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    OpenPayerNPI Medicare & MedicaidSiri Akal
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    Siri Akal — Billing Profile & Reimbursement Data

    NPI 1972568723 · St Thomas, VI · Family Medicine Physician

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    Siri Akal is a family medicine physician provider located in St Thomas, U.S. Virgin Islands. This profile covers 18 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
    OrganizationSiri Akal
    Address6500 Red Hook Plz Ste 205
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 17, 2006

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

    Payer SourceTotal Paid
    Medicare$98.3K
    Medicaid$0

    Key Findings

    SIRI AKAL has a compact Medicare footprint with lifetime Medicare revenue of $98.3K and no Medicaid billing on file, making this effectively a single‑payer (Medicare-only) public program profile in the available data. The absence of any Medicaid codes means in-state Medicaid competitiveness cannot be assessed from claims data.

    Revenue is highly concentrated in a small set of office/ambulatory E/M and wellness codes: the precomputed top 3 Medicare codes account for 70.0% of this provider's total Medicare revenue, driven by 99213 ($32K, 32.5%), 99214 ($28.1K, 28.6%), and G0439 ($8.9K, 9.0%). This concentration indicates the bulk of billings come from routine established‑patient visits and annual wellness services.

    The CPT/HCPCS mix aligns with a traditional family medicine outpatient practice: very high volumes of established patient visits (99213 and 99214), routine Annual Wellness Visits (G0439 and G0438), and vaccine administration (90694, G0008, 90732). This pattern suggests ongoing longitudinal primary care and preventive service delivery rather than procedure- or specialty‑driven practice.

    Competitive standing is uneven across codes: 99213 ranks #19227 of 457151 providers nationally (96th percentile; notably above typical national volume for this code), indicating unusually high relative volume for mid‑level established visits. By contrast, 99214 ranks #87916 of 479517 providers nationally (82th percentile; typical, unremarkable volume for this code) and higher‑complexity 99215 sits at the 29th percentile (#100054 of 145531), reflecting modest activity for high‑complexity visits.

    Preventive care access appears meaningful: G0438 (initial AWV) generates $6.2K and ranks #2216 of 17441 nationally (87th percentile; typical, unremarkable volume for this code) while G0439 (subsequent AWV) contributes $8.9K and ranks #44018 of 105855 (58th percentile; typical, unremarkable volume). These ranks indicate stronger-than-average activity for initial wellness visits and a typical profile for subsequent AWVs.

    Vaccination and basic office procedures form a visible secondary revenue stream: 90694 generated $6.9K (91 claims) and ranks in the 69th percentile, G0008 generated $3.3K (106 claims) at the 74th percentile, and 90732 generated $1.8K (14 claims). Additional low‑complexity procedures and tests (17000/17003 lesion destruction, 93000 ECG, 81002 urinalysis) appear at modest volumes and lower percentiles, consistent with routine office‑based procedural scope.

    The provider has long tenure in the Medicare system (NPI enumerated 2006-04-17, ~20 years ago) which suggests established local presence in ST THOMAS, VI, but the relatively small lifetime Medicare revenue ($98.3K) implies a limited Medicare patient panel or part‑time/low-volume Medicare practice despite the long enumeration history.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…600$50$32K
    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…340$80$28.1K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit80$120$8.8K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…90$80$6.9K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$160$6.2K
    G0008Administration of influenza virus vaccine110$30$3.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$140$3.2K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.50$40$2.3K
    90732The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…10$130$1.8K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$130$1.5K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99215243060$120$19.8K
    992141580100$80$15.5K
    G043962060$120$8.1K
    99213180100$50$7.6K
    G043821020$160$4.8K
    99203293050$60$3.8K
    9066231020$70$3.8K
    9069421030$70$3.3K
    1700021050$40$2.4K
    9073211010$130$1.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hillary Woodson GaskinsVIFamily Medicine Physician$62.6K$0
    Scott HartshornVIFamily Medicine Physician$56K$0
    Robin EllettVIEmergency Medicine Physician$15.1K$0
    Richard BeeversVIFamily Nurse Practitioner$13.1K$0
    John LenahanVIFamily Medicine Physician$1.5K$0
    Jessica MatheniaVIFamily Medicine Physician$1.3K$0
    Veronica O'brienVIAdvanced Practice Midwife$940$0
    Jeremy MatheniaVIMedical Physician Assistant$630$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    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

    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
    Siri Akal — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands