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.

Tamara Anderson (NPI 1881058642)

Field	Value
Entity Type	Individual
Organization	Tamara Anderson
Address	4423 Estate Marys Fancy
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Nurse Practitioner
NPI Enumerated	April 7, 2016

Payer Source	Total Paid
Medicare	$39.7K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is $39.7K and there is no Medicaid billing on file, so all billed public-payer activity in the record is Medicare-based. The NPI was enumerated 2016-04-07 (~10 years ago), indicating roughly a decade of claims history to generate this Medicare-only profile.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 68.5% of the provider's Medicare revenue. Those top codes are 99213 ($16.8K, 41.9%), 20610 ($5.4K, 13.6%), and J7324 ($5.2K, 13.0%), which together form the core of this provider's billed Medicare activity.

The mix of high-volume codes points to an outpatient clinic workflow focused on routine evaluation-and-management plus musculoskeletal procedures: 99213 is the single largest revenue driver and is supported by new-patient E/Ms (99203 $4.8K; 99204 $2.9K), while procedure codes 20610 and J7324 indicate intra‑articular injections and viscosupplementation are a meaningful service line. This combination suggests the practice manages a panel of established patients while offering office-based joint injections as a recurring revenue stream.

On competitive standing for the principal E/M activity, 99213 is relatively active nationally: it ranks #48036 of 457151 providers (89th percentile) and is described as "typical, unremarkable volume for this code," consistent with a steady, ordinary volume of established‑patient visits rather than an unusually high or low clinical throughput. That position signals the provider is a normal-volume contributor to routine office visits at the national level.

For procedural codes, the profile is mixed: 20610 ranks #8987 of 39752 providers (77th percentile) and is labeled "typical, unremarkable volume for this code," indicating above‑median billing for joint aspiration/injection without ultrasound; by contrast J7324 ranks #1095 of 1509 providers (26th percentile) and is also labeled "typical, unremarkable volume for this code," implying the provider bills viscosupplementation while remaining modest compared with the narrower set of clinicians who frequently bill that drug. Together these ranks suggest moderate specialization in joint procedures but not a dominant national presence for viscosupplementation.

The claims detail shows frequent, low‑reimbursement injections: J3301 appears with 748 claims at $1 avg paid/claim for $748 revenue (1.9% of Medicare revenue), and 93000 appears with 93 claims at $8 avg paid/claim for $744 revenue (1.9%). These high-count, low-dollar items indicate routine ancillary procedures and injections are common in daily practice but contribute only a small share of total Medicare dollars.

Coding mix indicates limited high-complexity established visits: 99214 contributes $1K (2.6%) and is ranked at a low national position (listed as "typical, unremarkable volume for this code" at a very low percentile), while lower-complexity E/Ms (99213, 99203, 99204) dominate revenue. This pattern suggests the practice sees many straightforward office visits and new‑patient evaluations rather than a caseload concentrated in high-complexity management.

Strategic implication: with total Medicare revenue of $39.7K concentrated 68.5% in three codes and no Medicaid activity, the provider's public-payer footprint is narrow and sensitive to patient volume or reimbursement shifts for office E/Ms and joint injections. From a payer or competitor perspective, this is a modest, specialized clinical profile rather than a large multi-service practice, so partnership or network strategies should take into account the single‑payer exposure and service concentration.

Medicare: Complete Services Breakdown

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

12 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…	350	$50	$16.8K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	150	$40	$5.4K
J7324	Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	60	$90	$5.2K
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	$4.8K
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…	40	$80	$2.9K
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…	10	$80	$1K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	50	$20	$980
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	750	$1	$750
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	90	$10	$740
72110	In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.	20	$20	$460

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Tamara Anderson — 1 of 12 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

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	71	80	100	$80	$15.5K
99213	8	80	100	$50	$7.6K
J7324	1	10	50	$90	$4.5K
99204	15	40	40	$100	$4.4K
99203	10	30	50	$60	$3.8K
20610	2	10	80	$40	$3.5K
93000	6	20	30	$10	$1.3K
73562	3	10	40	$20	$1.2K
72110	3	10	20	$30	$620
73030	3	10	20	$20	$560

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Virgin Island Orthopedics And Sports Medicine P C	VI	Specialist	$0	$821.4K
Ahmet Sayan	VI	Cardiovascular Disease Physician	$179.1K	$0
Lyn Campbell	VI	Emergency Medicine Physician	$173.1K	$0
John Shuster	WA	Orthopaedic Surgery of the Spine Physician	$101.4K	$0
Jeffrey Chase	VI	Sports Medicine (Orthopaedic Surgery) Physician	$88.6K	$0
Ramesh Lakhram	VI	Internal Medicine Physician	$43.5K	$9.5K
Carl Wright	VA	Physician Assistant	$51.2K	$570
Carmen Quinones	VI	Interventional Pain Medicine Physician	$38.2K	$0
Artemio Torres-martinez	PR	Sports Medicine (Orthopaedic Surgery) Physician	$7K	$15.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Tamara Anderson — 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