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.

Guam Healthcare Development Incorporated (NPI 1326447939)

Key Findings

Field	Value
Entity Type	Organization
Organization	Guam Healthcare Development Incorporated
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Clinic/Center
NPI Enumerated	August 19, 2014

Payer Source	Total Paid
Medicaid	$30.8M
Medicare	$0

GUAM HEALTHCARE DEVELOPMENT INCORPORATED has been enumerated since 2014-08-19 (~12 years ago) and reports no Medicare billing on file, while its Medicaid lifetime revenue is $30.8M; this makes the provider effectively single-payer (Medicaid)-dependent at the population level. Analysts should treat Medicaid patterns as the primary driver of scale and utilization for this entity.

Medicaid revenue is highly concentrated: the top three Medicaid codes — 99283, 99284, and 99282 — together account for 65.7% of the provider's total Medicaid revenue. Individually these codes generate $9.6M (33.0%), $5.8M (19.9%), and $3.7M (12.8%) respectively, indicating that a small set of emergency department E/M services drives the majority of billing.

The code mix indicates a core emergency department and hospital-facing operation: 99283/99284/99282 dominate revenue, and related hospital/observation and outpatient clinic activity appears in G0463 ($2.6M, 9.0%) and subsequent hospital care codes such as 99232 and 99233. This pattern suggests the site functions as an ED and affiliated outpatient/hospital service location with on-site continuity into inpatient/observation care rather than being a pure office-based clinic.

GUHCD is a dominant in-state provider for several high-volume ED and related codes: it ranks #1 of 5 providers in-state for 99283 and 99284 (100th percentile) and #1 of 2 for 99282 (100th percentile). For codes where the data flags "notably above typical state volume," such as 99283 and 99284, the provider should be considered a major Medicaid ED player in Guam compared with local peers.

Claim counts underscore the operational scale: large claim volumes include 14.5K claims for 99283, 13.9K claims for 99284, 11.2K claims for G0463, and 12.7K claims for 71045. These high claim volumes, paired with the revenue shares above, imply steady, high-throughput ED and outpatient imaging activity rather than sporadic or niche service lines.

Ancillary diagnostic and procedure lines contribute meaningfully but are secondary to ED E/M revenue: lab panels (80048 $701.5K, 80053 $566.3K), EKGs (93005 $692.5K), chest radiographs (71045 $318.3K/$230.1K for 71046), and echocardiography (93306 $424.7K) are all present. The presence of infusion and oncology codes (96413 $340.8K, 96374 $165.4K, 96365 $132.8K) indicates some chemotherapy/infusion capacity, though each of these represents a small single-digit percentage of total Medicaid revenue (e.g., 96413 at 1.2%).

Several high-revenue items are unique or lack state comparators: G0463 ($2.6M) and 87635 ($673.6K) are reported as the only in-state provider for those codes or flagged with "no state peer volume comparison available." Where no peer comparison exists (labeled 0th percentile), payers should be cautious in benchmarking because standard in-state percentile comparisons are not available.

From a payer perspective, the combination of a Medicaid-only revenue base ($30.8M) and extreme concentration in ED E/M codes (65.7% of Medicaid revenue from the top three codes) suggests that utilization management, capacity planning, and network negotiations should focus on emergency department workflows and associated observation/inpatient handoffs. Because Medicare data are absent, any Medicare-facing risk or market-share analysis is not applicable for this entity.

Medicaid: Complete Services Breakdown

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

112 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	14,490	$660	$9.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	13,920	$410	$5.8M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	8,600	$430	$3.7M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	11,220	$230	$2.6M
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…	6,380	$110	$701.5K
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	3,700	$190	$692.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	11,420	$60	$674K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,810	$370	$673.6K
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.	3,580	$160	$566.3K
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…	9,380	$50	$450.3K

Showing 1–10 of 112

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

Guam Healthcare Development Incorporated — 16 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

112 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1	10	11,220	$230	$2.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	10	1,880	$410	$2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1	10	5,830	$330	$1.9M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	1	10	3,240	$290	$1.3M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1	10	1,810	$370	$673.9K
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…	1	10	3,210	$110	$351.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1	10	3,080	$70	$295.4K
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.	1	10	1,810	$160	$282.6K
84484	The lab analyst performs the technical lab test typically using serum, plasma, or whole blood to quantitate troponin. Troponin is a protein labs commonly measure to verify a myocardial infarction and…	1	10	1,780	$150	$272K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	4	10	2,210	$120	$245.1K

Showing 1–10 of 112

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K
Yolanda Carrera	GU	Pediatrics Physician	$0	$334.5K

Guam Healthcare Development Incorporated — Billing Profile & Reimbursement Data

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Guam Healthcare Development Incorporated — 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