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.

Stephanie Torres-acuna (NPI 1851877534)

Key Findings

Field	Value
Entity Type	Individual
Organization	Stephanie Torres-acuna
Address	9053 Estate Thomas
City	St. Thomas
State	VI
ZIP	00802
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 16, 2018

Payer Source	Total Paid
Medicare	$48.1K
Medicaid	$0

This provider is effectively single‑payer in the public programs data: total Medicare revenue is $48.1K and there is no Medicaid billing on file, indicating the provider’s documented public-payor activity is concentrated entirely in Medicare. The provider’s taxonomy is Family Nurse Practitioner and the service location is ST. THOMAS, VI, which frames these Medicare-only patterns in a small U.S. territory market context.

Revenue is highly concentrated in a small set of office‑based evaluation-and-management codes: the precomputed top‑3 Medicare codes (99213, 99214, 99204) account for 65.3% of this provider’s total Medicare revenue. Those three codes individually generated $12.9K (99213, 26.8%), $11.7K (99214, 24.4%), and $6.8K (99204, 14.1%) of Medicare revenue, showing a reliance on routine new and established patient visits for most of the billing dollars.

The code mix points to a primary care / outpatient clinic operating model: dominant use of 99213 and 99214 (established patient office visits) alongside 99204 and 99203 (new patient visits) signals ongoing longitudinal care and intake of new patients. Presence of G0439 (32 claims, $109 avg paid/claim, $3.5K revenue) suggests the practice also offers Annual Wellness Visits, and basic in‑office diagnostics and procedures such as 36415 (124 claims, $8 avg paid/claim, $992 revenue) and 87804 (40 claims, $16 avg paid/claim, $640 revenue) support preventive and point‑of‑care testing.

Competitive standing on core codes is modest rather than dominant. 99213 ranks #59966 of 457151 providers nationally (87th percentile; typical, unremarkable volume), 99214 ranks #163761 of 479517 (66th percentile; typical, unremarkable volume), and 99204 ranks #32947 of 227068 (85th percentile; typical, unremarkable volume), which together indicate activity above the median for some E/M categories but still characterized in the file as "typical, unremarkable volume" rather than a market-leading outlier.

The practice documents routine use of injectable and procedure codes but with limited Medicare reimbursement for those lines: for example, 96372 shows 104 claims at $8 avg paid/claim ($832 revenue) and J0696 reports 91 claims with $0 avg paid/claim ($0 revenue). This pattern suggests in-office administration is part of the service mix but is not a major revenue driver relative to face‑to‑face E/M visits in the Medicare data.

Tenure in the Medicare program is established but not long‑standing: NPI enumerated on 2018-07-16 (~8 years ago), indicating the provider has had several years to build a Medicare patient panel in ST. THOMAS. That timeline is consistent with the presence of both new‑patient (99204, 99203) and established‑patient (99213, 99214) visit volume.

The absence of any Medicaid billing on file is a notable operational and contracting signal: either the provider is not enrolled with VI Medicaid or does not submit claims to Medicaid, making the documented public-payor revenue stream dependent on Medicare. For payers or competitive analysts, this implies that Medicaid network expansion would not materially impact the provider’s documented public revenue unless enrollment or billing practices change.

No code in the top list is flagged as an extreme statistical outlier in this dataset; most codes are explicitly described as "typical, unremarkable volume" across a range of percentiles (for example, G0439 at the 29th percentile and 99215 at the 35th percentile). This suggests the provider operates within normal national patterns for nurse practitioners delivering office‑based primary care services rather than showing atypical billing behavior in the Medicare claims shown.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	300	$40	$12.9K
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	$60	$11.7K
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…	90	$80	$6.8K
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…	90	$50	$4.4K
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,…	120	$30	$3.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$110	$3.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$90	$2.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	120	$10	$990
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	100	$10	$830
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	40	$20	$640

Showing 1–10 of 16

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

Stephanie Torres-acuna — Billing Profile & Reimbursement Data

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Stephanie Torres-acuna — 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

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	21	30	60	$120	$19.8K
99214	25	80	100	$80	$15.5K
G0439	11	20	60	$120	$8.1K
99213	13	80	100	$50	$7.6K
99204	6	40	40	$100	$4.4K
99203	8	30	50	$60	$3.8K
36415	11	30	100	$10	$3.2K
99212	2	10	40	$30	$1.8K
96372	5	10	80	$10	$870
87804	2	10	40	$20	$740