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.

Dialysis Access Specialists, LLC (NPI 1841598596)

Field	Value
Entity Type	Organization
Organization	Dialysis Access Specialists, LLC
Address	5 Orange Grove
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Nephrology Physician
NPI Enumerated	March 4, 2011

Payer Source	Total Paid
Medicaid	$156.7K
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and all reported federal payer revenue comes from Medicaid, with total Medicaid revenue of $156.7K. In practical terms the practice is effectively single-payer (Medicaid) in the dataset rather than operating across both Medicare and Medicaid books.

Revenue is heavily concentrated in a single Medicaid code: the top 3 Medicaid codes account for 100.0% of the provider's Medicaid revenue, and code 90960 alone represents $156.5K (99.9% of this provider's total Medicaid revenue). This indicates the practice’s billed services and cash flow are dominated by one service line.

The dominant code, 90960 (ESRD monthly management for patients 20+ with face‑to‑face care four or more times per month), accounts for 1.2K claims at an average paid amount of $133 per claim and $156.5K in revenue. Combined with the provider taxonomy of Nephrology Physician and the CHRISTIANSTED, VI location, the code mix strongly suggests an operation centered on ongoing ESRD/dialysis patient management rather than a broad ambulatory procedural practice.

On competitive standing for the core ESRD management activity, this provider ranks #2 of 4 in-state for code 90960 and sits at the 67th percentile, which the data labels as "typical, unremarkable volume for this code." That positioning implies the provider is a modest participant in the state market for ESRD monthly management—neither a market leader nor an outlier in volume.

A secondary Medicaid code, 99152 (initial 15 minutes of monitored moderate sedation), is present but trivial in financial impact: 27 claims, $6 avg paid/claim, and $162 in revenue (0.1% of Medicaid revenue). This pattern indicates occasional procedural work requiring monitored sedation but at a very low volume relative to the core ESRD management business; the metric also notes "0th percentile; no state peer volume comparison available," so peer benchmarking is limited for this code.

The provider’s NPI was enumerated on 2011-03-04 (~15 years ago), indicating a multi-year presence in the market. That tenure supports interpretation of the current billing mix as an established operating pattern rather than an early-stage or transient reporting artifact.

Given that 90960 accounts for 99.9% of Medicaid revenue, the practice’s financial profile is highly sensitive to changes in ESRD patient census, reimbursement for ESRD monthly management, or policy shifts affecting Medicaid ESRD payments. Any disruption to that single, dominant revenue stream would materially affect total reported Medicaid revenue of $156.7K.

Because there is no Medicare billing on file, the provider’s competitive and payer strategy in this dataset appears narrowly focused on Medicaid-covered ESRD management; analysts should view the absence of Medicare activity as a meaningful limitation when comparing this entity to peers that bill both Medicare and Medicaid.

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
90960	The 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…	1,180	$130	$156.5K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	30	$10	$160

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

Dialysis Access Specialists, 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
90960	The 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…	2	10	1,020	$150	$136.9K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	1	10	30	$10	$170

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dialysis Access Specialists, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jan Tawakol	VI	Nephrology Physician	$212.1K	$0
Tasnim Khan	VI	Nephrology Physician	$140.4K	$0
Lisa Gay	VI	Family Nurse Practitioner	$2.2K	$0

Nearby Providers

Other providers in the same ZIP code as Dialysis Access Specialists, LLC, 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

Dialysis Access Specialists, LLC — Billing Profile & Reimbursement Data

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Dialysis Access Specialists, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References