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.

Kerala Jolisa (NPI 1871713016)

Field	Value
Entity Type	Organization
Organization	Kerala Jolisa
Address	Sterling Optical 9000 Lockhart Gardens
City	Charlotte Amalie
State	VI
ZIP	00802
Taxonomy	Optometrist
NPI Enumerated	April 30, 2007

Payer Source	Total Paid
Medicaid	$360.2K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and a lifetime Medicaid revenue of $360.2K, making it effectively a single-payer (Medicaid) practice in available claims data rather than a mixed Medicare/Medicaid operation. Analysts should treat Medicare-related comparisons as inapplicable for this NPI because there are no Medicare payments reported.

Revenue is highly concentrated in a small set of optical and examination codes: the precomputed top 3 Medicaid codes account for 69.1% of total Medicaid revenue, led by V2020 ($101.6K, 28.2%), 92004 ($95K, 26.4%), and V2100 ($52.2K, 14.5%). This concentration suggests the provider derives most of its Medicaid income from a combination of frame sales, new-patient comprehensive evaluations, and single-vision lenses.

The code mix aligns with an optometrist practice that blends clinical evaluation with on-site optical dispensing: 92004 represents comprehensive ophthalmological evaluation and initiation of care, while V2020 (frames) and V2100 (single-vision lenses) represent retail optical revenue. Average paid/claim values support that split: 92004 shows $64 avg paid/claim, V2020 shows $54 avg paid/claim, and V2100 shows $69 avg paid/claim, indicating meaningful revenue per encounter both for clinical visits and for optical goods.

Competitive standing varies by code. For the clinical exam 92004 this provider is the in-state leader (ranks #1 of 4, 100th percentile) which indicates a dominant position locally for comprehensive new-patient evaluations, but for frame dispensing V2020 it ranks #3 of 4 (33th percentile; typical, unremarkable volume), and for V2100 it ranks #3 of 3 (0th percentile; typical, unremarkable volume), indicating more modest market share on optical items relative to peers.

The NPI was enumerated on 2007-04-30 (~19 years ago), signaling long tenure and an established billing history in state Medicaid data; however, the overall lifetime Medicaid revenue of $360.2K still places this as a relatively small-scale operation in dollar terms despite long standing enrollment.

Several ancillary lens and coating codes appear across the top services, reflecting typical optical dispensing workflows rather than unusual utilization: V2755 (U-v lens, $34.3K, 9.5%), V2760 (scratch resistant coating, $26.8K, 7.5%), and V2745 (tint addition, $10.9K, 3.0%) each contribute modest shares and are described in the data as typical, unremarkable volume. These items collectively show the practice monetizes lens add-ons in addition to base frames and lenses.

There are a few very low-volume or single-provider comparisons worth noting that limit peer benchmarking: V2201 ($38.6K, 10.7%) ranks #1 of 1 (0th percentile; no state peer volume comparison available) and V2101 ($640, 0.2%) likewise ranks #1 of 1 (0th percentile; no state peer volume comparison available). Such singleton rankings suggest some codes are either niche services or that the state peer pool for those codes is very small, so caution is warranted when interpreting their competitive significance.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	1,880	$50	$101.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	1,490	$60	$95K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	760	$70	$52.2K
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	390	$100	$38.6K
V2755	U-v lens, per lens	1,910	$20	$34.3K
V2760	Scratch resistant coating, per lens	1,920	$10	$26.8K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	1,370	$10	$10.9K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	20	$40	$640

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

Kerala Jolisa — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	3	10	3,020	$50	$347.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	3	10	1,910	$70	$311.4K
V2755	U-v lens, per lens	3	10	3,040	$20	$122K
V2760	Scratch resistant coating, per lens	3	10	4,160	$10	$121.6K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	3	10	3,110	$10	$60.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	1	10	360	$90	$47.9K
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	1	10	390	$100	$38.6K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	1	10	20	$40	$640

Nearby Providers

Other providers in the same ZIP code as Kerala Jolisa, 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

Kerala Jolisa — Billing Profile & Reimbursement Data

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Kerala Jolisa — 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

Nearby Providers

Frequently Asked Questions

References