Loading...
NPI 1073674685 · Tamuning, GU · Internal Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Romeo Samonte is a internal medicine physician provider located in Tamuning, Guam. This profile covers 4 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Romeo Samonte |
| Address | 1757 Army Dr |
| City | Tamuning |
| State | GU |
| ZIP | 96913 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | December 13, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $148.7K |
| Medicare | $47.9K |
Payer mix is Medicaid-dominant in absolute dollars: this provider reports $148.7K in lifetime Medicaid revenue versus $47.9K in lifetime Medicare revenue, so Medicaid accounts for the larger share of billed revenue for this NPI. Both payers show reliance on outpatient evaluation-and-management codes rather than procedure-driven billing.
Medicare revenue is highly concentrated in three E/M codes: the precomputed top-3 Medicare codes account for 99.2% of this provider's Medicare revenue. The leading Medicare drivers are 99214 (350 claims, $85 avg paid/claim, $29.8K revenue; 62.3% of Medicare revenue), 99204 (182 claims, $89 avg paid/claim, $16.2K revenue; 33.9%), and 99213 (23 claims, $63 avg paid/claim, $1.4K revenue; 3.0%), indicating almost all Medicare dollars come from office-based E/M visits.
Within Medicare, competitive standing is mixed by code: 99204 ranks #6348 of 227068 providers nationally (97th percentile; notably above typical national volume for this code), which signals an unusually high national presence for higher-complexity new-patient visits, while 99214 ranks #83083 of 479517 (83th percentile; typical, unremarkable volume) and 99213 ranks #383905 of 457151 (15th percentile; typical, unremarkable volume). Despite the strong relative showing on 99204, total Medicare revenue remains modest at $47.9K.
Medicaid billing is also concentrated in E/M services: the precomputed top-3 Medicaid codes account for 98.4% of Medicaid revenue. The top Medicaid drivers are 99213 (1.3K claims, $89 avg paid/claim, $119.8K revenue; 80.3% of Medicaid revenue), 99214 (603 claims, $32 avg paid/claim, $19.3K revenue; 12.9%), and 99203 (65 claims, $118 avg paid/claim, $7.7K revenue; 5.1%), showing heavy reliance on established-patient office visits.
In-state competitive standing for Medicaid looks modest: 99213 ranks #20 of 48 providers in-state (60th percentile; typical, unremarkable volume for this code), 99214 ranks #19 of 35 (47th percentile; typical, unremarkable volume), and 99203 ranks #17 of 24 (30th percentile; typical, unremarkable volume). These placements indicate routine participation in the state Medicaid market without clear dominance.
Service-line implications are consistent with an outpatient internal medicine practice focused on longitudinal primary care: both payers show the majority of revenue coming from office/outpatient E/M codes (99213, 99214, 99203, 99204). The presence of a strong Medicare footprint on 99204 (higher-level new-patient visits) alongside heavy Medicaid 99213 volume suggests the practice manages a mix of new complex evaluations and large volumes of routine established-patient follow-up.
This provider has long tenure on file: NPI enumerated 2006-12-13 (~20 years ago), which supports interpretation of observed patterns as stable practice behavior rather than a short-term fluctuation. Tenured enumeration combined with concentrated E/M billing is consistent with an established outpatient internal medicine clinic.
Ancillary diagnostic codes play a very small role in revenue for both payers: Medicare 93000 generated $384 (48 claims) and Medicaid 93005 generated $735 (105 claims), each representing well under 1% of payer-specific revenue. This suggests limited in-office diagnostic revenue capture for ECG services or that such services may be routinely outsourced or billed under other NPIs.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 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… | 350 | $90 | $29.8K |
| 99204 | The provider sees a new 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 provider… | 180 | $90 | $16.2K |
| 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… | 20 | $60 | $1.4K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 50 | $10 | $380 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,350 | $90 | $119.8K |
| 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… | 600 | $30 | $19.3K |
| 99203 | The provider sees a new 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 provider… | 70 | $120 | $7.7K |
| 99204 | The provider sees a new 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 provider… | 70 | $30 | $1.7K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 110 | $10 | $740 |
How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Guam median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 20 | 50 | 900 | $80 | $201.7K |
| 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… | 19 | 40 | 630 | $90 | $172.1K |
| 93005 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 4 | 10 | 150 | $100 | $142.1K |
| 99203 | The provider sees a new 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 provider… | 17 | 20 | 140 | $110 | $35.4K |
| 99204 | The provider sees a new 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 provider… | 10 | 20 | 60 | $140 | $20.8K |
Other providers in the same ZIP code as Romeo Samonte, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Thomas Lee | GU | Dentist | $0 | $10.9M |
| Guam Memorial Hospital | GU | General Acute Care Hospital | $0 | $3.5M |
| Rsa - Tumon, LLC | GU | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $2.9M |
| Robert Yang | GU | Dentist | $0 | $2.4M |
| Antonio Garcia | GU | Pediatrics Physician | $0 | $2.2M |
| Ma Gladys Linsangan | GU | Pediatrics Physician | $0 | $2.2M |
| Ari Katerelos | GU | Radiation Oncology Physician | $2.1M | $0 |
| Guam X-ray | GU | Vascular & Interventional Radiology Physician | $0 | $2.1M |
| Sarah Clegg | GU | General Practice Dentistry | $0 | $1.7M |
| Peter Kh Go | GU | Surgery Physician | $152.8K | $1.5M |
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.