Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medicaid spending in Virgin Islands

124 providers based in Virgin Islands were paid $185.84M in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is 99214, doctor's office visit, returning patient (more involved), at $13.85M. St Thomas is the biggest billing hub.

28Total paid$185.84M
33Billing providers124
24GClaims2,324,314
On OIG exclusion list0
Box 33 · Billing provider

Who sent the bill in Virgin Islands

  1. Clinics and outpatient centers
    40¢
  2. Dentists
    22¢
  3. Rides and ambulances
    12¢
  4. Hospitals (outpatient claims only)
    9¢
  5. Physicians
    6¢
  6. Medical equipment and supplies
    3¢
  7. Nursing Service Related Providers
    2¢
  8. Respiratory, Developmental, Rehabilitative and Restorative Service Providers
    2¢

Cents of every dollar billed by Virgin Islands-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.

Box 24 · Service lines

The biggest codes

All Virgin Islands codes →
  1. 99214Doctor's office visit, returning patient (more involved)
    $14M
  2. 36415Collection of venous blood by venipuncture
    $13M
  3. 99213Doctor's office visit, returning patient (routine)
    $11M
  4. A0130Non-emergency transportation: wheelchair van
    $9.8M
  5. D2740Crown - porcelain/ceramic
    $8.8M
  6. A0430Ambulance service, conventional air services, transport, one way (fixed wing)
    $8.6M
  7. 90999Dialysis (unlisted procedure)
    $5.6M
  8. T1019Help at home with bathing, dressing and eating, billed per 15 minutes
    $4.0M
  9. A0427Emergency ambulance ride, advanced life support
    $3.3M
  10. D7140Extraction, erupted tooth or exposed root
    $2.7M
Box 32 · Location

By city

St Thomas$96MChristiansted$31MFrederiksted$26MChristiansted, St. Croix$15MSt. Thomas$8.8MSt Croix$3.6M9160 Estate Thomas Mb261$2.8MGrundy$1.1MSt John$978KCharlotte Amalie$359KKingshill$135KSt. Croix$100KNorfolk$5.9KAlexandria$4.2KSaint Thomas$2.9K
Auditor's notes

Billing flags in Virgin Islands

Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.

#ProviderFlagsPaid
1 Aac-Air Ambulance Caribbean INC. single-code billing $8.59M
2 Vi Relocation Services and Rentals LLC single-code billing $6.79M
3 Stretcher Plus, LLC single-code billing $2.80M
Ranked

Top 100 providers in Virgin Islands

#ProviderTypeCityClaimsPaid
1 Jones, Duanne Dental St Thomas 120,509 $33.18M
2 Frederiksted Health Care, INC. Clinic Frederiksted 321,364 $24.36M
3 Vi Government Hospital and Health Facilities Corp Clinic St Thomas 425,572 $23.63M
4 Governor Juan F. Luis Hospital & Medical Center Hospital Christiansted, St. Croix 276,532 $15.37M
5 The ST Thomas East End Medical Center Corporation Clinic St Thomas 154,342 $12.82M
6 Aac-Air Ambulance Caribbean INC. Transport St Thomas 518 $8.59M
7 Vi Relocation Services and Rentals LLC Transport St. Thomas 20,915 $6.79M
8 Prentice, Alicia St Thomas 3,919 $3.87M
9 ST Croix Vision Center INC Supplier Christiansted 103,651 $3.57M
10 One Dental Practice LLC Dental Christiansted 21,073 $3.16M
11 Governor Juan F. Luis Hospital & Medical Center Clinic St Croix 49,257 $2.98M
12 JS Therapies, LLC Christiansted 33,445 $2.94M
13 Stretcher Plus, LLC Transport 9160 Estate Thomas Mb261 9,183 $2.80M
14 Healthquest, LLC. Clinic Christiansted 24,364 $2.44M
15 Department of Health, EMS STX Transport Christiansted 13,150 $2.22M
16 Lindsy Wagner LLC Behavioral Christiansted 14,937 $2.18M
17 Cog Restore, LLC Clinic St Thomas 42,522 $2.07M
18 Ophthalmology Consultants, PC Physician Christiansted 33,017 $2.04M
19 Acute Alternative Medical Group Physician Christiansted 26,263 $1.92M
20 Pediatric Care Center LLC Physician Christiansted 31,554 $1.68M
21 Island Dental Specialties Dba Toothworks Dental Christiansted 7,869 $1.50M
22 Dept of Health, Govt of Vi EMS ST Thomas Transport St. Thomas 8,896 $1.47M
23 Vi Oral Surgery, INC Dental St Thomas 6,355 $1.44M
24 Department of Health Clinic St Thomas 19,205 $1.30M
25 Dept of Health, Government of the Virgin Islands Agency Christiansted 18,456 $1.23M
26 Comprehensive Orthopedics LLC Clinic St Thomas 27,339 $1.12M
27 Virgin Islands Ear Nose and Throat PC Supplier St Thomas 18,969 $1.09M
28 Hackney, Carl Dental Grundy 48,603 $1.08M
29 Myrah Keating Smith Community Health Center Clinic St John 7,063 $939K
30 Virgin Island Orthopedics and Sports Medicine P C Physician St Thomas 14,975 $823K
31 ST Thomas Radiology Associates LLC Physician St Thomas 16,875 $812K
32 Vi Neurological Medical Group INC. Physician St Thomas 5,529 $771K
33 First Step Therapy Hospital Frederiksted 8,279 $755K
34 Keralajolisa Christiansted 19,274 $719K
35 ST. Thomas Clinical Reference Laboratory Lab St Thomas 69,714 $708K
36 Plessen Medical Group, LLC Physician Christiansted 20,208 $671K
37 Vi Practice Management Consulting Services LLC Christiansted 21,747 $657K
38 The Whyte Corporation Behavioral St Thomas 8,112 $633K
39 Rubin, Michael Physician Christiansted 13,304 $557K
40 Healthquest, LLC. Clinic St Thomas 8,026 $531K
41 Clinical Laboratory, INC. Lab Christiansted 68,275 $475K
42 Braces Plus PC Clinic St Thomas 3,171 $471K
43 Plessen Urgent Care, LLC Clinic Christiansted 11,764 $463K
44 Rehabilitation Services of ST Croix St Croix 9,927 $410K
45 Department of Health, Govt of Vi/Mch Clinic Elaine Co Agency St. Thomas 7,679 $407K
46 Delgiacco Medical Physician Christiansted 10,330 $384K
47 Graham Urological Center LLC Clinic Christiansted 6,526 $377K
48 Kerala Jolisa Charlotte Amalie 9,724 $359K
49 Department of Health, RLS Community Health Center Agency St Thomas 5,848 $327K
50 Imaging Center, PC Physician Christiansted 12,242 $305K
51 Primary Care, PLLC Managed care Christiansted 2,690 $261K
52 Lake, Angel Physician Christiansted 4,552 $250K
53 Rachel's Place Behavioral Frederiksted 1,507 $223K
54 Vi Kidney Center INC Physician St Thomas 1,288 $188K
55 Hercare INC Physician Frederiksted 1,427 $183K
56 DR. Marshall's Consulting Services, LLC Clinic Christiansted 1,111 $169K
57 Therapy Works, LLC Clinic St Thomas 3,994 $164K
58 Dialysis Access Specialists, LLC Physician Christiansted 1,204 $157K
59 Professional Psychological Services Agency St Thomas 1,101 $141K
60 Caricare Family Health Services, L.L.C Physician St Thomas 2,098 $139K
61 Agape' Wellness Center & Wound Care, LLC Physician Kingshill 3,659 $135K
62 Virgin Islands Dermatology, INC. Physician St Thomas 1,551 $134K
63 Children's Dental Care, INC. Dental St. Thomas 1,816 $126K
64 ST Thomas Neurology PLLC Physician St Thomas 1,165 $118K
65 ST Croix Gastroenterology Center LLC St Croix 854 $115K
66 Handicap Safety Group LLC Transport St Thomas 353 $110K
67 Caribbean Hematology and Oncology Center LLC Physician St Croix 1,374 $102K
68 Georges, Renee Hospital Christiansted 519 $100K
69 Rohloff, Walter Physician St Thomas 871 $100K
70 Pedersen, Walter St. Croix 1,032 $100K
71 Plessen Optical, LLC Supplier Christiansted 1,571 $81K
72 Rhema Care Services INC. St Thomas 44 $77K
73 Community Medical Laboratory, INC. Lab St Thomas 16,396 $71K
74 Vi Pathology LLC Physician Christiansted 9,316 $65K
75 Boschulte, Denita Physician St Thomas 535 $64K
76 The Prevention Specialists LLC Christiansted 708 $63K
77 Oyebolu, Moyosoreoluwa Dental Christiansted 2,464 $58K
78 Penn Pediatrics Clinic St Thomas 1,186 $56K
79 Freedom Mobility LLC Transport St. Thomas 230 $54K
80 Prohealth Urgent Care LLC Clinic Christiansted 918 $53K
81 Biscoe Enterprises PC Physician St Thomas 614 $50K
82 Synergy Fitness and Wellness Center LLC Behavioral St Thomas 944 $50K
83 John Franklin, M.D., P.C. Physician St Thomas 691 $46K
84 Paragon Surgical Center, LLC Clinic St Thomas 88 $41K
85 Abramson, Marc Physician Christiansted 188 $37K
86 Primary Care Gyn, PLLC Physician Christiansted 413 $36K
87 Urban Foot Care Center PC Christiansted 648 $35K
88 The Heart Center PC Physician Christiansted 3,935 $34K
89 Plessen Ent Physician Christiansted 364 $33K
90 SK Therapies Christiansted 123 $32K
91 Plessen Eye, LLC Physician Christiansted 198 $28K
92 Merritt, Carolyn Physician Christiansted 431 $27K
93 Advanced Surgical Partners, PC Clinic Christiansted 214 $27K
94 Owen, Gemaine Physician Christiansted 499 $23K
95 Richards, Melinda Behavioral St Thomas 315 $22K
96 Kianfar, Ramesh Dental St John 1,938 $21K
97 Saint Croix Podiatry LLC Christiansted 383 $19K
98 Vigi LLC St Thomas 583 $18K
99 Walker, Jennifer Physician St John 440 $18K
100 Odlum, Frank Physician St Thomas 175 $18K