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    OpenPayerNPI Medicare & MedicaidKevin Stewart
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    Kevin Stewart — Billing Profile & Reimbursement Data

    NPI 1871541292 · St Thomas, VI · Ophthalmology Physician

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    Kevin Stewart is a ophthalmology physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 28 Medicare and 0 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 TypeIndividual
    OrganizationKevin Stewart
    Address9000 Lockhart Gdn Ctr Ste 4
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$469.5K
    Medicaid$0

    Key Findings

    KEVIN STEWART is an Ophthalmology Physician located in ST THOMAS, VI with an NPI enumerated 2006-05-05 (~20 years ago). His lifetime Medicare revenue on file is $469.5K and there is no Medicaid billing on file, so the recorded activity is effectively single‑payer Medicare in scale and scope.

    Revenue is highly concentrated in three services: the top 3 codes (99214, 66984, J0178) account for 58.3% of this provider's total Medicare revenue. Individually those codes are 99214 ($96.6K, 20.6% of Medicare revenue), 66984 ($91.7K, 19.6%), and J0178 ($84.8K, 18.1%), which together drive the majority of reported billings.

    The mix of top codes indicates a blended practice model: 66984 reflects a focus on cataract surgery (intraocular lens insertion after extracapsular cataract removal), J0178 reflects use of high‑cost intravitreal therapy (aflibercept), and 99214 reflects a heavy office evaluation and management load. This combination suggests the provider performs surgical cataract care, delivers retina injection therapy, and maintains substantial outpatient follow‑up and medical management.

    Competitive standing varies by service line: 99214 is an extreme outlier nationally (#7500 of 479517, 98th percentile), indicating far above‑typical national volume for office E/M visits. By contrast 66984 ranks #4725 of 15965 (70th percentile) and J0178 ranks #2901 of 3204 (9th percentile), characterizing cataract surgery and intravitreal injection activity as more modest relative to national peers.

    Diagnostic and ancillary imaging appears prominent in this practice: 92083 (visual field testing) generated $12.4K with 317 claims and ranks in the 93rd percentile, 92133 (optic nerve imaging) generated $5.8K with 290 claims and ranks in the 92nd percentile, and 92134 (retinal OCT imaging) generated $10.8K with 386 claims and ranks in the 84th percentile. These high national percentiles for testing codes indicate substantial in‑office diagnostic throughput that supports both medical retina and glaucoma workflows.

    Use of injectable and compound drugs is present but mixed in scale: J0178 (aflibercept) shows $84.8K revenue with an average paid/claim of $684, while J2778 (ranibizumab) shows $16.4K revenue with an average paid/claim of $155, and J7999 (compounded drug) shows $8.7K revenue. Despite J0178 contributing a large revenue share, its national rank (9th percentile) suggests injection volume is not large compared with top national retina providers, implying higher per‑claim reimbursement and/or a concentrated set of treated patients.

    The absence of any Medicaid billing on file combined with $469.5K in Medicare revenue points to a practice footprint that is either not participating in Medicaid, not billing Medicaid, or whose patient mix is dominated by Medicare beneficiaries. For payers and network planners, this profile indicates limited Medicaid exposure and primary reliance on Medicare reimbursement streams when assessing contracting or access strategies.

    Given an NPI enumerated on 2006-05-05 (~20 years ago) and the code mix dominated by office E/M visits, cataract procedures, and intravitreal injections, the provider appears to be an established, outpatient‑oriented ophthalmology practice with integrated surgical and diagnostic capability rather than a high‑volume national surgical or retina center. Contracting and utilization reviews should therefore focus on E/M utilization patterns (notably 99214) and the local supply of diagnostic and injection services in the USVI market.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,180$80$96.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…240$380$91.7K
    J0178Injection, aflibercept, 1 mg120$680$84.8K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.290$90$24.5K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.30$650$20.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$250$17.2K
    J2778Injection, ranibizumab, 0.1 mg110$160$16.4K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…320$40$12.4K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$550$12.1K
    99204The 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…130$90$11.6K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178110120$680$84.8K
    66984110150$520$74.1K
    67028110290$90$24.6K
    6582011030$880$23K
    J2778110110$150$16.4K
    99214280100$80$15.5K
    6585511070$170$11.3K
    6682111040$240$10K
    6698211020$590$10K
    6618311010$760$9.9K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New York Eye & Ear InfirmaryNYSpecial Hospital$0$38.9M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    Governor Juan F. Luis Hospital & Medical CenterVIGeneral Acute Care Hospital$0$15.4M
    Jonathan FeistmannNYOphthalmology Physician$2.7M$3.1M
    Brian CampolattaroNYPediatric Ophthalmology and Strabismus Specialist Physician Physician$122.7K$4.2M
    Sandra Gracia-lopezPRNuclear Medicine Physician$26.7K$4.1M
    Hector Velez CortesPRHematology & Oncology Physician$4.3K$4M
    Brooke NesmithKSRetina Specialist (Ophthalmology) Physician$3.7M$0
    Llewelyn RaoOHRetina Specialist (Ophthalmology) Physician$3.7M$0
    Juan RomeroNYOphthalmology Physician$3.1M$441.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    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
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. U.S. Virgin Islands Distribution
    Kevin Stewart — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands