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.

Carmine Hendricks (NPI 1851349419)

Key Findings

Field	Value
Entity Type	Individual
Organization	Carmine Hendricks
Address	514 Strand Street
City	Frederiksted
State	VI
ZIP	00841
Taxonomy	Family Medicine Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicare	$25.3K
Medicaid	$0

This profile is consistent with a Family Medicine Physician whose Medicare work is dominated by office evaluation-and-management visits: 99214 (182 claims, $77 avg paid/claim, $14K revenue, 55.4% of this provider's total Medicare revenue) and 99213 (75 claims, $58 avg paid/claim, $4.4K revenue, 17.2%). The presence of 99284 (35 claims, $78 avg paid/claim, $2.7K revenue, 10.8%) alongside those office E/M codes suggests the provider also bills for moderate-complexity emergency-department or urgent-care E/M visits in addition to routine primary-care visits, and point-of-care diagnostics (e.g., 83037, 36415, 93000) support a mixed office/acute-care service mix.

Revenue is highly concentrated in a very small set of codes: the precomputed top-3 Medicare codes account for 83.4% of this provider's total Medicare revenue, with 99214 alone representing 55.4% of Medicare revenue. That concentration indicates the practice’s financial reliance on a narrow set of E/M encounters rather than a broad procedural portfolio.

Payer mix is effectively single-payer Medicare: Total Medicare revenue is $25.3K while Total Medicaid revenue is none (no Medicaid billing on file). This absence of Medicaid billing on file means analysts should treat this entity as operating without a Medicaid revenue stream when modeling payer exposure or population access.

National competitive standing for the top Medicare codes is modest rather than dominant: 99214 ranks #164525 of 479517 providers nationally (66th percentile; typical, unremarkable volume), 99213 ranks #227166 of 457151 (50th percentile; typical, unremarkable volume), and 99284 ranks #45941 of 64306 (28th percentile; typical, unremarkable volume). Those percentiles indicate standard, unexceptional utilization relative to national peers rather than specialty-centered or high-volume leadership.

The provider has long tenure in the NPI registry (NPI enumerated 2006-05-05, ~20 years ago), indicating an established billing identity; despite that longevity, lifetime Medicare revenue is modest at $25.3K. The combination of long NPI tenure and low Medicare revenue is consistent with part-time Medicare practice, a small solo practice, or a clinician whose primary payer mix lies outside Medicare.

Utilization across the non-E/M codes is generally within typical national ranges and shows no extreme statistical outliers among the reported codes: examples include 83037 at the 62th percentile (51 claims, $10 avg paid/claim) and 93000 at the 11th percentile (14 claims, $11 avg paid/claim); a few lab/COVID codes appear at lower percentiles (e.g., 87426 at the 5th percentile) but are low-dollar contributors. Overall, the claim-level mix (multiple small-dollar lab and monitoring codes such as 82962, 81002, 81003) complements the dominant E/M revenue rather than indicating a separate high-revenue procedural line.

From a contracting or network-positioning perspective, the small absolute Medicare revenue ($25.3K) and the lack of Medicaid billing reduce this provider’s leverage for payer negotiations and make them a minor revenue contributor in most risk or network panels. The practical implication for payers is that monitoring and engagement strategies should treat this NPI as a modest-volume primary-care/ED-billing clinician rather than a major system or high-utilizer in the market.

Medicare: Complete Services Breakdown

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

13 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…	180	$80	$14K
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…	80	$60	$4.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	40	$80	$2.7K
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…	20	$70	$1.4K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$910
83037	The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…	50	$10	$510
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	60	$10	$440
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,…	10	$40	$420
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	60	$1	$190
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$10	$150

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederiksted Health Care, Inc.	VI	Federally Qualified Health Center (FQHC)	$0	$24.3M
Governor Juan F. Luis Hospital & Medical Center	VI	General Acute Care Hospital	$0	$15.4M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Sherman Washington	CA	Emergency Medicine Physician	$1.7M	$0
Jennifer Roberts	IL	Emergency Medicine Physician	$52.2K	$692.5K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Angel Lake	VI	Internal Medicine Physician	$78.2K	$249.8K
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Ian Manuel Corpus	MN	Family Medicine Physician	$314.8K	$0
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K

Carmine Hendricks — 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

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	26	80	100	$80	$15.5K
99213	46	80	100	$50	$7.6K
99284	5	10	60	$80	$5.3K
99203	27	30	50	$60	$3.8K
36415	17	30	100	$10	$3.2K
99283	3	10	20	$50	$2.1K
87426	12	10	30	$30	$1.3K
93000	16	20	30	$10	$1.3K
83037	5	10	50	$10	$780
82962	9	10	80	$1	$440