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 Guam for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Guam 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. Guam (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.

Leslie Anne Chua (NPI 1063640829)

Field	Value
Entity Type	Individual
Organization	Leslie Anne Chua
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Hospitalist Physician
NPI Enumerated	June 30, 2009

Payer Source	Total Paid
Medicare	$70.3K
Medicaid	$0

Key Findings

Clinical focus and service mix indicate a hospitalist inpatient practice: the top billed services are subsequent hospital inpatient or observation care (99233 and 99232), inpatient discharge day management (99239), and initial inpatient care (99223). Code-level volumes reinforce this operational profile — 99233 posted 394 claims with $97 avg paid/claim for $38.2K revenue, 99232 posted 295 claims with $64 avg paid/claim for $18.9K revenue, and 99239 posted 90 claims with $94 avg paid/claim for $8.5K revenue.

Very high revenue concentration in a small set of inpatient E/M codes: the precomputed top-3 Medicare codes account for 93.3% of this provider's total Medicare revenue, with 99233 alone representing $38.2K (54.4% of Medicare revenue) and 99232 contributing $18.9K (26.9%). This concentration implies that reimbursement and utilization reviews will be driven primarily by a few inpatient E/M services rather than broad ambulatory or procedure-based billing.

Provider is effectively single-payer in this dataset: lifetime Medicare revenue is $70.3K while there is no Medicaid billing on file. That absence of Medicaid activity means Medicaid exposure and negotiation leverage are minimal or nonexistent in the available records, concentrating payer risk and revenue solely on Medicare.

Competitive standing by code is mixed: 99233 ranks #12913 of 128818 providers nationally (90th percentile; typical, unremarkable volume for this code), and 99232 ranks #31250 of 177383 providers nationally (82th percentile; typical, unremarkable volume for this code), which indicates relatively stronger-than-average national activity on these follow-up inpatient visits. Despite those percentile placements, the absolute Medicare revenue ($70.3K) is modest, so the provider appears to be a meaningful participant on specific inpatient E/M codes but not a dominant national revenue generator.

Operational intensity and care pattern show frequent follow-up encounters rather than high numbers of initial admissions: 394 claims for 99233 and 295 claims for 99232 contrast with only 35 claims for 99223, suggesting the workflow emphasizes continued inpatient management and discharge processes. This pattern aligns with hospitalist practice models where longitudinal inpatient follow-up and discharge management drive utilization.

No clear statistical outliers are flagged in the code list: each top code is described as "typical, unremarkable volume for this code" (applied across the listed percentiles such as 90th, 82th, 66th, and 45th), so utilization sits within expected peer ranges rather than showing extreme deviation. For payers and auditors, this implies utilization should be evaluated within standard clinical expectations for hospitalist inpatient E/M services rather than as an anomaly.

Tenure in Medicare enrollment is long-standing: NPI enumerated 2009-06-30 (~17 years ago), indicating an established billing history in Medicare. That length of enrollment supports interpretation of the current pattern as a mature practice footprint rather than a transient or newly established filer.

Payer operational implication: because revenue is small in absolute terms ($70.3K) but highly concentrated in inpatient E/M codes (top-3 = 93.3%), network planning and utilization management should focus on inpatient follow-up and discharge workflows when assessing this provider. From a risk and contract perspective, the provider represents limited financial exposure to Medicare overall but may be a targeted resource for inpatient continuity-of-care capacity given the coding mix.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	390	$100	$38.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	300	$60	$18.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	90	$90	$8.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$130	$4.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Leslie Anne Chua — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2	20	130	$90	$16.5K
99232	10	30	150	$60	$12.1K
99223	9	20	30	$130	$7K
99239	2	20	50	$90	$4.8K

Nearby Providers

Other providers in the same ZIP code as Leslie Anne Chua, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Leslie Anne Chua — Billing Profile & Reimbursement Data

Sign up for Leslie Anne Chua — Billing Profile & Reimbursement Data policy alerts

Leslie Anne Chua — Billing Profile & Reimbursement Data

Sign up for Leslie Anne Chua — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References