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    OpenPayerNPI Medicare & MedicaidByron Biscoe
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    Byron Biscoe — Billing Profile & Reimbursement Data

    NPI 1841397205 · St Thomas, VI · Ophthalmology Physician

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    Byron Biscoe is a ophthalmology physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 7 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
    OrganizationByron Biscoe
    Address8000 Nisky Shopping Ctr Ste 19-b
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$38.2K
    Medicaid$0

    Key Findings

    BYRON BISCOE is an Ophthalmology Physician enumerated NPI on 2006-09-20 (~20 years ago) practicing in ST THOMAS, VI; lifetime Medicare revenue on file is $38.2K and there is no Medicaid billing on file, indicating the provider’s publicly recorded activity is effectively single-payer Medicare. This payer concentration should be taken into account when evaluating local network access and payer-risk exposure.

    Revenue is highly concentrated in three Medicare codes: the precomputed top-3 Medicare codes account for 94.2% of this provider’s total Medicare revenue, with 92014 contributing $22.8K (59.8%), 66984 contributing $7.9K (20.6%), and 92004 contributing $5.2K (13.8%). Such concentration means the practice’s Medicare performance is driven almost entirely by comprehensive eye exams and cataract-related procedures.

    The procedure mix points to a practice oriented around comprehensive ophthalmic examination and cataract surgery: 92014 (established patient comprehensive eye exam) is the single largest revenue driver, supported by 92004 (new patient comprehensive exam) and 66984 (extracapsular cataract extraction with intraocular lens insertion). Diagnostic imaging codes (for example, 92134, 92133, 92136) generate only small shares of revenue, suggesting limited dependence on high-volume retinal/optic imaging in this billing profile.

    Competitive standing is mixed across key services: 92014 ranks #8654 of 35415 providers nationally (76th percentile) and is labeled in the source as “typical, unremarkable volume,” indicating a stronger-than-average position for established comprehensive exams; 92004 ranks #7700 of 26467 (70th percentile) and is likewise labeled typical, while 66984 ranks #14609 of 15965 (7th percentile) and—despite the label used in the source—appears relatively low for cataract procedure volume versus national peers. Analysts should view the provider as a modest but competent participant in comprehensive exam delivery with limited cataract surgical volume by national comparison.

    Claim counts reinforce the operational focus: 92014 shows 326 claims (average paid $70/claim), 92004 shows 64 claims (average paid $82/claim), and 66984 shows 21 claims (average paid $375/claim). The pattern — many exam claims with far fewer surgery claims — is consistent with a practice that sees routine outpatient exam throughput and performs a smaller number of surgical cataract cases.

    Absence of Medicaid billing ("none below") means this provider has no recorded Medicaid revenue and therefore little to no direct billed exposure to Medicaid populations in the dataset. For payers and network planners, that implies limited overlap with Medicaid-covered patient panels and potential gaps in access for low-income or dual-eligible populations in the provider’s service area.

    Despite long tenure (NPI enumerated 2006-09-20 (~20 years ago)), the absolute Medicare revenue level ($38.2K) is modest; this combination suggests a smaller scale of Medicare practice activity, part-time clinical effort, or a patient panel that is not heavily Medicare-dependent. Stakeholders evaluating capacity or network sufficiency should not assume high throughput solely based on years of registration.

    Imaging and diagnostic testing volumes are relatively low by percentile: 92134 ranks in the 29th percentile, 92133 the 16th percentile, and 92136 the 8th percentile (each labeled in the source as typical or unremarkable). Together with the heavy reliance on exam codes, this indicates limited use of advanced retinal/optic imaging relative to national peers, which may affect downstream referral patterns and care pathways for retinal disease management.

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…330$70$22.8K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…20$380$7.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$80$5.2K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.30$20$820
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…40$10$550
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…20$20$530
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…20$20$320

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984410150$520$74.1K
    92014110120$70$9.2K
    9213421030$30$3.3K
    9200421030$80$3.3K
    9213351050$20$2.1K
    9213631040$20$1.7K
    9202021050$20$760

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Renee GeorgesVISurgery Physician$25.4K$100.5K
    Liberty Medical Development, LLCVIAmbulatory Surgical Clinic/Center$110.2K$0
    Jeffrey ChaseVISports Medicine (Orthopaedic Surgery) Physician$88.6K$0
    Hunter GarrisonVIPhysical Therapist$82.6K$0
    Brian BacotVIOrthopaedic Surgery Physician$53K$0
    Biscoe Enterprises PCVIOphthalmology Physician$0$50.5K
    Janet LewisVIOrthopaedic Surgery Physician$14.2K$0
    George FlowersVISports Medicine (Orthopaedic Surgery) Physician$9.5K$0
    Horace GriffithVILegal Medicine$820$0

    Nearby Providers

    Other providers in the same ZIP code as Byron Biscoe, 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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Byron Biscoe — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands