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.

Agape' Wellness Center & Wound Care, LLC (NPI 1750429148)

Field	Value
Entity Type	Organization
Organization	Agape' Wellness Center & Wound Care, LLC
Address	5401 Eddie Ortiz Drive
City	Estate Clifton Hill
State	VI
ZIP	00850
Taxonomy	Family Medicine Physician
NPI Enumerated	February 1, 2007

Payer Source	Total Paid
Medicaid	$134.9K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and all documented federal reimbursement comes from Medicaid; lifetime Medicaid revenue is $134.9K, so the practice is effectively a single-payer (Medicaid) operation in the available dataset. Analysts should treat Medicare-specific benchmarks as not applicable for this entity because there are no Medicare claims to compare.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes by revenue account for 99.3% of this provider's total Medicaid revenue. The single largest code is 99215 with $105.7K reported (78.4% of Medicaid revenue), followed by 99214 with $27.4K (20.3%); together these two codes dominate the payer-facing revenue profile.

The code mix is consistent with a family medicine primary-care practice that generates almost all reimbursement from office evaluation-and-management visits: 99215 and 99214 are the dominant codes, both describing established-patient outpatient visits with moderate-to-high medical decision making or extended visit time. Low average paid/claim values for common lab codes (for example 81001 at $1 avg paid/claim and $864 total) indicate that ancillary laboratory testing is a minor revenue driver compared with office E/M.

For the high-complexity E/M code 99215 this provider ranks strongly in-state: 99215 ranks #2 of 17 providers in-state (94th percentile). Despite the high rank and percentile, the dataset labels its volume for this code as "typical, unremarkable volume for this code," so the provider is an important local biller of high-level E/M but not flagged as an extreme outlier.

By contrast, the mid-complexity E/M code 99214 shows more modest competitive standing: 99214 ranks #25 of 43 providers in-state (43th percentile) and is also described as "typical, unremarkable volume for this code." This suggests stronger relative performance specifically on high-complexity established visits (99215) than on the broader 99214 population.

Ancillary and chronic-disease monitoring codes contribute negligible revenue relative to E/M: examples include 81001 ($864, 0.6% of Medicaid revenue; ranks #4 of 7 in-state, 50th percentile), 82962 ($398, 0.3%; ranks #3 of 4, 33th percentile), and 83036 ($380, 0.3%; ranks #8 of 9, 13th percentile), each described as "typical, unremarkable volume for this code." These small lab payments and low average paid/claim amounts imply limited ancillary-service billing and a visit-driven business model.

A notable operational oddity is G0439 (Annual wellness visit): the file shows 64 claims with $0 avg paid/claim and $0 revenue while ranking #1 of 4 providers in-state (100th percentile) and labeled "typical, unremarkable volume for this code." That pattern merits attention from reviewers as it may reflect non-covered billing, coordination of benefits, or reporting artifacts rather than reimbursed service volume.

The provider's NPI was enumerated on 2007-02-01 (~19 years ago), indicating long tenure in the market. Combined with the concentrated Medicaid revenue base, this suggests a stable, small practice footprint focused on established-patient primary care rather than diversified specialty or ancillary-service lines, which has implications for network contracting and Medicaid rate sensitivity.

Medicaid: Complete Services Breakdown

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

8 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…	1,580	$70	$105.7K
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…	460	$60	$27.4K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	860	$1	$860
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	400	$1	$400
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	190	$1	$380
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	100	$1	$100
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.	10	$1	$10
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$0	$0

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

Agape' Wellness Center & Wound Care, LLC — 0 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

8 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…	25	40	560	$140	$322K
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…	2	20	200	$150	$93.5K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	3	10	2,890	$20	$66K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	8	10	3,400	$10	$36.3K
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	4	10	860	$10	$12.9K
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.	4	10	1,150	$1	$5.5K
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	5	10	250	$10	$1.9K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1	10	30	$20	$820

Nearby Providers

Other providers in the same ZIP code as Agape' Wellness Center & Wound Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hubert Watty	VI	Family Medicine Physician	$143.1K	$0
Jason Williams	VI	Chiropractor	$5.1K	$0
Alicia Churaman	VI	Chiropractor	$5K	$0

Agape' Wellness Center & Wound Care, LLC — Billing Profile & Reimbursement Data

Sign up for Agape' Wellness Center & Wound Care, LLC — Billing Profile & Reimbursement Data policy alerts

Agape' Wellness Center & Wound Care, LLC — Billing Profile & Reimbursement Data

Sign up for Agape' Wellness Center & Wound Care, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References