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.

Comprehensive Orthopedics LLC (NPI 1851551675)

Key Findings

Field	Value
Entity Type	Organization
Organization	Comprehensive Orthopedics LLC
Address	9151 Estate Thomas
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Specialist
NPI Enumerated	June 16, 2008

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

COMPREHENSIVE ORTHOPEDICS LLC reports Total Medicare revenue: none (no Medicare billing on file) and Total Medicaid revenue: $1.1M, indicating this practice is effectively single-payer in the available federal data and reliant on Medicaid for billed services and cash flow. The absence of Medicare activity suggests limited exposure to the Medicare population or that Medicare billing is handled under a different NPI or group affiliation not represented here.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 93.3% of this provider's total Medicaid revenue, with 99214 contributing $572K (51.2%), 99213 contributing $426.4K (38.2%), and 99203 contributing $43.6K (3.9%). This concentration signals that a small set of office/outpatient evaluation-and-management codes dominate the provider’s billed revenue.

The mix of top codes (99214, 99213, 99203) and procedure codes such as 20610 and J3301 indicates an outpatient orthopedic practice focused on evaluation-and-management visits for established and new patients, plus in-office therapeutic procedures. High volumes of E/M visits combined with 734 claims for 20610 ($39.6K revenue) and 769 claims for J3301 ($2.3K revenue) point to routine joint injections and minor office procedures as a consistent part of service delivery.

On competitive standing within the state, the provider is an active participant for key E/M codes: 99214 ranks #5 of 43 providers in-state (90th percentile; typical, unremarkable volume for this code) and 99213 ranks #4 of 41 (93th percentile; typical, unremarkable volume for this code). Those placements indicate above-average volume relative to peers but not a market-dominant position; 99203 also sits at #3 of 20 (89th percentile; typical, unremarkable volume for this code), reinforcing a solid but not exclusive role in outpatient E/M care.

Several codes show top-state ranking even where dollar impact is low: 20610 is #1 of 2 providers in-state (100th percentile; typical, unremarkable volume), and J3301 is #1 of 3 providers in-state (100th percentile; typical, unremarkable volume). These #1 ranks suggest the practice is one of only a few in-state providers performing or billing these specific joint injection services under Medicaid, even though those services represent much smaller shares of overall revenue.

Administrative and quality reporting codes are frequent but non-revenue generating in the Medicaid data: G8427 has 6.6K claims ($0 revenue) and ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume), while G8730 and other G-codes also show large claim counts with $0 paid. High counts of $0-revenue measure codes imply extensive documentation and measure reporting tied to encounters but do not materially affect billed revenue.

Payer-concentration risk is elevated: with no Medicare billing on file and $1.1M in Medicaid revenue concentrated in a few E/M codes (top 3 = 93.3%), the practice’s financial exposure is closely tied to Medicaid policy, reimbursement levels, and coding patterns for office visits. Any policy or reimbursement shifts affecting 99214/99213 could disproportionately affect overall revenue.

The provider’s NPI was enumerated 2008-06-16 (~18 years ago), indicating an established billing presence in the market; combined with the code-level ranks and volumes, this tenure supports the reading that the practice has maintained a steady outpatient orthopedic/E&M operation focused on established-patient visits and in-office procedures over an extended period.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

17 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…	6,730	$90	$572K
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…	6,880	$60	$426.4K
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…	560	$80	$43.6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	730	$50	$39.6K
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…	170	$100	$17.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	150	$50	$7.6K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	130	$30	$3.8K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	70	$40	$2.5K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	770	$1	$2.3K
72110	In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.	30	$40	$1.1K

Showing 1–10 of 17

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

Comprehensive Orthopedics LLC — 4 of 11 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	5	40	560	$140	$322K
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…	4	40	430	$110	$260.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	8	20	130	$110	$64.8K
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…	7	30	80	$150	$27K
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…	3	20	80	$90	$27K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1	10	410	$50	$22K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	4	10	110	$100	$21.5K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	2	10	100	$120	$12.9K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1	10	40	$1	$890
72110	In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.	1	10	20	$40	$800

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Bacot	VI	Orthopaedic Surgery Physician	$53K	$0
Jennifer Arizu	VI	Physician Assistant	$30.4K	$0
Janet Lewis	VI	Orthopaedic Surgery Physician	$14.2K	$0
Jason Williams	VI	Chiropractor	$5.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M

Comprehensive Orthopedics 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