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.

Carmen Quinones (NPI 1871518936)

Field	Value
Entity Type	Individual
Organization	Carmen Quinones
Address	9149 Estate Thomas Ste 104
City	St Thomas
State	VI
ZIP	00802
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$38.2K
Medicaid	$0

Key Findings

Provider profile and scale: CARMEN QUINONES is listed as an Interventional Pain Medicine Physician in ST THOMAS, VI with an NPI enumerated on 2006-07-12 (~20 years ago). Lifetime Medicare revenue on file is $38.2K and there is no Medicaid billing on file, indicating a very small Medicare practice footprint and effectively single-payer (Medicare) billing activity in the claims record.

Revenue concentration in Medicare: The provider’s Medicare revenue is highly concentrated in a few office and procedure codes — 99213 ($19K, 49.8%), 99203 ($7K, 18.2%), and 64483 ($5.3K, 13.8%) — and the precomputed top-3 figure shows these codes together account for 81.9% of total Medicare revenue. This concentration implies a narrow set of services drive the vast majority of reported Medicare income.

Service-line implications: The code mix is dominated by evaluation-and-management visits (99213 and 99203) alongside targeted spine procedures (64483 and lower-volume facet codes 64493/64494). That pattern is consistent with a clinic-based pain management practice that relies primarily on outpatient E/M visits for revenue while offering selective interventional procedures such as transforaminal epidural injections and facet joint injections.

Payer mix and contracting signal: With $38.2K in Medicare revenue and no Medicaid billing on file, this provider is effectively single-payer (Medicare) in the record. For analysts, that suggests limited exposure to Medicaid populations or contracts and that payer-negotiation, network participation, or risk arrangements should be evaluated primarily through the Medicare lens rather than dual-payer dynamics.

Competitive standing by code: The top office-visit codes show relatively high national ranks but are described in the source as unremarkable — 99213 ranks #55346 of 457151 (88th percentile; typical, unremarkable volume for this code) and 99203 ranks #22207 of 161519 (86th percentile; typical, unremarkable volume for this code). In contrast, the principal interventional code 64483 ranks #4803 of 8202 (41th percentile; typical, unremarkable volume for this code) and facet injection codes 64493 and 64494 sit lower (15th and 19th percentiles respectively), indicating the provider is not a high-volume national outlier for procedural spine interventions.

Low-usage and outlier signals: Several codes appear at the extreme low end of national distributions in the file — for example 99204 and 20552 are each noted at the 0th percentile and described as "typical, unremarkable volume" in the source, while 99214 is at the 6th percentile. These low-percentile entries point to infrequent use of higher-complexity new-patient visits and trigger-point injections in this provider’s Medicare billing.

Unit-payment profile and operational inference: Average paid amounts on top items are modest — 99213 averages $60 per claim, 99203 $74 per claim, and 64483 $115 per claim — and with 99213 alone accounting for $19K (49.8%) of Medicare revenue this suggests the practice’s revenue mix is driven more by routine outpatient visits than by high-revenue procedural throughput. For network or capacity assessments, expect a small-volume clinic model with occasional targeted procedures rather than a procedure-centric ambulatory surgery presence.

Medicare: Complete Services Breakdown

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

9 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…	320	$60	$19K
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	$70	$7K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	50	$120	$5.3K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	20	$100	$2.4K
64494	In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…	20	$60	$1.4K
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…	10	$120	$1.3K
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…	20	$70	$1.2K
20552	Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.	10	$40	$460
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	100	$1	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Carmen Quinones — 1 of 9 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. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	64	80	100	$80	$15.5K
99213	10	80	100	$50	$7.6K
64483	1	10	40	$180	$6.9K
99204	34	40	40	$100	$4.4K
99203	7	30	50	$60	$3.8K
64493	1	10	20	$160	$3.8K
64494	1	10	20	$60	$1.4K
20552	2	10	10	$40	$570
J3301	5	10	100	$1	$230

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carmen Quinones, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virgin Island Orthopedics And Sports Medicine P C	VI	Specialist	$0	$821.4K
Ahmet Sayan	VI	Cardiovascular Disease Physician	$179.1K	$0
John Shuster	WA	Orthopaedic Surgery of the Spine Physician	$101.4K	$0
Jeffrey Chase	VI	Sports Medicine (Orthopaedic Surgery) Physician	$88.6K	$0
Carl Wright	VA	Physician Assistant	$51.2K	$570
Tamara Anderson	VI	Nurse Practitioner	$39.7K	$0
Artemio Torres-martinez	PR	Sports Medicine (Orthopaedic Surgery) Physician	$7K	$15.9K
Sayamira Cordero-fontaine	VI	Physical Therapist	$20.7K	$0

Nearby Providers

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

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

Carmen Quinones — 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

Nearby Providers

Frequently Asked Questions

References