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    OpenPayerNPI Medicare & MedicaidGuam Medical Equipment, LLC
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    Guam Medical Equipment, LLC — Billing Profile & Reimbursement Data

    NPI 1366786865 · Tamuning, GU · Durable Medical Equipment & Medical Supplies

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    Guam Medical Equipment, LLC is a durable medical equipment & medical supplies provider located in Tamuning, Guam. This profile covers 0 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGuam Medical Equipment, LLC
    Address353 Chalan San Antonio
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedNovember 21, 2012

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

    Payer SourceTotal Paid
    Medicaid$264.6K
    Medicare$0

    Key Findings

    GUAM MEDICAL EQUIPMENT, LLC reports no Medicare billing on file and $264.6K in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) in the available data. Analysts should treat Medicaid as the primary and sole source of reported public claims revenue when comparing this entity to multi-payer competitors.

    Revenue concentration is extreme: the top three Medicaid codes (E1390, E0431, E0443) together account for 98.7% of the provider's total Medicaid revenue, indicating the business is highly dependent on a very narrow set of oxygen-related DME products rather than a diversified product mix. This concentration suggests revenue sensitivity to utilization or reimbursement changes for those specific codes.

    E1390 is the single dominant line item with 1K claims, $221 avg paid/claim, and $226.1K in revenue (85.4% of the provider's Medicaid revenue). The high dollars-per-claim for E1390—an oxygen concentrator capable of delivering ≥85% oxygen—identifies the provider as principally supplying stationary oxygen concentrators rather than low-cost disposables.

    E0431 and E0443 are the second- and third-largest Medicaid revenue drivers: E0431 (764 claims, $42 avg paid/claim, $32.1K revenue; 12.1% of Medicaid revenue) and E0443 (45 claims, $68 avg paid/claim, $3.1K revenue; 1.2% of Medicaid revenue). Together with E1390 these oxygen equipment and supply codes form a coherent clinical/service-line footprint focused on gaseous and concentrator-based oxygen delivery.

    Competitive standing within the state is limited but unambiguous for oxygen codes: E1390, E0431, and E0443 each rank #1 of 1 providers in-state, with the data note that there is a 0th percentile and no state peer volume comparison available. This ranking indicates the provider is the only reported in-state filer for these specific codes in the dataset, which can make it appear locally dominant for these items but also means there is no in-state peer volume benchmark to contextualize scale.

    Smaller ancillary supply codes appear in the mix but contribute minimally: A6216 (50 claims, $34 avg paid/claim, $1.7K revenue; 0.6% of Medicaid revenue) ranks #1 of 2 providers in-state and is labeled as typical, unremarkable volume for this code. A4217 (73 claims, $19 avg paid/claim, $1.4K revenue; 0.5% of Medicaid revenue) and A4450 (36 claims, $9 avg paid/claim, $324 revenue; 0.1% of Medicaid revenue) are very small components and are likewise described as typical, unremarkable volume for these codes.

    The provider's NPI was enumerated on 2012-11-21 (~14 years ago), indicating it has been registered long enough to have an established presence in the local DME market for oxygen-related equipment. Tenure combined with the concentrated product mix suggests a specialized DME operator rather than a broad multi-line supplier.

    From a payer-analytics perspective, key monitoring priorities should be changes in utilization or reimbursement for E1390 and E0431 because they drive the vast majority of reported Medicaid revenue, and the lack of Medicare activity means shifts in Medicaid policy or local competitive entry could materially affect the provider's revenue profile. The available percentile and rank notes (including the absence of in-state peer comparisons for the top oxygen codes) should be considered when interpreting apparent dominance versus a data artifact of limited peer reporting.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate1,020$220$226.1K
    E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing760$40$32.1K
    E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit50$70$3.1K
    A6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing50$30$1.7K
    A4217Sterile water/saline, 500 ml70$20$1.4K
    A4450Tape, non-waterproof, per 18 square inches40$10$320

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Guam median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate1101,020$220$225.7K
    E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing110760$40$32.1K
    E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit11050$70$3.1K
    A4217Sterile water/saline, 500 ml310200$1$1.2K
    A6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing11050$20$1K
    A4450Tape, non-waterproof, per 18 square inches210180$1$850

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    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.

    Medicaid Revenue by Year vs. Guam Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Guam Medical Equipment, LLC — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam