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NPI 1255338000 · Tamuning, GU · Ambulatory Surgical Clinic/Center
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Guam Surgicenter, LLC is a ambulatory surgical clinic/center provider located in Tamuning, Guam. This profile covers 16 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 | Organization |
| Organization | Guam Surgicenter, LLC |
| Address | 633 Carlos Camacho Rd |
| City | Tamuning |
| State | GU |
| ZIP | 96913 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | July 7, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $713.5K |
| Medicaid | $608.2K |
GUAM SURGICENTER, LLC’s billed service mix is dominated by ophthalmic surgery, with cataract extraction and intraocular lens placement as the primary service lines; Medicare top codes include 66984 and 66982 and other eye procedures such as 67042 and 66174, indicating an ASC-style ambulatory surgical focus on cataract, vitreoretinal, and glaucoma interventions. Medicaid billing is even more concentrated on cataract work, reinforcing that the facility operates primarily as an eye surgery center rather than a general multi-specialty ASC.
Revenue concentration is high on both payers: the precomputed top 3 Medicare codes account for 71.0% of the provider’s total Medicare revenue, and the precomputed top 3 Medicaid codes account for 100.0% of its Medicaid revenue, signaling strong dependence on a narrow set of high-value ophthalmic procedures. For Medicaid specifically, two cataract codes (66984 and 66982) represent essentially the entire claim volume and payment stream.
The provider’s overall payer scale is roughly balanced but Medicare is the larger single payer by the reported totals: Total Medicare revenue is $713.5K compared with Total Medicaid revenue of $608.2K, so the practice is not single-payer but relies heavily on both public programs for volume and revenue. This dual dependence suggests payer-specific operational processes and revenue sensitivity to policy or rate changes in either program.
Medicaid competitive standing for the dominant cataract code is strong in-state: 66984 on Medicaid shows 868 claims and $579K revenue (95.2% of this provider's total Medicaid revenue) and the provider ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume for this code), indicating it is one of only a couple of in-state locations billing this service at scale. The in-state dominance for 66984 on Medicaid implies limited local competition for Medicaid cataract volume.
Nationally on Medicare the provider is a modest to uneven participant: 66984 on Medicare accounts for $371.8K (52.1% of this provider's total Medicare revenue) and ranks #3084 of 15965 (81th percentile; typical, unremarkable volume for this code), while 66982 contributes $100.7K (14.1%) and ranks #227 of 4580 (95th percentile; typical, unremarkable volume for this code). These rank/percentile signals show the practice has typical national volumes for common cataract work but relatively stronger placement for more complex intraocular lens procedures.
Although ophthalmology dominates, the facility bills a small but measurable mix of non-ophthalmic ambulatory services on Medicare — for example, G0121 (34 claims, $13.5K revenue, 1.9% of total Medicare revenue) and 43239 (42 claims, $8.6K revenue, 1.2% of total Medicare revenue) — indicating limited additional endoscopy and screening activity that supplements surgical revenue but does not change the core business profile. This breadth suggests an ASC that occasionally hosts other procedure types or multi-specialty cases at low volume.
Specific code-level volume notes highlight relative positions: 67042 and 66174 each contribute about $34K on Medicare (4.8% each) and rank in the middle of their national peer sets (60th and 42th percentiles respectively; both labeled typical, unremarkable volume), while higher-reimbursement but lower-count procedures such as 66180 ($25.9K; 3.6% of Medicare revenue) sit lower in national standing (19th percentile; typical, unremarkable volume). These patterns point to a mix of routine cataract throughput combined with periodic higher-complexity glaucoma and vitreoretinal cases.
The provider has an established operational tenure, with NPI enumeration dated 2005-07-07 (~21 years ago), supporting a long-term presence in the market that likely enabled the accumulation of steady cataract volumes on both Medicare and Medicaid. That longevity, together with the Medicaid in-state leading position on 66984, suggests institutional continuity and entrenched referral sources for cataract surgery in the local market.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 460 | $800 | $371.8K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 130 | $790 | $100.7K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 20 | $1,440 | $34.5K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 30 | $1,320 | $34.2K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 20 | $1,470 | $26.5K |
| 67040 | The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the… | 20 | $1,450 | $26.2K |
| 66180 | The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue… | 10 | $1,990 | $25.9K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 10 | $1,390 | $19.5K |
| 15823 | In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue… | 40 | $510 | $18.5K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 30 | $400 | $13.5K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 1 | 10 | 90 | $650 | $104.5K |
| 66982 | 1 | 10 | 40 | $700 | $41.5K |
| 67042 | 1 | 10 | 20 | $1,440 | $34.5K |
| 66174 | 1 | 10 | 30 | $1,310 | $34.2K |
| 66988 | 1 | 10 | 20 | $1,470 | $26.5K |
| 67040 | 1 | 10 | 20 | $1,450 | $26.2K |
| 66180 | 1 | 10 | 10 | $1,990 | $25.9K |
| 67113 | 1 | 10 | 10 | $1,390 | $19.5K |
| 15823 | 1 | 10 | 30 | $550 | $13.8K |
| 29848 | 2 | 10 | 20 | $390 | $11.4K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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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 |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 870 | $670 | $579K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 40 | $680 | $29.3K |
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 |
|---|---|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 1 | 10 | 460 | $650 | $297.7K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 1 | 10 | 40 | $680 | $29.3K |
Other providers in the same ZIP code as Guam Surgicenter, LLC, 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 |
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