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    OpenPayerNPI Medicare & MedicaidMa Cristina Manaloto
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    Ma Cristina Manaloto — Billing Profile & Reimbursement Data

    NPI 1275669889 · Tamuning, GU · Pediatrics Physician

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    Ma Cristina Manaloto is a pediatrics physician provider located in Tamuning, Guam. This profile covers 0 Medicare and 4 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
    OrganizationMa Cristina Manaloto
    Address241 Farenholt Avenue
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyPediatrics Physician
    NPI EnumeratedFebruary 26, 2007

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

    Payer SourceTotal Paid
    Medicaid$93.9K
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a single-payer Medicaid practice: lifetime Medicaid revenue is $93.9K with no recorded Medicare revenue, so all available claims-based activity and revenue come from Medicaid. The absence of Medicare billing prevents any national Medicare-volume comparisons for this NPI.

    Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 99.4% of this provider's total Medicaid revenue, with 99213 alone responsible for $75.8K (80.7% of Medicaid revenue), 90471 for $9.3K (9.9%), and 90472 for $8.3K (8.8%). This concentration implies the practice’s finances depend primarily on routine outpatient visits and vaccine administration.

    The code mix points to a pediatric primary-care outpatient workflow: 99213 is an established-patient office/outpatient E&M visit code and supplies the majority of revenue, while 90471 and 90472 are vaccine administration codes. Together these codes are consistent with a practice that delivers routine well-child and sick visits plus on-site immunizations rather than high-acuity or procedure-based services.

    Competitive standing on the primary revenue driver is modest: 99213 generates $75.8K for this provider but ranks #23 of 48 providers in-state (53th percentile; typical, unremarkable volume for this code), indicating neither dominance nor scarcity among local pediatric clinicians for routine established-patient visits. The provider’s 99213 activity should therefore be viewed as broadly typical within the state market.

    By contrast, the provider shows relatively stronger placement among peers for vaccine administration: 90471 ranks #4 of 15 providers in-state (79th percentile; typical, unremarkable volume for this code) and 90472 ranks #3 of 7 providers in-state (67th percentile; typical, unremarkable volume for this code). These ranks suggest the practice is comparatively more active on immunization administration than it is on E&M relative to some in-state peers, even though vaccine revenue is smaller in absolute terms.

    Ancillary testing and low-revenue items are negligible in the Medicaid mix: 86580 (TB intradermal skin test) represents 50 claims and $550 in revenue (0.6% of Medicaid revenue) and ranks #14 of 16 providers in-state (13th percentile; typical, unremarkable volume for this code). This indicates limited use of intradermal TB testing in the practice’s billed services.

    Tenure data show the provider has been enumerated since 2007-02-26 (~19 years ago), indicating long-standing presence in the market; despite this longevity, the billing footprint remains narrowly focused within Medicaid and on a small set of ambulatory pediatric services. The long tenure supports that the observed narrow revenue mix is likely an established practice pattern rather than a short-term anomaly.

    From a payer or network perspective, this NPI represents a modest-volume pediatric outpatient clinician whose Medicaid revenue is heavily dependent on routine established-patient visits and vaccine administration. Because the top three codes account for 99.4% of Medicaid revenue, changes in reimbursement or utilization for 99213, 90471, or 90472 would materially affect the provider’s revenue profile.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…1,040$70$75.8K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.550$20$9.3K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.220$40$8.3K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.50$10$550

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…2350900$80$201.7K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.310180$30$16.7K
    86580The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.1420450$10$11.3K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.420180$20$10.1K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ma Cristina Manaloto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Topcare Medical Group IncTXPediatrics Physician$0$160.4M
    Topcare Medical Group IncTXSpecialist$0$42.5M
    Almouie PediatricsTXPediatrics Physician$0$23.1M
    Ngozi LadokunTXFamily Nurse Practitioner$2.9M$0
    Naila KabaniTXFamily Nurse Practitioner$12.4K$0
    Robert MurphyTXFamily Nurse Practitioner$4.6K$0
    Jahvel ThompsonTXPhysician Assistant$3.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Ma Cristina Manaloto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    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 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Ma Cristina Manaloto — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam