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.

Vincent Akimoto (NPI 1396871919)

Key Findings

Field	Value
Entity Type	Individual
Organization	Vincent Akimoto
Address	1244 North Marine Corps Drive
City	Upper Tumon
State	GU
ZIP	96913
Taxonomy	Family Medicine Physician
NPI Enumerated	February 26, 2007

Payer Source	Total Paid
Medicare	$46K
Medicaid	$0

Practice profile and service lines: The provider's Medicare billing is dominated by office-based evaluation and management, with 99213 and 99214 together making up the bulk of visit activity and revenue. The presence of vaccine administration codes (G0008, 90688), basic diagnostic imaging (71046), EKG codes (93010/93005), point-of-care lab tests (87811, 81002), and multiple infusion/injection codes (96365, 96361, J7120, J0696, J7050) indicates a family-medicine outpatient practice that provides routine chronic care, preventive services, in-office vaccinations, and occasional parenteral therapies on-site.

Revenue concentration: This provider’s total Medicare revenue is $46K and its top three Medicare codes (99213, 99214, G0008) account for 85.9% of that Medicare revenue. Individually, 99213 represents 53.3% and 99214 represents 28.3% of total Medicare revenue, showing tight concentration in low- to moderate-complexity office visits.

Payer mix: The provider is effectively single-payer in the available data with $46K in Medicare revenue and no Medicaid billing on file. This absence of Medicaid activity means analyses of Medicaid exposure, network participation, or state-level Medicaid share are not applicable for this NPI.

Competitive standing on major codes: 99213 ranks #34091 of 457151 providers nationally (93th percentile; typical, unremarkable volume) and 99214 ranks #180509 of 479517 providers nationally (62th percentile; typical, unremarkable volume). These ranks indicate the provider has measurable visit volume for common office E/M codes but is described in the source as operating at a typical or unremarkable level nationally rather than as a dominant national outlier.

Billing pattern nuance — infusions and drug claims: The record lists multiple J-codes and infusion-related entries (for example, J0696 with 161 claims and $0 revenue, and J7050 with 38 claims and $0 revenue) alongside billed IV administration codes such as 96365 (31 claims, $1.6K revenue). The occurrence of claims with $0 paid suggests either non-covered supply billing, bundled payment handling, or carrier-level nonpayment for those specific drug items on Medicare claims rather than absence of in-office administration.

Clinical complexity and visit mix: The distribution heavily favors lower- to moderate-complexity office visits (99213 and 99214 together represent the majority of revenue), implying routine chronic-disease management and primary-care ambulatory encounters. Preventive and episodic services are supported by influenza vaccine codes (G0008, 90688) and point-of-care testing (87811), consistent with a full-scope family medicine outpatient panel.

Tenure and operational stability: The provider’s NPI was enumerated 2007-02-26 (~19 years ago), indicating long-standing enrollment in Medicare which supports interpretation of billing patterns as established rather than newly emergent. Longevity combined with concentrated E/M billing suggests a stable outpatient practice with an established Medicare patient base.

Statistical outliers and peer comparisons: Across the listed Medicare codes, most entries are labeled in the source as "typical, unremarkable volume" (for example, G0008 at 58th percentile and 90688 at 82th percentile both noted as typical), and no code in the supplied list is identified as an extreme outlier. Overall, national percentiles vary, but the dataset characterizes the provider’s activity as broadly typical among peers rather than unusually high or low for the majority of reported codes.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	440	$60	$24.4K
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…	160	$80	$13K
G0008	Administration of influenza virus vaccine	60	$30	$2K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	30	$50	$1.6K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	30	$40	$1.3K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	60	$20	$1.2K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	40	$20	$660
99212	The 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,…	30	$20	$500
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	30	$10	$310
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	40	$10	$250

Showing 1–10 of 16

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
Guam X-ray	GU	Vascular & Interventional Radiology Physician	$0	$2.1M
Sarah Clegg	GU	General Practice Dentistry	$0	$1.7M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M

Vincent Akimoto — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	39	90	140	$90	$25.7K
99213	10	100	100	$60	$10.6K
96365	5	10	40	$50	$2.6K
G0008	12	40	30	$30	$2.1K
99212	12	20	30	$30	$1.4K
90688	9	30	30	$20	$1.4K
71046	8	20	20	$20	$1.3K
93005	2	10	40	$10	$1.1K
93010	9	20	80	$10	$1K
87811	3	10	20	$40	$960