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.

General Conference Corp Of Sda (NPI 1275586877)

Key Findings

Field	Value
Entity Type	Organization
Organization	General Conference Corp Of Sda
Address	388 Ypao Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Clinic/Center
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$758.9K
Medicare	$0

This provider has no Medicare billing on file and reports $758.9K in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) billing entity in the available claims data. Analysts should treat comparisons to Medicare activity as not applicable for this NPI because there is no Medicare revenue to evaluate.

Revenue is highly concentrated: the precomputed top three Medicaid codes (99213, 99214, 90461) account for 75.3% of this provider’s total Medicaid revenue. The single largest line is 99213 ($329K, 43.7% of Medicaid revenue), followed by 99214 ($169.4K, 22.5%) and 90461 ($68.5K, 9.1%), indicating most revenue derives from office E/M visits and vaccine administration.

The code mix points to a primary care/ambulatory clinic model with a substantial pediatric and preventive services component. High-volume evaluation-and-management codes 99213 (5.2K claims, $63 avg paid/claim) and 99214 (2.1K claims, $81 avg paid/claim) together with multiple immunization codes (90461: 1.7K claims, $41 avg paid/claim; 90460: 2.5K claims, $21 avg paid/claim) and well-child visit code 99383 indicate routine office visits, immunizations, and pediatric preventive care are core services.

Competitive standing across in-state peers is modest but uneven: 99213 ranks #9 of 48 providers in-state (83th percentile), which suggests a relatively strong position for routine established-patient visits despite being described as "typical, unremarkable volume." By contrast, immunization codes like 90461 rank #5 of 7 providers in-state (33th percentile), indicating the provider is not a dominant immunization center in the state.

Operational throughput appears oriented toward high-volume, lower-paid encounters. The top E/M code 99213 has 5.2K claims at $63 avg paid/claim and 99211 has 488 claims at $24 avg paid/claim, while vaccine codes show large claim counts (90460 at 2.5K claims, 90461 at 1.7K claims) with lower per-claim reimbursements, consistent with a practice handling many brief visits and pediatric vaccine administrations.

Several secondary codes reinforce a preventive and outpatient focus: D1120 (prophylaxis–child) and D0120/D0150 (dental evaluations), 86580 (TB skin test, 353 claims, $12 avg paid/claim), and 96110 (developmental screening, 183 claims, $11 avg paid/claim) signal adjunct preventive services often bundled with pediatric and family practice care. These services produce smaller revenue contributions individually but reflect a broad preventive services footprint beyond core E/M and vaccines.

A handful of codes show unusually high in-state rank but should be interpreted cautiously due to small peer denominators: 99201 and 90677 both rank #1 among only 2 providers in-state (100th percentile), and codes like 96110 and 99401 are listed with "no state peer volume comparison available." Such rankings can reflect narrow peer comparisons rather than clear market dominance, so use care when interpreting these percentiles.

This NPI has long tenure at the address level, enumerated 2006-05-18 (~20 years ago), suggesting an established presence in the community. Given that top three codes drive 75.3% of Medicaid revenue, the provider’s financial performance appears sensitive to volume changes in routine office visits and pediatric immunizations, so shifts in Medicaid enrollment or vaccination demand could materially affect overall revenue.

Medicaid: Complete Services Breakdown

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

56 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…	5,220	$60	$329K
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…	2,090	$80	$169.4K
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…	1,670	$40	$68.5K
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.	2,510	$20	$52.8K
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…	160	$110	$16.4K
D1120	Prophylaxis–child	260	$60	$15K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	110	$120	$13K
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,…	250	$50	$11.8K
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.	490	$20	$11.7K
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…	140	$80	$11K

Showing 1–10 of 56

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

General Conference Corp Of Sda — 2 of 25 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	2	10	3,210	$110	$351.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	2	10	1,810	$160	$282.6K
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…	9	50	900	$80	$201.7K
D1120	Prophylaxis–child	10	10	2,140	$60	$195.3K
D0150	Comprehensive oral evaluation – new or established patient	9	10	1,460	$70	$192.7K
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…	12	40	630	$90	$172.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2	10	50	$50	$113.3K
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…	5	10	2,360	$30	$101.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	4	10	1,030	$80	$92.4K
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.	5	10	2,980	$20	$81.4K

Showing 1–10 of 56

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

General Conference Corp Of Sda — 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