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.

Ybl PLLC (NPI 1295057503)

Field	Value
Entity Type	Organization
Organization	Ybl PLLC
Address	643 Chalan San Antonio
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	March 1, 2010

Payer Source	Total Paid
Medicaid	$158.8K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid reporter with total Medicaid revenue of $158.8K, indicating its Medicare footprint is nil in the available data and Medicaid drives the entire recorded public-payer activity. The absence of Medicare claims suggests operations and payer relationships are focused on state-covered populations rather than Medicare beneficiaries.

Revenue concentration is extremely high: the top three Medicaid codes 71046, 76805, and 77067 together account for 94.1% of the provider's Medicaid revenue. That concentration indicates that chest radiographs, obstetric ultrasound, and screening mammography are the primary revenue drivers rather than a broad mix of diversified imaging services.

Code-level volumes and payments show the practice skews toward high-volume, low-unit-pay imaging plus targeted higher-unit-pay procedures: 71046 has 2.3K claims at $32 avg paid/claim generating $73.2K (46.1% of Medicaid revenue), 76805 has 336 claims at $152 avg paid/claim generating $51.1K (32.2%), and 77067 has 175 claims at $144 avg paid/claim generating $25.2K (15.9%). These counts and per-claim payments depict a workflow centered on routine chest x-rays supplemented by prenatal ultrasound and digital breast screening.

Business and service-line implications from the dominant codes point to a general diagnostic radiology operation that provides routine chest imaging, prenatal obstetric imaging, and screening mammography. The mix (chest x-ray + obstetric ultrasound + digital mammography) fits an ambulatory imaging or community radiology practice supporting primary care, OB clinics, and preventive breast screening programs.

Competitive standing within the state is modest to middling for the headline codes: for 71046 the provider ranks #2 of 8 in-state and is at the 86th percentile with a label of typical, unremarkable volume, for 76805 it ranks #2 of 2 (0th percentile) with typical, unremarkable volume, and for 77067 it ranks #2 of 3 at the 50th percentile with typical, unremarkable volume. These placements indicate it is not a dominant statewide leader overall but is a visible participant for common radiology services.

Several lower-revenue codes further characterize the practice mix: 76700 ($3.6K, 26 claims), 72082 ($2.2K, 29 claims), 76816 ($1.4K, 12 claims), 76815 ($1.1K, 12 claims), and 73564 ($1.1K, 22 claims) appear as adjunct services consistent with abdominal, spine, follow-up fetal, limited fetal, and knee imaging. Where state comparisons exist, these codes are labeled typical or have no peer volume comparison available, reinforcing that those services are present but not major revenue contributors.

Operationally, the provider’s NPI has been enumerated since 2010-03-01 (~16 years ago), indicating a long-tenured presence in the market that aligns with sustained, focused Medicaid imaging activity rather than recent market entry. The tenure combined with concentrated code mix suggests an established, specialized outpatient imaging role rather than a broad multispecialty enterprise.

From a payer-analytics perspective, the biggest risk and opportunity signals lie in the heavy dependence on three codes (71046, 76805, 77067) which together make up 94.1% of Medicaid revenue; any changes in referral patterns, reimbursement, or utilization for chest x-rays, obstetric ultrasound, or screening mammography would meaningfully affect the provider’s Medicaid revenue. Given the absence of Medicare billing, benchmarking against Medicare-focused peers is not possible and payers should treat evaluations and network decisions in the context of Medicaid-specific utilization and local state peer ranks.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	2,290	$30	$73.2K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	340	$150	$51.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	180	$140	$25.2K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	30	$140	$3.6K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	30	$80	$2.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	10	$120	$1.4K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	10	$90	$1.1K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	20	$50	$1.1K

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

Ybl PLLC — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	2	10	860	$150	$126.8K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2	10	180	$140	$121K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	2	10	500	$50	$45.3K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	2	10	300	$120	$35K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	2	10	100	$90	$8.9K
72082	In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the…	1	10	30	$80	$2.2K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	2	10	40	$40	$1.8K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1	10	20	$50	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Pomeranz	OH	Diagnostic Radiology Physician	$642.3K	$0
Michael Fenton	GU	Diagnostic Radiology Physician	$56.2K	$0
Vincent Lizama	GU	Radiography Radiologic Technologist	$50.2K	$0

Nearby Providers

Other providers in the same ZIP code as Ybl PLLC, 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

Ybl PLLC — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References