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 X-ray (NPI 1376767426)

Key Findings

Field	Value
Entity Type	Organization
Organization	Guam X-ray
Address	633 Gov Carlos G Camacho Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	April 12, 2007

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

This provider is effectively single‑payer in the claims record: there is no Medicare billing on file while total Medicaid revenue is $2.1M, indicating Medicaid is the practical revenue base for GUAM X-RAY. Analysts should therefore evaluate market position and revenue risk primarily through the Medicaid activity rather than Medicare comparators.

Revenue concentration is substantial at the top of the Medicaid code mix: the precomputed top 3 Medicaid codes (77067, 93306, 76805) account for 42.7% of this provider’s total Medicaid revenue. The three leading codes are 77067 ($332.9K, 2.3K claims, $144 avg paid/claim, 16.9%), 93306 ($302.6K, 2.9K claims, $103 avg paid/claim, 15.4%), and 76805 ($202.8K, 1.4K claims, $146 avg paid/claim, 10.3%), so a small set of imaging services drives a large share of revenue.

The code mix shows GUAM X-RAY operates as a broad diagnostic imaging and interventional radiology practice rather than a narrow ambulatory clinic: high-revenue diagnostic mammography/mammographic tomosynthesis (77067, 77063, 77065, G0279), cardiac echo (93306), obstetric ultrasound (76805, 76816, 76815), and interventional access work (36902, 93990, 93925) all appear among top billings. This combination of high-volume screening/imaging and targeted interventional procedures is consistent with a multi-service radiology practice that performs both routine imaging and higher-acuity vascular interventions.

Several top Medicaid codes show strong in‑state positioning. GUAM X-RAY ranks #1 of 3 in-state for 77067 (100th percentile, described as typical volume), #1 of 4 for 93306 (100th percentile, typical volume), and #1 of 2 for 76805 (100th percentile, typical volume), indicating it is a leading source for those imaging services in the state despite the descriptions noting volumes are “typical, unremarkable” for those codes. Where it is the only reported in‑state biller (examples include 76641, 76641 listed as #1 of 1 with no peer comparison, and many other codes flagged as #1 of 1 with “no state peer volume comparison available”), GUAM X-RAY functions as the sole Medicaid reporter for several modalities in this data set.

Interventional and procedure-level revenue is meaningful even if it is not the largest share: 36902 (angioplasty of dialysis access) accounts for $126.7K (284 claims, $446 avg paid/claim, 6.4%) and 93990 (duplex assessment of hemodialysis graft) contributes $40.1K (802 claims, $50 avg paid/claim, 2.0%). These entries indicate active vascular access and interventional work that complements the heavier diagnostic imaging volume and supports the provider’s Vascular & Interventional Radiology taxonomy.

Volume signals for lower-intensity office/clinic E/M and monitoring services are also notable: 99211 appears with 3.5K claims and $86.4K revenue (4.4%, rank #2 of 14, 92th percentile, labeled typical), and 99214/99213 together generate meaningful revenue ($146.2K and $60K respectively). This suggests GUAM X-RAY bills a steady stream of routine outpatient encounters in addition to imaging and interventional procedures, which may reflect integrated outpatient workflows or co-located clinic services.

There is an operational mix of both high-volume, low-paid items and lower-volume, high-paid procedures: high-claim lines such as 93005 (3.1K claims, $15.4K revenue) and 99211 (3.5K claims, $86.4K revenue) sit alongside high-paid procedures like 36902 ($446 avg paid/claim) and CT abdomen/pelvis 74178 ($244 avg paid/claim, $34.9K revenue). This diversity reduces dependence on a single billing pattern but keeps aggregate Medicaid revenue concentrated in a few imaging categories overall.

Tenure and NPI history indicate experience and stability: the NPI was enumerated on 2007-04-12 (~19 years ago), suggesting a long-established presence in the local market. That tenure, combined with multiple #1 in‑state rankings and sole-reporter statuses on several CPTs, implies entrenched capability for core imaging and interventional services in the state Medicaid market.

Medicaid: Complete Services Breakdown

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,310	$140	$332.9K
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…	2,940	$100	$302.6K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1,390	$150	$202.8K
99214	The 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…	2,030	$70	$146.2K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	1,850	$80	$143.9K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	280	$450	$126.7K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	1,600	$60	$89.7K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	3,460	$30	$86.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	590	$120	$68.4K
99213	The 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…	1,180	$50	$60K

Showing 1–10 of 67

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 X-ray — 6 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

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1	10	2,210	$120	$245.1K
99213	The 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…	22	50	900	$80	$201.7K
99214	The 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…	13	40	630	$90	$172.1K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	1	10	1,850	$80	$144.3K
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…	2	10	150	$100	$142.1K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	1	10	860	$150	$126.8K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	1	10	280	$450	$126.8K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	1	10	180	$140	$121K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	1	10	1,600	$60	$89.8K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	1	10	290	$170	$50.1K

Showing 1–10 of 67

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Robert Yang	GU	Dentist	$0	$2.4M
Antonio Garcia	GU	Pediatrics Physician	$0	$2.2M
Ma Gladys Linsangan	GU	Pediatrics Physician	$0	$2.2M
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Sarah Clegg	GU	General Practice Dentistry	$0	$1.7M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M
Leopoldo Arcilla	GU	Internal Medicine Physician	$81.3K	$1.5M

Guam X-ray — Billing Profile & Reimbursement Data

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Guam X-ray — 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