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.

The Prevention Specialists LLC (NPI 1851640866)

Field	Value
Entity Type	Organization
Organization	The Prevention Specialists LLC
Address	4500 Sunny Isle
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Registered Dietitian
NPI Enumerated	September 5, 2012

Payer Source	Total Paid
Medicaid	$62.9K
Medicare	$0

Key Findings

THE PREVENTION SPECIALISTS LLC bills exclusively to Medicaid in the available data set: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $62.9K. This makes the provider effectively single-payer (Medicaid) in scope for the claims and revenue available here, so Medicaid dynamics will drive any payer/contracting analysis.

Revenue is highly concentrated in a small set of service codes: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's Total Medicaid revenue. In practice that concentration is dominated by two codes—97803 and 97802—which together make up the entirety of reported Medicaid revenue.

The code mix indicates a focused dietetics practice offering time-based, one-on-one diet therapy services: 97803 (reassessment, each 15 minutes) accounts for $57.9K (92.1% of this provider's Total Medicaid revenue) over 681 claims at a $85 avg paid/claim, and 97802 (initial visit, each 15 minutes) accounts for $5K (7.9% of Total Medicaid revenue) over 27 claims at a $185 avg paid/claim. This pattern suggests routine delivery of follow-up nutrition counseling and occasional initial evaluations rather than broader procedure-based or group services.

Competitive standing is mixed by code: 97803 ranks #1 of 2 providers in-state (100th percentile), indicating the provider is the top biller for reassessment diet therapy within the small in-state peer set, but the data labels the volume as typical, unremarkable for this code. That combination implies local leadership in this narrow service line but does not on its face indicate unusually high utilization intensity relative to broader benchmarks.

For initial visits billed as 97802 the provider ranks #2 of 2 providers in-state (0th percentile) with a small share of Medicaid revenue (7.9%) and only 27 claims. This places the provider as a modest participant for new-evaluation dietetic services in-state, consistent with a practice that focuses more on reassessments/ongoing therapy than on onboarding high volumes of new patients.

Payment and utilization profile shows smaller per-claim payments for the dominant reassessment code (97803 at $85 avg paid/claim) versus higher per-claim payment for the initial visit (97802 at $185 avg paid/claim), which is consistent with standard time-based billing where initial evaluations are reimbursed at a higher rate. Analysts should note the high claim count for 97803 (681 claims) relative to 97802 (27 claims) when modeling visit mix, capacity, or expected revenue under rate changes.

The provider has an established NPI tenure: NPI enumerated (registered) 2012-09-05 (~14 years ago), indicating a long-standing enrollment in the system that supports trend analysis over multiple years if additional historical data are available. Given the focused service mix and steady Medicaid-only billing profile, downstream analyses should concentrate on Medicaid policy, state rates for 97802/97803, and local peer behavior rather than Medicare dynamics.

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
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	680	$90	$57.9K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	30	$190	$5K

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

The Prevention Specialists LLC — 1 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
97803	The provider reassesses the dietary needs of a patient and uses specific diet therapy to treat medical conditions and related symptoms by interacting individually with the patient. This code…	1	10	380	$90	$32.9K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	2	10	100	$90	$9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charlotte Henry	VI	Registered Dietitian	$10.2K	$0

Nearby Providers

Other providers in the same ZIP code as The Prevention 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

The Prevention Specialists LLC — Billing Profile & Reimbursement Data

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The Prevention 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