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.

Hoa Nguyen (NPI 1215086152)

Field	Value
Entity Type	Individual
Organization	Hoa Nguyen
Address	1244 North Marine Corps Drive
City	Upper Tumon
State	GU
ZIP	96913
Taxonomy	Family Medicine Physician
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicare	$118.2K
Medicaid	$0

Key Findings

This provider is effectively single-payer focused: lifetime Medicare revenue totals $118.2K while there is no Medicaid billing on file, indicating the practice's public-payor activity is concentrated entirely in Medicare rather than split across Medicare and Medicaid. Analysts should treat Medicaid as not applicable for competitive or volume comparisons for this NPI.

Revenue concentration is high: the precomputed top three Medicare codes account for 84.3% of this provider's total Medicare revenue, signaling dependence on a small set of office E/M services for the bulk of income. This concentration suggests visits rather than procedures or ancillary services drive the practice's Medicare economics.

Service mix and business model inference: the dominant codes are E/M office visit codes 99214 (50.3% of Medicare revenue), 99213 (18.8%), and 99215 (15.2%), which together reflect a family medicine outpatient practice built on longitudinal established-patient visits across low-to-high complexity encounters. The presence of vaccine administration codes (G0008, 90688, 90732) and basic point-of-care testing (87811, 87804) supports a primary care model that combines routine preventive care and in-office testing.

Competitive standing on high-volume E/M: 99214 revenue ranks #16428 of 479517 providers nationally and is described as notably above typical national volume (97th percentile), indicating this provider is an unusually heavy biller of moderate-complexity established-patient visits compared with peers. 99213 and 99215 are at the 92nd and 85th percentiles respectively, which positions the provider above average on those E/M services as well but less extremely than 99214.

Statistical outlier signals beyond E/M: the vaccine product 90688 is flagged as an extreme outlier (rank #50 of 3096, 98th percentile) and produces $3.8K (3.2% of Medicare revenue). This suggests unusually high use or reporting of that specific influenza vaccine product relative to national peers and may reflect local seasonal vaccination volume or procurement/billing patterns worth investigating for operational planning or supply forecasting.

Operational detail: the practice also bills basic in-office infusions and injections (96365, 96372) and common diagnostic services (93010/93005 ECG work, 71046 chest x-ray), but these contribute small shares individually (each ≤1.6% of Medicare revenue) and rank in middling-to-low percentiles nationally. These findings indicate ancillary services exist but are not a major revenue driver relative to E/M visits.

Tenure and standing: the NPI was enumerated on 2007-01-09 (~19 years ago), providing long-term presence in the Medicare program which supports the observed stable E/M billing profile and above-average ranking for core office visit codes. This longevity strengthens the inference that current billing patterns reflect an established ambulatory family medicine practice rather than a new or transient provider.

Medicare: Complete Services Breakdown

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

18 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…	860	$70	$59.4K
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…	430	$50	$22.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	130	$140	$17.9K
G0008	Administration of influenza virus vaccine	190	$30	$6K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	190	$20	$3.8K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	20	$130	$2.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	40	$50	$1.8K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	40	$40	$1.6K
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…	30	$40	$1K
G0009	Administration of pneumococcal vaccine	20	$30	$640

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Hoa Nguyen — 0 of 16 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

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9	90	140	$90	$25.7K
99215	6	20	40	$120	$14.6K
99213	11	100	100	$60	$10.6K
90732	3	10	20	$130	$2.7K
96365	4	10	40	$50	$2.6K
99203	14	40	30	$70	$2.5K
G0008	3	40	30	$30	$2.1K
90688	4	30	30	$20	$1.4K
71046	10	20	20	$20	$1.3K
93005	5	10	40	$10	$1.1K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Hoa Nguyen, 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

Hoa Nguyen — Billing Profile & Reimbursement Data

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Hoa Nguyen — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References