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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWishburne Hunte
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    Wishburne Hunte — Billing Profile & Reimbursement Data

    NPI 1821100488 · St Thomas, VI · Nephrology Physician

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    Wishburne Hunte is a nephrology physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 1 Medicare and 0 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 TypeIndividual
    OrganizationWishburne Hunte
    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
    Medicare$79.9K
    Medicaid$0

    Key Findings

    This provider reported $79.9K in lifetime Medicare revenue and has no Medicaid billing on file, so its publicly visible payer footprint is effectively single-payer (Medicare-only) for the period covered. The absence of any Medicaid activity means analysts should treat Medicaid exposure as nil rather than low.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and in practice a single code (90960) accounts for virtually all reported Medicare dollars. That level of concentration indicates the provider’s billing is narrowly focused on a specific service line.

    Code 90960 (monthly ESRD management with four or more face-to-face visits) is the dominant billing item, with 300 claims, an average paid amount of $266 per claim, and $79.8K in revenue. These exact figures show the provider operates primarily around recurring ESRD management encounters rather than a broad mix of nephrology procedures.

    The taxonomy listed is Nephrology Physician and the dominant use of 90960 aligns with care for end-stage renal disease patients, implying the provider’s operations center on outpatient ESRD/monthly dialysis management and frequent in-person monthly visits. This code mix suggests a clinical model oriented to ongoing, longitudinal ESRD care rather than episodic consults or diverse nephrology procedures.

    Nationally, the provider ranks #1028 of 6549 for code 90960 and sits in the 84th percentile; the supplied descriptor calls this a "typical, unremarkable volume for this code." In plain terms, the provider bills more for 90960 than most peers nationwide but is characterized in the data as within the expected range rather than as an extreme outlier.

    Having an NPI enumerated on 2006-08-31 (~20 years ago) indicates long tenure in the Medicare program; the provider has an established billing history that spans roughly two decades. That longevity supports interpreting the concentrated billing pattern as a stable practice pattern rather than a short-term anomaly.

    Given the single-code dominance and Medicare-only revenue stream, the provider’s financial and operational performance is likely sensitive to Medicare payment policies and any regulatory changes specific to ESRD monthly management reimbursement. Analysts should note the lack of Medicaid activity when modeling payer mix or assessing resilience to shifts in public-payor rules.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    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…300$270$79.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90960210270$250$72.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    Kevin StewartVIOphthalmology Physician$469.5K$0
    Vi Kidney Center IncVINephrology Physician$0$188K
    Walter RohloffVINephrology Physician$85.2K$100.3K
    Leslie KingslowDCPulmonary Disease Physician$176.8K$0
    James GashoMDOrthopaedic Surgery Physician$172.1K$0
    Reva RichardsonVIInternal Medicine Physician$154.4K$0
    James NelsonVINeurology Physician$143.2K$0
    Jeanette Dilan-koetjeMOInternal Medicine Physician$133.6K$0
    David WeisherVIMedical Specialty Clinic/Center$103.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Wishburne Hunte, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    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
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Wishburne Hunte — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands