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.

Rsa - Guam, LLC (NPI 1295910255)

Field	Value
Entity Type	Organization
Organization	Rsa - Guam, LLC
Address	556 E Marine Corps Dr
City	Hagatna
State	GU
ZIP	96910
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	January 8, 2008

Payer Source	Total Paid
Medicaid	$7.4M
Medicare	$0

Key Findings

RSA - GUAM, LLC operates clearly as an ESRD/dialysis-focused clinic: its taxonomy is End-Stage Renal Disease (ESRD) Treatment Clinic/Center and Medicaid billing is overwhelmingly dominated by dialysis-related coding, most notably 90999 (77.5K claims, $95 avg paid/claim, $7.4M revenue, 99.5% of this provider's total Medicaid revenue). The mix of codes that follow 90999 includes dialysis-specific and dialysis-related vaccine administration codes, consistent with an on-site dialysis center that also delivers routine injections and vaccinations to that patient population.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes together account for 99.8% of the provider's total Medicaid revenue, with 90999 alone representing 99.5%. This level of concentration indicates that the provider’s financial performance is almost entirely dependent on dialysis services captured under 90999, leaving little Medicaid revenue diversification into other services.

Payer mix is effectively single-payer at the facility level: there is no Medicare billing on file while total Medicaid revenue is $7.4M. For payers or network planners, this profile means the provider is functioning primarily within the Medicaid market and would not be visible in Medicare fee-for-service analyses.

Competitive standing on the state dialysis code is top-ranked but not unusually large: 90999 ranks #1 of 5 providers in-state and is at the 100th percentile, yet its state descriptor is "typical, unremarkable volume," suggesting that while RSA - GUAM, LLC is the leading filer for that code locally, its dialysis volumes are in line with other state providers rather than reflecting an outsized monopoly.

Vaccination and ancillary services are present but represent a trivial share of revenue: 90739 (192 claims, $59 avg paid/claim, $11.3K revenue, 0.2% of Medicaid revenue) and multiple influenza and pneumococcal administration codes appear across the top-25 list. Notably, G0008 (influenza administration) is called out as "notably above typical state volume," indicating the clinic runs above-typical flu vaccination activity for its peer group despite the small absolute dollar impact ($3.2K).

Several procedure and drug codes show notable claim volume with little or no reported Medicaid paid revenue (for example, J1756: 459 claims, $0 revenue; J0882: 87 claims, $0 revenue; and J1756 and other entries listed with $0 paid). These zero-dollar paid entries are a conspicuous pattern in the dataset and merit operational follow-up — they could reflect bundling of drugs into dialysis payments, state reimbursement rules, or reporting artifacts rather than lack of clinical use.

Certain secondary dialysis-related codes are present but contribute negligible revenue: 90945 (345 claims, $30 avg paid/claim, $10.4K revenue, 0.1% of Medicaid revenue) ranks #1 of 1 providers in-state with a note of "no state peer volume comparison available," indicating usage of less-common dialysis evaluation methods at this site. The presence of multiple hepatitis B vaccine codes targeted to immunosuppressed or dialysis patients (90740, 90747, G0010) further confirms on-site preventive care tailored to an ESRD population.

The provider has an established clinical presence, with its NPI enumerated on 2008-01-08 (~18 years ago). This tenure, combined with a concentrated Medicaid revenue base focused on dialysis services, suggests a stable, specialized operation that is deeply embedded in the local Medicaid-managed dialysis market rather than pursuing broad multispecialty billing or Medicare-based business lines.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	77,540	$100	$7.4M
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	190	$60	$11.3K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	350	$30	$10.3K
G0008	Administration of influenza virus vaccine	350	$10	$3.2K
G0010	Administration of hepatitis b vaccine	290	$10	$2.9K
90740	This code represents a vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule. The dosage is for patients who are…	40	$70	$2.8K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	100	$30	$2.7K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	230	$10	$1.6K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	10	$100	$1.4K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	60	$10	$720

Showing 1–10 of 18

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

Rsa - Guam, LLC — 7 of 15 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	1	10	40,320	$100	$3.8M
J1756	Injection, iron sucrose, 1 mg	1	10	360	$120	$42.5K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	1	10	350	$30	$10.3K
0002A	N/A	4	10	40	$40	$6.1K
0001A	N/A	5	10	50	$30	$5.6K
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	1	10	30	$50	$4K
90740	This code represents a vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule. The dosage is for patients who are…	1	10	40	$70	$2.8K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	1	10	60	$20	$1.6K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	2	10	30	$50	$1.2K
G0010	Administration of hepatitis b vaccine	1	10	80	$10	$1.2K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Rsa - Guam, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pacific Med & Nephrology	GU	Multi-Specialty Clinic/Center	$0	$2.3M
Guam Fire Department	GU	Land Ambulance	$277.5K	$1.3M
Advanced Eyecare, LLC	GU	Ophthalmology Physician	$0	$813.8K
Peter Lombard	GU	Ophthalmology Physician	$575.7K	$0
Robert Nerves	GU	Nephrology Physician	$238.7K	$0
Kunsun Lee	GU	Dentist	$0	$168.2K
Ideal Vision Center LLC	GU	Clinic/Center	$0	$81.5K
Saied Safabakhsh	GU	Nephrology Physician	$68K	$0
Evangeline Claassens	GU	Family Nurse Practitioner	$39.4K	$0
Carla Haddock	GU	Family Nurse Practitioner	$34K	$0

Rsa - Guam, LLC — Billing Profile & Reimbursement Data

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Rsa - Guam, LLC — 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