 95819 (EEG; 718 claims, $262.8K) alongside substantial E/M coding—99214 (4.2K claims, $395.9K) and 99205 (407 claims, $82.2K)—suggests the operation performs in‑office diagnostic EEGs and both new and established patient evaluations as primary revenue drivers.

Competitive standing is mixed by code: the provider ranks #1 of 7 for 99205 (100th percentile; notably above typical state volume for this code), indicating unusually high volume of high‑complexity new patient visits in‑state. By contrast, 99214 ranks #6 of 43 (88th percentile; typical, unremarkable volume for this code), meaning established visit volume is solid but not uniquely dominant statewide. 95819 shows rank #1 of 1 (0th percentile; no state peer volume comparison available), implying no comparable peer billing data is present for that EEG code in the state dataset.

Claim and payment mix shows a pattern of many lower‑paid established visits plus fewer higher‑paid new evaluations: 99214 appears in 4.2K claims with an average paid/claim of $95, while 99205 appears in 407 claims with an average paid/claim of $202. This combination aligns with a clinic that manages a steady panel of returning patients supplemented by episodic, higher‑intensity new consults.

Secondary services generate only a small share of revenue: 95810 (polysomnography) contributed $21.1K (2.7%), 97110 (therapeutic exercise) $9.1K (1.2%), and 93784 (ambulatory BP monitoring) $1.4K (0.2%). These line items indicate ancillary sleep and monitoring services exist but are not major revenue drivers compared with EEG and E/M visits.

The provider has long tenure in claims data, with NPI enumeration dated 2006-06-12 (~20 years ago), which supports the interpretation that these billing patterns are from an established practice rather than a recent entrant. Sustained presence may explain the steady volume of established patient visits represented by 99214.

Because 95.8% of Medicaid revenue is tied to three codes, the practice faces concentration risk: changes in Medicaid coverage, reimbursement rates, or state coding audits focused on EEGs or high‑level E/M visits could materially affect overall revenue. Monitoring policy and reimbursement changes for 99214, 95819, and 99205 should be prioritized when assessing the provider's financial sensitivity and planning competitive comparisons.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	4,170	$100	$395.9K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	720	$370	$262.8K
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…	410	$200	$82.2K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	40	$570	$21.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	150	$60	$9.1K
93784	The provider prescribes ambulatory blood pressure monitoring in which a patient wears a device continuously that automatically measures blood pressure at intervals over a period of 24 hours and…	30	$40	$1.4K
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	$80	$980

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

Vi Neurological Medical Group Inc. — 1 of 7 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

7 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…	6	40	560	$140	$322K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	8	10	2,030	$50	$281.5K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1	10	720	$370	$262.9K
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…	39	40	430	$110	$260.9K
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…	1	10	140	$240	$42.7K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	2	10	60	$510	$30.7K
93784	The provider prescribes ambulatory blood pressure monitoring in which a patient wears a device continuously that automatically measures blood pressure at intervals over a period of 24 hours and…	1	10	30	$40	$1.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vi Neurological Medical Group Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Nelson	VI	Neurology Physician	$143.2K	$0
Ayla Shaw	VI	Registered Dietitian	$1.7K	$0

Nearby Providers

Other providers in the same ZIP code as Vi Neurological Medical Group Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Vi Neurological Medical Group Inc. — Billing Profile & Reimbursement Data

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Vi Neurological Medical Group Inc. — 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