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.

Caribbean Hematology And Oncology Center LLC (NPI 1750603528)

Field	Value
Entity Type	Organization
Organization	Caribbean Hematology And Oncology Center LLC
Address	Beeston Hill Medical Center
City	St Croix
State	VI
ZIP	00821
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	February 22, 2010

Payer Source	Total Paid
Medicaid	$102.1K
Medicare	$0

Key Findings

CARIBBEAN HEMATOLOGY AND ONCOLOGY CENTER LLC has no Medicare billing on file and therefore relies entirely on Medicaid for recorded public-payer revenue; total Medicaid revenue on file is $102.1K, making the practice effectively single-payer (Medicaid) in this dataset.

Revenue concentration within Medicaid is highly focused: the precomputed top-3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, with the two listed E/M office-visit codes 99213 and 99214 together representing the entirety of reported Medicaid payments.

The two revenue-driving codes are basic established-patient office visits (99213 and 99214), which indicates the practice’s Medicaid billing is concentrated on outpatient evaluation-and-management follow-up care rather than procedure-based oncology infusions or high-cost therapeutic services. 99213 generated $53.1K from 817 claims at an average paid/claim of $65, and 99214 generated $49K from 557 claims at an average paid/claim of $88.

Competitive standing in-state is modest: 99213 ranks #16 of 41 providers in-state and is characterized as “typical, unremarkable volume for this code” (63th percentile), while 99214 ranks #21 of 43 providers in-state and is also labeled “typical, unremarkable volume for this code” (52th percentile). These ranks place the provider in the middle tier rather than as a dominant statewide provider for these E/M services.

The code-level mix suggests a clinic operation focused on routine outpatient management and follow-up visits rather than a high-volume infusion or procedural oncology center; the presence of more 99213 versus 99214 claims (817 vs. 557) further suggests a heavier load of lower-complexity established-patient visits.

Tenure is substantial: the provider’s NPI was enumerated on 2010-02-22 (~16 years ago), indicating a long-standing presence in the market which may support steady outpatient follow-up relationships reflected in the E/M-heavy billing profile.

Given the absence of Medicare billing and the Medicaid-revenue concentration in two E/M codes, the provider’s public-payer exposure is narrow; any payer mix or service-line changes (e.g., adding infusion billing, attracting Medicare patients) would materially change the reported public-payer revenue pattern because current Medicaid payments total only $102.1K and are fully concentrated in 99213/99214.

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
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…	820	$70	$53.1K
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…	560	$90	$49K

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

Caribbean Hematology And Oncology Center LLC — 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
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…	21	40	560	$140	$322K
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…	16	40	430	$110	$260.9K

Nearby Providers

Other providers in the same ZIP code as Caribbean Hematology And Oncology Center LLC, 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

Caribbean Hematology And Oncology Center LLC — Billing Profile & Reimbursement Data

Sign up for Caribbean Hematology And Oncology Center LLC — Billing Profile & Reimbursement Data policy alerts

Caribbean Hematology And Oncology Center LLC — Billing Profile & Reimbursement Data

Sign up for Caribbean Hematology And Oncology Center 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