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.

Hafa Specialist Group LLP (NPI 1235141060)

Field	Value
Entity Type	Organization
Organization	Hafa Specialist Group LLP
Address	280 Pale San Vitores Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Specialist
NPI Enumerated	August 12, 2006

Payer Source	Total Paid
Medicaid	$7.7K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid participant; total Medicaid revenue on file is $7.7K, and there are no recorded Medicare payments to compare against. The lack of Medicare activity means all observed billing patterns and competitive comparisons should be interpreted solely within the Medicaid context.

Revenue concentration is extremely compact: the top 3 Medicaid codes together account for 100.0% of this provider's total Medicaid revenue. That concentration indicates the provider’s Medicaid business is driven entirely by a small set of E/M services rather than a diversified mix of procedure or ancillary revenues.

The dominant revenue driver is 99213, which generated $4.8K (62.0% of the provider’s Medicaid revenue) from 84 claims at $57 avg paid/claim; in-state this volume ranks #39 of 48 providers (19th percentile) and is described as typical, unremarkable volume. This suggests routine established outpatient visits are the backbone of the practice’s Medicaid activity, but the provider is not a high-volume leader for this code in-state.

The second-largest Medicaid code is 99203, producing $1.7K (22.5% of Medicaid revenue) across 20 claims at $87 avg paid/claim; in-state rank is #19 of 24 providers (22th percentile) and characterized as typical, unremarkable volume. This mix of new-patient office visits indicates the provider accepts new Medicaid patients but again does not occupy a dominant statewide position for this service.

The remaining Medicaid revenue comes from 99233, which contributed $1.2K (15.5% of Medicaid revenue) on 13 claims at $92 avg paid/claim and ranks #6 of 6 providers in-state (0th percentile) with a typical, unremarkable volume label. The presence of 99233 (subsequent hospital inpatient/observation care) alongside outpatient E/M codes implies the provider either performs occasional inpatient follow-up or documents hospital-based consultations, but this activity is minimal in scale relative to peers.

Competitive standing across the observed Medicaid codes is modest: the provider consistently sits in low percentiles (19th, 22th, 0th) and does not appear as a statewide leader for its top services. The ranking pattern points to a small, locally focused specialist practice that participates in Medicaid at modest volumes rather than driving market share.

Operationally, the code mix (99213, 99203, and 99233) indicates an emphasis on evaluation-and-management visits—both established and new outpatient encounters—and some subsequent inpatient follow-up. As a Specialist taxonomy with these E/M-heavy codes, the practice appears to operate as a clinic-based specialty service that also handles limited inpatient continuity care.

The provider has a long tenure on file, with NPI enumeration dated 2006-08-12 (~20 years ago), yet Medicaid revenue remains small ($7.7K) and narrowly concentrated. Longevity combined with low Medicaid volume suggests the entity may have a steady but limited Medicaid footprint, possibly relying on other payers or non-Medicaid revenue sources not present in this dataset.

Medicaid: Complete Services Breakdown

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
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…	80	$60	$4.8K
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…	20	$90	$1.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$90	$1.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

Claims Volume vs. Guam Distribution

Hafa Specialist Group LLP — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

3 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…	39	50	900	$80	$201.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6	10	1,090	$90	$137K
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…	19	20	140	$110	$35.4K

Hafa Specialist Group LLP — Billing Profile & Reimbursement Data

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Hafa Specialist Group LLP — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References