Loading...
NPI 1083715684 · Tamuning, GU · Audiologist
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Renee Koffend is a audiologist provider located in Tamuning, Guam. This profile covers 3 Medicare and 3 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 | Renee Koffend |
| Address | 341 S Marine Corps Dr |
| City | Tamuning |
| State | GU |
| ZIP | 96913 |
| Taxonomy | Audiologist |
| NPI Enumerated | September 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.8K |
| Medicaid | $5.9K |
The provider’s code mix is classic for an audiology practice: billing is concentrated in diagnostic hearing assessment (92557), otoacoustic emissions screening (92587), and middle ear function testing (92567), which indicates services focused on hearing evaluation and screening rather than durable medical equipment or long-term device management. The presence of 92587 as a top code on both payers highlights a meaningful role in newborn/child hearing screens or population-level screening workflows.
Medicare revenue is narrowly concentrated: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, with 92557 representing $3.4K (49.9% of Medicare revenue), 92587 $2K (29.1%), and 92567 $1.4K (21.0%). This concentration suggests the provider derives nearly all Medicare receipts from a small set of diagnostic and screening audiology procedures.
Medicaid revenue is similarly concentrated: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, led by 92587 at $2.7K (45.1%), followed by 92567 at $2.2K (36.3%) and 92557 at $1.1K (18.7%). The ordering differs from Medicare (92587 is the largest Medicaid driver), which may reflect payer-specific referral patterns or programmatic emphasis on screening in the Medicaid population.
On payer scale the practice shows a dual-payer footprint but modest overall size: total Medicare revenue is $6.8K versus total Medicaid revenue of $5.9K, so Medicare is the slightly larger revenue source but both payers are similar in scale. This pattern indicates the provider operates across both programs rather than being effectively single-payer, but overall billing volumes and dollars are small compared with larger multi-clinic audiology providers.
National competitive standing for the provider’s Medicare activity is modest: 92557 ranks #3346 of 9310 (64th percentile; typical, unremarkable volume for this code), 92587 ranks #86 of 444 (81th percentile; typical, unremarkable volume for this code), and 92567 ranks #2435 of 8165 (70th percentile; typical, unremarkable volume for this code). These percentiles and the accompanying labels indicate this provider is not a dominant national player, though 92587 activity is comparatively higher versus peers on that specific code.
State-level Medicaid comparisons are unavailable in a conventional peer sense because each top Medicaid code is listed as ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). Being the sole in-state record in the dataset prevents assessment of whether the provider is a statewide leader; the Medicaid claim counts (141 for 92587, 154 for 92567, 37 for 92557) show meaningful activity within the dataset but lack an in-state peer baseline.
All three Medicare top codes are annotated as "typical, unremarkable volume for this code" in the national rankings, so there are no flagged statistical outliers in the national Medicare comparisons; the provider’s profile is consistent with a small but steady diagnostic/screening practice rather than exhibiting extreme deviation from peers. In contrast, the Medicaid listings’ percentile metadata (0th percentile due to single-provider in-state dataset) should not be interpreted as an outlier signal but rather as a limitation of in-state peer data.
The provider’s NPI was enumerated on 2006-09-26 (~20 years ago), reflecting long tenure in the billing dataset. This length of enumeration supports interpretation of the observed billing pattern as an established, persistent practice profile rather than a short-lived billing anomaly.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 130 | $30 | $3.4K |
| 92587 | Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and… | 130 | $20 | $2K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 130 | $10 | $1.4K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92587 | Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and… | 140 | $20 | $2.7K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 150 | $10 | $2.2K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 40 | $30 | $1.1K |
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
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92587 | Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and… | 1 | 10 | 140 | $20 | $2.6K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 1 | 10 | 150 | $10 | $2.2K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 1 | 10 | 40 | $30 | $1.1K |
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.