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    OpenPayerNPI Medicare & MedicaidVi Kidney Center Inc
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    Vi Kidney Center Inc — Billing Profile & Reimbursement Data

    NPI 1780796375 · St Thomas, VI · Nephrology Physician

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    Vi Kidney Center Inc is a nephrology physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVi Kidney Center Inc
    Address9150 Estate Thomas
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyNephrology Physician
    NPI EnumeratedAugust 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$188K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file; its entire reported federal billing activity is through Medicaid, with total Medicaid revenue of $188K. In practical terms VI KIDNEY CENTER INC is effectively a single-payer (Medicaid) billing entity in the available dataset, so analyses should focus on Medicaid-driven patterns rather than Medicare comparisons.

    Medicaid revenue is highly concentrated: the precomputed top-3 codes account for 100.0% of this provider's total Medicaid revenue, and that concentration is entirely explained by a single code, 90960, which is listed as generating $188K in revenue (100.0% of the provider's Medicaid revenue). The provider reported 1.3K claims for 90960 at an average paid amount of $146 avg paid/claim, indicating that this single service drives the practice's Medicaid receipts.

    Code 90960 denotes monthly management of end stage renal disease (ESRD) with face-to-face visits four or more times per month; the dominance of 90960 in the revenue mix indicates the operation is focused on ongoing ESRD care and regular, repeated patient encounters rather than episodic or procedure-driven services. This pattern is consistent with a nephrology practice or dialysis-care management model that bills monthly ESRD management fees.

    Competitive standing within the state shows 90960 ranks #1 of 4 providers in-state and is at the 100th percentile for this code, yet the dataset characterizes the volume as typical, unremarkable volume for this code. That combination suggests VI KIDNEY CENTER INC is the leading biller among a small in-state peer set for 90960, but the absolute Medicaid revenue level ($188K) should be interpreted as modest in scale rather than indicative of a large regional franchise.

    The operational profile implied by 1.3K claims and a $146 avg paid/claim for 90960 points to a high-frequency, recurring-visit care model; this creates stable recurring revenue while also exposing the practice to reimbursement changes or utilization shifts in ESRD monthly management. Because 100.0% of Medicaid revenue is attributable to ESRD monthly management codes, any payer policy change affecting 90960 could materially impact the provider's revenue.

    Tenure data show the provider's NPI was enumerated on 2006-08-31 (~20 years ago), indicating a long-established presence in the market. That longevity may support stable referral relationships and patient panels that sustain the recurring ESRD-focused billing pattern.

    Given the lack of Medicare billing on file, analysts should avoid Medicare peer benchmarks for this entity and instead compare the provider to the in-state cohort of ESRD monthly-management billers; while VI KIDNEY CENTER INC ranks first among four in-state peers for 90960, the description of volumes as typical suggests benchmarking should emphasize per-claim metrics (e.g., the reported $146 avg paid/claim) and claims frequency (1.3K claims) rather than ranking alone.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…1,290$150$188K

    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.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…1101,020$150$136.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wishburne HunteVINephrology Physician$79.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Vi Kidney Center Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Vi Kidney Center Inc — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands