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.

Ma Gladys Linsangan (NPI 1255470969)

Key Findings

Field	Value
Entity Type	Individual
Organization	Ma Gladys Linsangan
Address	#816 N Marine Dr
City	Tumon
State	GU
ZIP	96913
Taxonomy	Pediatrics Physician
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

MA GLADYS LINSANGAN reports no Medicare billing on file and $2.2M in lifetime Medicaid revenue, making this provider effectively a single‑payer (Medicaid) practice in the available dataset. The absence of Medicare activity indicates the clinical focus and patient population are pediatric rather than Medicare‑aged, which aligns with the listed Taxonomy (Pediatrics Physician).

Revenue is highly concentrated in a small set of evaluation & management (E/M) visits: the precomputed top 3 Medicaid codes by revenue account for 61.2% of this provider's total Medicaid revenue, driven by 99213 (34.8%), 99214 (16.0%), and 99212 (10.5%). This concentration shows that routine office E/M for established patients is the primary revenue engine for the practice.

The code mix and volumes point to a preventive pediatric practice with heavy well‑child and immunization activity. High state ranks and dollar volumes on pediatric preventive codes — 99393 ($222.9K, 10.2% of Medicaid revenue; ranks #1 of 11, 100th percentile) and 99394 ($184.6K, 8.4%; ranks #1 of 7, 100th percentile) — together with vaccine administration codes 90460 (7.2K claims, $144.5K, 6.6%) and 90461 (3.3K claims, $107.4K, 4.9%) indicate routine well visits and immunizations are core operational activities.

Competitive standing across in‑state peers is mixed by service line: for common E/M codes the provider posts typical to above‑typical volumes — 99213 (7.8K claims, $762K; ranks #6 of 48, 89th percentile) and 99214 (2.6K claims, $349.8K; ranks #10 of 35, 74th percentile) are within normal peer ranges, while 99212 (3.7K claims, $229.8K; ranks #2 of 21, 95th percentile) is notably above typical state volume, suggesting a relatively high throughput of lower‑complexity established visits compared with peers.

Several ancillary/preventive procedures are statistical outliers in the state: 86580 (4.1K claims, $45K; ranks #1 of 16, 100th percentile) is described as "notably above typical" and underscores substantial local TB testing volume, and the provider also ranks at or near the top for well‑child visits (99393 and 99394 both rank #1 in‑state). These outlier positions indicate dominance in select preventive and screening services within the state pediatric network.

Operational characterization and payer engagement implications: the practice’s revenue profile (heavy reliance on routine E/M, well visits, and vaccine administration) suggests it operates as a general pediatric outpatient clinic with high visit frequency rather than a specialty referral center. Because the top 3 codes constitute 61.2% of Medicaid revenue, changes in reimbursement or coding practice for those E/M levels could materially affect revenue, while the strong performance on well‑visit and vaccination codes represents an opportunity for payers to partner on preventive care initiatives.

The provider has an established presence in the market, with an NPI enumerated on 2007-02-06 (~19 years ago), supporting interpretation of the observed volumes and ranks as the output of a long‑standing pediatric practice rather than a recently opened clinic. This tenure combined with top state ranks on several codes suggests sustained service patterns over time.

Medicaid: Complete Services Breakdown

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

16 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…	7,780	$100	$762K
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…	2,590	$140	$349.8K
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,…	3,710	$60	$229.8K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,940	$120	$222.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,470	$130	$184.6K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	7,230	$20	$144.5K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	3,260	$30	$107.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,820	$30	$76.1K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	4,090	$10	$45K
99383	The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.	240	$130	$32.3K

Showing 1–10 of 16

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

Ma Gladys Linsangan — 3 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. Guam median

16 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…	6	50	900	$80	$201.7K
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…	10	40	630	$90	$172.1K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	3	10	2,360	$30	$101.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	2	10	2,980	$20	$81.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	4	10	470	$110	$69.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1	10	130	$110	$42.8K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1	10	60	$120	$39K
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,…	2	20	120	$60	$35.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	3	10	780	$20	$30.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	8	10	30	$80	$16.2K

Showing 1–10 of 16

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
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
Leopoldo Arcilla	GU	Internal Medicine Physician	$81.3K	$1.5M

Ma Gladys Linsangan — Billing Profile & Reimbursement Data

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Ma Gladys Linsangan — 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

Nearby Providers

Frequently Asked Questions

References