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    OpenPayerNPI Medicare & MedicaidAndrew Eusebio
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    Andrew Eusebio — Billing Profile & Reimbursement Data

    NPI 1225273717 · Ordot, GU · General Practice Dentistry

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    Andrew Eusebio is a general practice dentistry provider located in Ordot, Guam. This profile covers 0 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Eusebio
    Address159 Judge Sabian Street
    CityOrdot
    StateGU
    ZIP96910
    TaxonomyGeneral Practice Dentistry
    NPI EnumeratedDecember 11, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.7K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and appears to operate essentially as a single-payer Medicaid biller; lifetime Medicare revenue is listed as none while lifetime Medicaid revenue is $1.7K, indicating Medicaid accounts for the entirety of documented public-payer activity. The absence of Medicare claims suggests the practice either does not serve Medicare beneficiaries, is not enrolled in Medicare, or its Medicare activity is below reporting thresholds.

    Revenue is highly concentrated in two dental procedure codes: D0220 and D0140 together account for 100.0% of the provider's reported Medicaid revenue, with D0220 contributing $900 (52.8% of total) and D0140 contributing $804 (47.2% of total). This concentration means routine radiographic imaging and limited problem-focused exams are the sole drivers of the provider's Medicaid revenue.

    Business/service-line implications from the top codes point to a basic general dentistry practice focused on diagnostics and problem-focused evaluations rather than restorative, surgical, or specialty services. D0220 (intraoral periapical first radiographic image) and D0140 (limited oral evaluation – problem focused) are screening/diagnostic items; the mix suggests encounters are primarily diagnostic visits where imaging and focused exams are billed, rather than extensive treatment courses.

    Competitive standing within the state is modest for both top codes. For D0220 the provider ranks #12 of 15 in-state (21st percentile), described as typical, unremarkable volume for this code; for D0140 the provider ranks #10 of 11 in-state (0th percentile), also flagged as typical, unremarkable volume. These rankings characterize the provider as a lower-volume participant among peers for these common diagnostic services.

    Tenure: the provider’s NPI was enumerated on 2008-12-11 (approximately 18 years ago), indicating long-standing enrollment in the NPI system. That tenure suggests the practice has been available to payers and patients for an extended period despite producing limited Medicaid revenue in the dataset provided.

    Given the small absolute Medicaid revenue ($1.7K) and that the top two codes account for the full amount, the provider’s overall Medicaid business footprint is minimal. This limited revenue base reduces the provider’s competitive impact on state-level service capacity and implies a small practice scale or sparse Medicaid patient volume.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D0220Intraoral - periapical first radiographic image60$20$900
    D0140Limited oral evaluation – problem focused10$70$800

    Medicaid: Competitive Analysis & Benchmarks

    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 CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D0140Limited oral evaluation – problem focused1010340$70$70.1K
    D0220Intraoral - periapical first radiographic image1220350$10$38K

    Nearby Providers

    Other providers in the same ZIP code as Andrew Eusebio, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rsa - Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.4M
    Pacific Med & NephrologyGUMulti-Specialty Clinic/Center$0$2.3M
    Guam Fire DepartmentGULand Ambulance$277.5K$1.3M
    Advanced Eyecare, LLCGUOphthalmology Physician$0$813.8K
    Peter LombardGUOphthalmology Physician$575.7K$0
    Robert NervesGUNephrology Physician$238.7K$0
    Kunsun LeeGUDentist$0$168.2K
    Ideal Vision Center LLCGUClinic/Center$0$81.5K
    Saied SafabakhshGUNephrology Physician$68K$0
    Evangeline ClaassensGUFamily Nurse Practitioner$39.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Guam Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Andrew Eusebio — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam