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    OpenPayerNPI Medicare & MedicaidVigi LLC
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    Vigi LLC — Billing Profile & Reimbursement Data

    NPI 1861957193 · St Thomas, VI · Gastroenterology Physician

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    Vigi LLC is a gastroenterology physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVigi LLC
    Address9149 Estate Thomas
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyGastroenterology Physician
    NPI EnumeratedJanuary 31, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$17.9K
    Medicare$0

    Key Findings

    VIGI LLC is effectively a single-payer Medicaid biller with no Medicare billing on file; total Medicaid revenue reported is $17.9K and there is no Medicare revenue to compare against. The lack of any Medicare claims indicates Medicaid is the sole public payer driving this provider’s billed activity in our dataset.

    Revenue concentration is highly focused: the precomputed top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. The dominant code is 99213, which alone represents 76.6% of Medicaid revenue at $13.7K, followed by 99203 at 17.4% ($3.1K) and 99214 at 6.0% ($1.1K).

    The code mix indicates an outpatient gastroenterology practice oriented to evaluation-and-management visits rather than procedural care: the top revenue-driving codes are 99213 (established outpatient E/M), 99203 (new patient E/M), and 99214 (higher-complexity established E/M). Notably, there are no high-revenue procedural CPTs on the Medicaid top list, suggesting limited or no Medicaid-billed endoscopy/therapeutic procedures in the available data.

    Claim-level detail reinforces low-volume ambulatory activity: 99213 had 241 claims with $57 avg paid/claim generating $13.7K, 99203 had 30 claims with $104 avg paid/claim generating $3.1K, and 99214 had 19 claims with $57 avg paid/claim generating $1.1K. These counts and average payments are consistent with an outpatient clinic pattern focused on frequent, lower-dollar office visits.

    Competitive standing within the state is modest across top codes: 99213 ranks #25 of 41 providers in-state at the 40th percentile and is labeled as "typical, unremarkable volume," indicating neither a dominant nor a negligible presence for routine established visits. 99203 ranks #16 of 20 at the 21th percentile (also described as typical, unremarkable volume), while 99214 ranks #40 of 43 at the 7th percentile, signaling comparatively low volume for higher-complexity visits.

    The provider has been enumerated since 2019-01-31 (~7 years ago), which gives it several years of active NPI tenure; however, the small absolute Medicaid revenue ($17.9K) suggests limited scale of public-payer clinical activity over that period. Tenure without Medicare billing and modest Medicaid receipts implies a narrowly focused, lower-volume operation in the territory.

    Two quality/attestation codes appear frequently in the claims list but produce no revenue: G8427 shows 279 claims with $0 revenue and ranks #2 of 2 in-state (0th percentile), and G8730 shows 14 claims with $0 revenue and ranks #2 of 2 in-state (0th percentile). The presence of these $0-paid codes indicates routine documentation or quality reporting activity that does not contribute to billed Medicaid revenue.

    Overall, VIGI LLC’s Medicaid footprint is concentrated in standard office E/M work with 100.0% of Medicaid revenue coming from three E/M codes, modest per-claim payments ($57 and $104 averages), and state rankings that place it as a modest, non-dominant participant in its primary visit codes. The absence of Medicare billing and procedural codes suggests its measurable public-payer activity is narrow in scope and scale.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…240$60$13.7K
    99203The 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…30$100$3.1K
    99214The 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…20$60$1.1K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications280$0$0
    G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented10$0$0

    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.

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…4040560$140$322K
    99213The 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…2540430$110$260.9K
    99203The 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…162080$90$27K
    G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications2103,450$1$1
    G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented2101,280$0$0

    Nearby Providers

    Other providers in the same ZIP code as Vigi LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Vigi LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands