Loading...
NPI 1164522819 · Dededo, GU · Emergency Medicine Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Anthony Bekkerman is a emergency medicine physician provider located in Dededo, Guam. This profile covers 3 Medicare and 8 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 | Anthony Bekkerman |
| Address | 133 Route 3 |
| City | Dededo |
| State | GU |
| ZIP | 96929 |
| Taxonomy | Emergency Medicine Physician |
| NPI Enumerated | September 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $623.9K |
| Medicare | $49.5K |
This clinician is clearly an emergency medicine operator: the Medicare and Medicaid revenue is driven exclusively by ED E/M codes 99285, 99284 and 99283, and the Medicaid claim counts are sizable (3.4K, 4.2K and 1.9K respectively). The code mix—high share from 99285 and 99284—indicates the practice regularly manages high- and moderate-acuity emergency visits rather than ambulatory primary-care services.
Payer mix is heavily skewed toward Medicaid: total Medicaid revenue is $623.9K compared with total Medicare revenue of $49.5K, so the provider is effectively Medicaid-dominant on scale. Both payers are present on file, but Medicaid is the clear primary revenue source.
Medicare revenue concentration is extreme: the precomputed top-3 Medicare CPTs account for 100.0% of this provider's Medicare revenue, with 99285 contributing $34.2K (69.1%), 99284 $13.9K (28.1%), and 99283 $1.4K (2.8%). This means Medicare dollars are narrowly focused on ED E/M services rather than a diversified set of codes.
Medicaid revenue is similarly concentrated: the top-3 Medicaid CPTs account for 99.9% of Medicaid revenue, led by 99285 at $297K (47.7%) and 99284 at $259.2K (41.6%), with 99283 adding $65.7K (10.6%). Nearly all Medicaid payments come from ED E/M activity, underscoring the provider's operational emphasis on emergency care.
Competitive standing differs sharply by payer and code. For Medicare 99285 the provider ranks #11379 of 61347 nationally (81th percentile) and for 99284 ranks #7145 of 64306 (89th percentile); both are labeled in the source as 'typical, unremarkable volume,' so the provider is a modest national participant for these codes rather than a national leader.
Within the state Medicaid market the provider is a leading player on high-acuity ED visits: 99285 ranks #1 of 5 in-state (100th percentile) while 99284 ranks #2 of 5 (75th percentile) and 99283 ranks #3 of 5 (50th percentile). The source labels these volumes as 'typical, unremarkable' in descriptive language, but the #1 in-state ranking for 99285 indicates local dominance for high-complexity ED billing.
The NPI has long tenure: enumerated on 2006-09-23 (~20 years ago), which supports interpretation of these patterns as established operational behavior rather than a brief or new practice pattern. Long enrollment combined with concentrated ED coding suggests a stable emergency-medicine practice profile.
Several Medicaid billing entries are documentation/quality measure codes with no associated payments, indicating engagement in reporting workflows: G8952 (141 claims, $0 avg paid/claim, $0 revenue), G8428 (127 claims, $0 avg paid/claim, $0 revenue), and G8427 (107 claims, $0 avg paid/claim, $0 revenue) appear on file alongside a small volume of ancillary work like 93010 (91 claims, $8 avg paid/claim, $728 revenue). These zero-paid codes consume claims volume but do not contribute material revenue, so they are relevant to operational reporting rather than top-line performance.
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 |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 230 | $150 | $34.2K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 140 | $100 | $13.9K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 20 | $60 | $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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 3,410 | $90 | $297K |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 4,180 | $60 | $259.2K |
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 1,880 | $40 | $65.7K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 90 | $10 | $730 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 110 | $0 | $0 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 130 | $0 | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 10 | $0 | $0 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 140 | $0 | $0 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 3 | 10 | 1,880 | $410 | $2M |
| 99284 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making. | 2 | 10 | 3,240 | $290 | $1.3M |
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 1 | 10 | 1,010 | $140 | $191.9K |
| 93010 | The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram. | 4 | 10 | 2,920 | $10 | $31.5K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 2 | 10 | 270 | $0 | $0 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 1 | 10 | 130 | $0 | $0 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 1 | 10 | 10 | $0 | $0 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 1 | 10 | 140 | $0 | $0 |
Other providers in the same ZIP code as Anthony Bekkerman, ranked by combined Medicare and Medicaid revenue.
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.