Virgin Islands Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Virgin Islands has 172 Medicare providers who collectively received $10.7M in Medicare payments, averaging $62K per provider. Virgin Islands providers earn moderate Medicare revenue per provider, with significant opportunity to capture additional revenue through program enrollment and coding optimization.
The most common specialty is Physician Assistant with 19 providers, followed by Physical Therapist in Private Practice (17) and Internal Medicine (15). Physician Assistant providers in Virgin Islands average $17K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Christiansted (70 providers), with St Thomas and St. Thomas also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
172
in Virgin Islands
Total Medicare Payment
$10.7M
Avg Payment / Provider
$62K
Total Services
332K
Virgin Islands Performance Signals
Revenue per Provider
$62,079
-22.2% vs benchmark · national avg $79,744
Provider Market Share
0.0% of US
-99.3% vs benchmark · 172 providers
CCM Adoption
3.5%
-69.0% vs benchmark · national 11.3%
RPM Adoption
1.7%
-73.0% vs benchmark · national 6.5%
AWV Completion
10.5%
-40.1% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Virgin Islands Compares
Top Revenue Opportunities in Virgin Islands
Chronic Care Management (99490)
Only 3.5% of providers bill CCM vs 11.3% national average. 13 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 1.7% vs 6.5% nationally. 8 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 10.5% trails the 17.5% national average. 12 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Virgin Islands
| Specialty | Providers | Avg Payment |
|---|---|---|
| Physician Assistant | 19 | $17K |
| Physical Therapist in Private Practice | 17 | $36K |
| Internal Medicine | 15 | $68K |
| Nurse Practitioner | 10 | $14K |
| Family Practice | 10 | $43K |
| Chiropractic | 9 | $6K |
| General Surgery | 6 | $16K |
| Emergency Medicine | 6 | $44K |
| Psychologist, Clinical | 5 | $11K |
| Ophthalmology | 4 | $137K |
| Optometry | 4 | $24K |
| Clinical Laboratory | 4 | $163K |
| Registered Dietitian or Nutrition Professional | 4 | $4K |
| Orthopedic Surgery | 4 | $41K |
| Ambulatory Surgical Center | 3 | $151K |
| Occupational Therapist in Private Practice | 3 | $21K |
| Obstetrics & Gynecology | 3 | $64K |
| Neurology | 3 | $88K |
| Ambulance Service Provider | 3 | $886K |
| Otolaryngology | 3 | $70K |
Top 50 Providers in Virgin Islands
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