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.

John Perez (NPI 1790882140)

Field	Value
Entity Type	Individual
Organization	John Perez
Address	Beeston Hill Medical Center
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Specialist
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$121.5K
Medicaid	$0

Key Findings

This provider’s Medicare activity is small in absolute scale: total Medicare revenue is $121.5K and there is no Medicaid billing on file, so the practice is functionally single‑payer (Medicare) in the available claims data. The absence of any Medicaid codes suggests limited or no participation in state Medicaid billing or minimal Medicaid patient volume during the reporting period.

Revenue is highly concentrated in office evaluation-and-management and preventive visits: the precomputed figure shows the top 3 Medicare codes by revenue account for 75.9% of this provider's total Medicare revenue, with 99214 ($63.5K, 52.3%), 99215 ($21K, 17.3%), and G0439 ($7.7K, 6.3%) driving the bulk of receipts. That concentration signals reliance on a narrow set of outpatient visit services rather than a broad procedure mix.

The code mix points to an outpatient, clinic-based practice focused on longitudinal care for established patients and annual preventive visits: large shares coming from 99214 and 99215 indicate frequent moderate- to high-complexity established-patient E/M encounters, and G0439 confirms provision of Annual Wellness Visits. Additional items billed (90686 influenza vaccine, 36415 blood draw, and routine point-of-care tests) reinforce an office-based primary or specialty ambulatory model that delivers vaccinations, phlebotomy, and basic diagnostics.

Competitive standing for the primary E/M code is strong nationally: 99214 ranks #18220 of 479517 providers nationally (96th percentile) and is described as notably above typical national volume, indicating this provider delivers substantially higher-than-typical volume of moderate-complexity established-patient visits compared with peers. By contrast, 99215 ranks #16822 of 145531 (88th percentile) and G0439 ranks #51706 of 105855 (51th percentile), both labeled typical or unremarkable volume, so the provider’s dominance is concentrated in 99214 rather than across multiple visit categories.

Although the practice shows pockets of above-typical activity for certain ancillary services, most diagnostic imaging and specialty procedure codes appear at low-to-moderate national ranks, reflecting modest participation in those service lines. Examples include 76770 at the 14th percentile, 72040 at the 7th percentile, and 71045 at the 1th percentile, indicating imaging is a minor revenue stream relative to office visits.

Several non-E/M codes show relatively high national percentiles for their categories, suggesting consistent use of basic preventive and point-of-care services: 90686 (influenza vaccine) ranks #294 of 10508 providers nationally (97th percentile) and 36415 (venipuncture) ranks #14442 of 86467 (83th percentile), both labeled typical, unremarkable volume but positioned high in their peer distributions. These elements support the impression of an office that routinely vaccinates and performs phlebotomy as part of visit workflows.

The provider’s tenure in the NPI registry is long-standing: enumerated on 2006-09-20 (~20 years ago), which implies a two-decade presence in the Medicare ecosystem and may reflect an established local patient panel despite modest absolute Medicare revenue. That longevity can matter for network stability and referral patterns even when billing volume is relatively small.

Overall, the profile is of a Medicare-centric ambulatory specialist who generates most revenue from a concentrated set of office visit codes (top 3 codes = 75.9% of Medicare revenue) with strong relative volume in 99214 but limited breadth across procedure-heavy service lines and no recorded Medicaid billing. For payers and analysts, this signals a predictable, visit-driven revenue stream with little Medicaid exposure and limited diversification into high-revenue procedures or imaging.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

27 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…	830	$80	$63.5K
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…	160	$130	$21K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$130	$7.7K
99203	The provider sees a new 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 provider…	70	$70	$4.7K
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…	100	$40	$4.1K
99204	The provider sees a new 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 provider…	40	$90	$3.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	360	$10	$2.9K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	120	$20	$2.5K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	50	$30	$1.5K
76770	A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…	20	$90	$1.4K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

John Perez — 2 of 25 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. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	11	30	60	$120	$19.8K
99214	4	80	100	$80	$15.5K
80061	7	10	60	$10	$10.1K
G0439	7	20	60	$120	$8.1K
99213	39	80	100	$50	$7.6K
80053	9	10	70	$10	$7.5K
99204	18	40	40	$100	$4.4K
99203	12	30	50	$60	$3.8K
36415	5	30	100	$10	$3.2K
76770	5	10	30	$60	$2.7K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with John Perez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prohealth Urgent Care LLC	VI	Urgent Care Clinic/Center	$0	$53.2K
Josephine Kozloff	VI	Physician Assistant	$30.3K	$0
Carmine Hendricks	VI	Family Medicine Physician	$25.3K	$0
Lindsay Ray	VI	Family Nurse Practitioner	$15.6K	$0
Mayya Kawar	VI	Emergency Medicine Physician	$15.4K	$0
Jozette Matthews	VI	Family Nurse Practitioner	$13.9K	$0
Robert Martin	VI	Family Medicine Physician	$2K	$0

Nearby Providers

Other providers in the same ZIP code as John Perez, 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
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
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

John Perez — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References