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.

Woonjeong Banks (NPI 1396996393)

Field	Value
Entity Type	Individual
Organization	Woonjeong Banks
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Registered Nurse
NPI Enumerated	October 8, 2008

Payer Source	Total Paid
Medicare	$42.4K
Medicaid	$0

Key Findings

WOONJEONG BANKS is listed as a Registered Nurse in DEDEDO, GU with an NPI enumeration date of 2008-10-08 (~18 years ago). Lifetime Medicare revenue on file is $42.4K and there is no Medicaid billing on file, indicating a long-enumerated provider with a small billed footprint in fee-for-service Medicare claims data.

This provider is effectively single-payer from the claims record: Medicare accounts for all reported public-payer revenue ($42.4K) and there is explicitly "no Medicaid billing on file." Analysts should treat this profile as Medicare-focused with no Medicaid footprint to compare against in-state.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 84.4% of this provider’s total Medicare revenue. The single largest driver is code 00142, which alone represents 69.1% of the provider’s Medicare revenue ($29.4K reported for 00142), with 00145 ($4.5K, 10.6%) and 01810 ($2K, 4.8%) completing the top three.

The code mix indicates a procedural anesthesia practice concentrated in ophthalmic and selected procedural sedation services. High-revenue billing for 00142 (anesthesia for eye lens procedures) and material billing for 00145 (vitreoretinal surgery) plus smaller volumes for codes such as 01810 (forearm/wrist/hand regional anesthesia) and endoscopy-related anesthesia (00813/00812) together suggest the provider supports ophthalmic surgery and some ambulatory procedural sedation rather than broad multispecialty anesthesia coverage.

For the top revenue code 00142 the provider is reported at $29.4K and is ranked #1312 of 19760 providers nationally (93th percentile); the file characterizes this as "typical, unremarkable volume." That combination — a high percentile rank alongside the dataset label — should be interpreted as relatively strong placement for this particular code within the universe of billers, but still consistent with routine, non-exceptional clinical volume.

Other competitive signals are mixed across remaining top codes: 00145 is $4.5K and ranks #673 of 2492 providers (71th percentile; "typical, unremarkable volume"), while 01810 is $2K and ranks #3959 of 5059 providers (11th percentile; "typical, unremarkable volume"). These placements indicate modest standing for secondary services and a limited national footprint outside the principal ophthalmic anesthesia code.

No codes are labeled as outliers such as "extreme outlier" or "notably above typical" in the provided excerpts; the recurring plain-English tag is "typical, unremarkable volume." From a risk-modeling or profiling perspective, the absence of extreme statistical flags and the low overall Medicare revenue point toward a small-scale, focused clinical operation rather than a high-volume or anomalous biller.

Operational and contracting implications: with $42.4K total Medicare revenue concentrated in a few anesthesia CPT/HCPCS codes (69.1% from 00142 and 84.4% across the top three), this profile is consistent with a niche anesthesia role—for example, focused ophthalmic procedure coverage or part-time/per-diem engagement. Payers and provider relations teams should consider this provider as a specialty/limited-volume anesthesia resource when assessing network value, credentialing priority, or regional capacity for ophthalmic anesthesia services.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	280	$110	$29.4K
00145	The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.	30	$160	$4.5K
01810	The provider performs anesthesia services for a patient undergoing any procedures on the nerves, muscles, tendons, fascia, and bursae of the forearm, wrist, and hand.	10	$170	$2K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	10	$140	$1.9K
00103	The provider performs anesthesia services for a patient undergoing a reconstructive procedure of eyelid such as blepharoplasty or ptosis surgery.	10	$150	$1.9K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	10	$120	$1.5K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	10	$120	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Woonjeong Banks — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	1	10	80	$100	$11.9K
00812	2	10	40	$110	$4.5K
00140	2	10	30	$110	$2.9K
00145	1	10	20	$150	$2.7K
00813	2	10	20	$120	$2.2K
01810	1	10	10	$170	$2K
00103	1	10	10	$150	$1.9K

Nearby Providers

Other providers in the same ZIP code as Woonjeong Banks, 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
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

Woonjeong Banks — Billing Profile & Reimbursement Data

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Woonjeong Banks — 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