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NPI 1194860676 · Dededo, GU · Podiatrist
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Noel Silan is a podiatrist provider located in Dededo, Guam. This profile covers 4 Medicare and 2 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 | Noel Silan |
| Address | 138 Kayen Chando St. |
| City | Dededo |
| State | GU |
| ZIP | 96929 |
| Taxonomy | Podiatrist |
| NPI Enumerated | February 21, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $14.2K |
| Medicaid | $2K |
Payer mix is heavily Medicare-weighted: lifetime Medicare revenue is $14.2K compared with $2K in Medicaid, so Medicare accounts for the majority of billed revenue while Medicaid represents a much smaller share of this provider’s public-payer activity. Both payers are present on file, but the absolute dollar volumes are small, indicating a modest overall billing footprint.
Medicare revenue is highly concentrated in office evaluation-and-management codes: the precomputed top 3 Medicare codes account for 95.9% of total Medicare revenue, driven by 99213 (40.8%), 99203 (31.1%), and 99212 (23.9%). This mix indicates the provider’s Medicare business is primarily routine outpatient visits rather than procedure-heavy services.
Medicaid revenue is entirely concentrated in two E/M codes: the precomputed top 3 Medicaid codes account for 100.0% of Medicaid revenue, with 99213 (52.6%) and 99203 (47.4%) together comprising all reported Medicaid billing. The state-level Medicaid activity is therefore similarly focused on new and established patient office visits rather than a broader set of podiatry procedures.
Competitive standing on Medicare E/M codes is modest and broadly labeled typical: 99213 ranks at the 56th percentile nationally and is described as typical/unremarkable volume, 99203 ranks at the 76th percentile (typical), and 99212 ranks at the 81st percentile (typical). These placements suggest the provider sees a reasonable number of outpatient visits for a podiatrist but is not a national outlier or dominant provider for these codes.
State-level Medicaid standing is low relative to in-state peers: 99213 ranks #46 of 48 providers in-state (2nd percentile, labeled typical/unremarkable) and 99203 ranks #21 of 24 (13th percentile, labeled typical/unremarkable). These low percentiles indicate a minimal Medicaid footprint in Guam compared with other in-state providers billing the same codes.
Procedural podiatry billing is limited: code 11721 (surgical debridement of 6 or more nails) contributes $589 and 4.1% of Medicare revenue, based on 19 Medicare claims, and ranks in the 3rd percentile nationally (labeled typical/unremarkable). The low rank and small revenue share indicate the provider performs relatively few nail-debridement procedures compared with national peers and is not procedure-focused.
Provider tenure is long but billing scale is small: the NPI was enumerated 2007-02-21 (~19 years ago), indicating an established presence in the market, yet lifetime public-payer revenue totals are modest. This combination could reflect a small practice, limited payer participation, part-time clinical activity, or a focus on non-Medicare/Medicaid payers not visible in these files.
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 |
|---|---|---|---|---|
| 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… | 90 | $60 | $5.8K |
| 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 | $70 | $4.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 90 | $40 | $3.4K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 20 | $30 | $590 |
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.
2 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… | 10 | $80 | $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… | 10 | $70 | $920 |
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
2 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… | 46 | 50 | 900 | $80 | $201.7K |
| 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… | 21 | 20 | 140 | $110 | $35.4K |
Other providers in the same ZIP code as Noel Silan, ranked by combined Medicare and Medicaid revenue.
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