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.

Keith Moore (NPI 1902190572)

Field	Value
Entity Type	Individual
Organization	Keith Moore
Address	4007 Estate Diamond Ruby
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Physician Assistant
NPI Enumerated	June 1, 2011

Payer Source	Total Paid
Medicare	$20.9K
Medicaid	$0

Key Findings

This provider’s commercial scale is very small and effectively single‑payer: lifetime Medicare revenue is $20.9K and there is no Medicaid billing on file, so all recorded public-payor activity is concentrated in Medicare rather than a mixed Medicare/Medicaid practice. The absence of any Medicaid claims suggests analyses of state Medicaid network position or Medicaid-driven service lines are not applicable for this NPI.

Revenue is highly concentrated in three Medicare codes: the precomputed top 3 codes account for 80.4% of this provider's total Medicare revenue, driven by 99214 (31.8%), 99490 (28.3%), and 90677 (20.3%). This concentration indicates that a small set of outpatient visit, chronic care management, and vaccine administration services produce the vast majority of billed Medicare dollars.

The code mix points to an outpatient primary-care–style workflow focused on established patient visits and longitudinal chronic care. 99214 (117 claims, $6.7K revenue) is the single largest code and represents moderate-complexity evaluation and management visits, while 99490 (160 claims, $5.9K revenue) indicates ongoing provider-directed clinical staff time for patients with multiple chronic conditions; together these two codes alone comprise 60.1% of Medicare revenue.

Although 90677 (15 claims, $4.2K revenue) is the third-largest revenue contributor, it ranks lower nationally (36982 of 52451 providers; 24th percentile; typical, unremarkable volume for this code), which means pneumococcal vaccination is an important revenue source for this provider but not a high-volume outlier compared with peers. The presence of both vaccine codes (90677 and 90471) confirms routine immunization administration is part of the service mix, even if volumes are modest versus national cohorts.

On competitive standing for the top visit and chronic-care codes, this provider records typical, not dominant volumes: 99214 ranks #226158 of 479517 providers nationally (53th percentile; typical, unremarkable volume for this code) and 99490 ranks #7542 of 16216 providers nationally (53th percentile; typical, unremarkable volume for this code). These percentiles indicate a modest, community-level presence rather than a high-volume or market-leading practice for these services.

Point-of-care monitoring and basic lab services appear integrated into the workflow: 83037 (95 claims, $950 revenue) ranks #203 of 1001 providers nationally (80th percentile; typical, unremarkable volume for this code), and 82962 (88 claims, $264 revenue) ranks #2091 of 6715 providers nationally (69th percentile; typical, unremarkable volume for this code). Higher-than-average percentiles for these monitoring codes suggest relatively frequent HbA1c and glucose fingerstick testing compared with peers, supporting the chronic disease management activity implied by the 99490 volume.

Operationally the claim counts show an emphasis on recurring monthly services: 99490 has 160 claims, which aligns with ongoing monthly clinical staff time for complex patients and contributes $5.9K (28.3% of Medicare revenue). The combination of frequent chronic care management claims and frequent established-patient visits implies staffing and workflows oriented to proactive care coordination rather than episodic, procedure-driven throughput.

This NPI has an established tenure in federal payer records, enumerated on 2011-06-01 (~15 years ago), yet the overall lifetime Medicare revenue of $20.9K is low for that tenure, indicating a low-volume billing footprint over time despite long-standing enrollment. Analysts should treat this provider as a small, steady Medicare participant with focused outpatient and chronic-care services rather than a high-volume practice or a Medicaid-serving provider.

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
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…	120	$60	$6.7K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	160	$40	$5.9K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$4.2K
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…	60	$40	$2.4K
83037	The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…	100	$10	$950
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	50	$10	$390
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	90	$1	$260
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10	$10	$110
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	10	$1	$40

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

Keith Moore — 0 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	36	80	100	$80	$15.5K
90677	3	10	20	$280	$9K
99213	54	80	100	$50	$7.6K
99490	3	10	140	$40	$5.6K
36415	19	30	100	$10	$3.2K
83037	4	10	50	$10	$780
82962	7	10	80	$1	$440
90471	2	10	20	$10	$210
81002	8	10	20	$1	$80

Nearby Providers

Other providers in the same ZIP code as Keith Moore, 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
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Keith Moore — Billing Profile & Reimbursement Data

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Keith Moore — 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

Nearby Providers

Frequently Asked Questions

References