Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarmelino Galang
    Ask Trek AI about this page

    Carmelino Galang — Billing Profile & Reimbursement Data

    NPI 1326070046 · Dededo, GU · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for Carmelino Galang — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Carmelino Galang is a orthopaedic surgery physician provider located in Dededo, Guam. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarmelino Galang
    Address133 Route 3
    CityDededo
    StateGU
    ZIP96929
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJuly 6, 2006

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

    Payer SourceTotal Paid
    Medicare$44K
    Medicaid$0

    Key Findings

    This provider is an Orthopaedic Surgery Physician (taxonomy) based in DEDEDO, GU with an NPI enumerated on 2006-07-06 (~20 years ago), indicating long-standing Medicare enrollment. The tenure suggests established presence in the market but the lifetime Medicare revenue reported is relatively small at $44K, consistent with modest billing volume overall.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 79.3% of this provider's total Medicare revenue, indicating a tight dependence on a few services for most billing. Code 27447 alone generates $23.6K (53.8% of Medicare revenue), and the next two codes 99212 ($5.7K, 13.1%) and 99203 ($5.5K, 12.4%) together make up the bulk of the remainder.

    The procedure mix points to a hybrid practice model that includes both surgical and ambulatory care. The single largest revenue driver, 27447 (total knee arthroplasty), signals operative orthopaedic work, while high counts of office visit codes 99212 (239 claims) and 99203 (94 claims) indicate regular clinic-based evaluation and management. The presence of codes such as 20610 (71 claims) and 99222 (26 claims) further suggests the provider performs outpatient injections and some initial inpatient/observation care.

    Despite performing total knee arthroplasties, the absolute procedural volume for that code is low: 23 claims for 27447 producing $23.6K. Nationally this 27447 activity ranks #7776 of 12089 providers (33th percentile) and is described as typical, unremarkable volume for this code, implying the provider is not a high-volume knee replacement center compared with peers.

    For ambulatory E/M activity the provider shows relatively higher comparative standing on some visit codes but still characterized as typical in the source labels. For 99212 the provider ranks #4273 of 99011 providers (96th percentile) and for 99203 ranks #22207 of 161519 providers (86th percentile); both are presented in the data as typical, unremarkable volume for these codes, suggesting steady office-based throughput without being an outlier.

    This provider effectively operates as a single-payer Medicare biller: total Medicare revenue is $44K and there is no Medicaid billing on file. The absence of any Medicaid claims means payer mix is heavily skewed toward Medicare and limits visibility into state Medicaid exposure or participation.

    The code-specific statistical notes provided in the source consistently label the provider's volumes as typical or unremarkable across the top codes (27447, 99212, 99203, 99222, 20610). That language, paired with the national ranks, characterizes this clinician as a modest participant nationally rather than a dominant regional or national competitor for these services.

    Given the concentration in a few codes and the overall small Medicare revenue base, strategic shifts in service mix or referral patterns around total knee arthroplasty and clinic visits would materially affect this provider's revenues. Analysts evaluating network inclusion or capacity should note the provider’s limited procedural volume (e.g., 23 claims for 27447) and absence of Medicaid billing when estimating potential throughput or payer diversification opportunities.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$1,030$23.6K
    99212The 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,…240$20$5.7K
    99203The 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…90$60$5.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…30$100$2.7K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…70$30$2.2K
    99202The 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…60$30$1.9K
    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…30$50$1.5K
    99214The 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$80$850

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149190140$90$25.7K
    2744711020$1,030$23.6K
    9921380100100$60$10.6K
    99222102030$100$2.8K
    2061031060$50$2.7K
    9920324030$70$2.5K
    9921212030$30$1.4K
    9920211020$40$1.1K

    Nearby Providers

    Other providers in the same ZIP code as Carmelino Galang, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guam Healthcare Development IncorporatedGUClinic/Center$0$30.8M
    C V Alegria Dds IncGUGeneral Practice Dentistry$0$11.3M
    Albert HuangGUDentist$0$5.4M
    Usrc Finegayan, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.5M
    Renal Centers Of Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Government Of Guam Department Of AdministrationGUFederally Qualified Health Center (FQHC)$0$2.4M
    Maria Chela MarianoGUFamily Medicine Physician$0$1.8M
    Scott ShayGUVascular & Interventional Radiology Physician$1.2M$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Blue Ocean Medical Group LLCGUFamily Medicine Physician$0$665.1K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Guam Distribution
    Carmelino Galang — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam