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.

Renal Centers Of Guam, LLC (NPI 1346436441)

Field	Value
Entity Type	Organization
Organization	Renal Centers Of Guam, LLC
Address	600 Harmon Loop Rd Ste 104
City	Dededo
State	GU
ZIP	96929
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	September 21, 2007

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

Key Findings

RENAL CENTERS OF GUAM, LLC operates primarily as an ESRD treatment clinic: the dominant Medicaid code is 90999 (dialysis services) which accounts for $4.1M and 99.7% of the provider's Medicaid revenue, indicating the facility's revenue is almost entirely generated from dialysis-related services rather than routine office visits or other specialties. The code mix, with multiple vaccine administration codes present but contributing negligible revenue, supports a clinical operation centered on chronic dialysis care with ancillary preventive services offered at low volume.

This provider effectively functions as a single-payer entity in the available data: there is no Medicare billing on file while total Medicaid revenue is $4.1M, so all documented public-payer revenue derives from Medicaid. Analysts should treat RENAL CENTERS OF GUAM as Medicaid-dependent in this dataset rather than balanced across Medicare and Medicaid.

Revenue concentration is extremely high: the precomputed top-3 Medicaid codes represent 99.9% of total Medicaid revenue, and 90999 alone is 99.7% of Medicaid revenue. This level of concentration signals that financial performance and utilization trends for a single service line (dialysis) will drive nearly all payer-reported revenue metrics for the entity.

Competitive standing for the core dialysis service appears modest within the state market: the provider ranks #3 of 5 for 90999 and is described as at the 50th percentile (typical, unremarkable volume). That percentile and ranking indicate RENAL CENTERS OF GUAM is a middle-of-market participant for dialysis volume rather than a dominant provider in Guam.

Ancillary vaccine and administration codes (90677, G0008, 90682, 90686 and others) are present but represent only trace revenue (individual code revenues range from approximately $1K–$4K each). These low-dollar vaccine claims suggest routine preventive care is offered opportunistically to dialysis patients but is not a meaningful revenue driver or a distinct service line for the organization.

The provider has been enumerated for a substantial period: NPI registration dates to 2007-09-21 (~19 years ago). This tenure indicates an established operation with long-term presence in the local dialysis market, which may support stable patient volumes and contractual relationships despite its modest market rank.

State-level rank information for the vaccine and supply codes shows typical, unremarkable volumes across most of those codes (percentiles cluster in the middle ranges, e.g., 67th–78th for several flu vaccine codes). These placements reinforce that outside of dialysis services, RENAL CENTERS OF GUAM performs at customary in-state levels for routine vaccinations and related items rather than exhibiting unusually high or low activity.

Given the absence of Medicare billing and the Medicaid concentration, payer mix risk should be noted: any policy, reimbursement, or enrollment changes affecting Medicaid in GU could disproportionately impact this provider because nearly all recorded public revenue is tied to Medicaid-funded dialysis services. Analysts should therefore prioritize Medicaid program dynamics when assessing revenue sensitivity 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.

13 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.	40,320	$100	$4.1M
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$110	$4K
G0008	Administration of influenza virus vaccine	210	$10	$1.7K
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…	60	$20	$1.5K
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…	130	$10	$1.1K
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…	10	$70	$1K
G0009	Administration of pneumococcal vaccine	40	$10	$510
0001A	N/A	20	$20	$360
0002A	N/A	30	$10	$350
0004A	N/A	10	$20	$280

Showing 1–10 of 13

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

Renal Centers Of Guam, LLC — 0 of 12 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

13 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.	3	10	40,320	$100	$3.8M
0004A	N/A	5	10	20	$40	$6.5K
0002A	N/A	5	10	40	$40	$6.1K
0001A	N/A	6	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…	4	10	30	$50	$4K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	2	10	80	$30	$2.6K
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…	2	10	60	$20	$1.6K
G0010	Administration of hepatitis b vaccine	4	10	80	$10	$1.2K
G0008	Administration of influenza virus vaccine	3	10	100	$10	$830
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…	3	10	100	$1	$580

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Renal Centers Of Guam, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
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
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

Renal Centers Of Guam, LLC — Billing Profile & Reimbursement Data

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Renal Centers Of 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