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.

Gvn, Inc. (NPI 1407937816)

Field	Value
Entity Type	Organization
Organization	Gvn, Inc.
Address	396 Chalan San Antonio
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Home Health Agency
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$950.9K
Medicare	$0

Key Findings

GVN, INC. is a home health agency based in TAMUNING, GU with an NPI enumerated on 2006-10-19 (~20 years ago), indicating long-standing enrollment in federal provider files. The taxonomy and tenure align with a small, established Medicaid-focused home health operation rather than a recently formed entrant.

This provider has no Medicare billing on file and reported $950.9K in lifetime Medicaid revenue, making its current footprint effectively single-payer (Medicaid) in the available claims data. Analysts should treat Medicare comparatives as not applicable when assessing this entity.

Revenue is extremely concentrated: the top three Medicaid codes (G0300, G0151, A4344) account for 99.0% of the provider's total Medicaid revenue. The single largest code, G0300, represents $904.3K or 95.1% of Medicaid revenue, followed by G0151 at $32.5K (3.4%) and A4344 at $4.5K (0.5%), which together form the near-totality of reported Medicaid payments.

The code mix points to a core business in direct in-home skilled nursing and therapy services with ancillary supply provisioning: G0300 (direct skilled nursing LPN services in home health/hospice) dominates revenue, while G0151 (qualified physical therapist in the home) and A4344 (indwelling catheter supplies) indicate therapist visits and DME/supply activity tied to nursing care. This pattern is consistent with a home health model focused on repeated LPN visits plus supportive supplies rather than a broad multi-specialty service line.

Competitive standing in-state is effectively singular for the highest-volume codes: G0300, G0151, and A4344 each rank #1 of 1 providers in-state with a percentile label of "0th percentile; no state peer volume comparison available," which indicates GVN is the sole in-state reporter for those codes in the dataset rather than providing a normal peer-based market share signal. That makes the provider the de facto Medicaid biller for those services in the available state data, but it also means peer-comparison metrics are limited.

Several lower-revenue supply codes (for example A4217, A4450, and A4657) are labeled with a 100th percentile and described as "typical, unremarkable volume for this code," indicating that while these items contribute only modestly to revenue, their per-code volumes fall within expected ranges among the small set of in-state reporters. These items appear operationally ancillary rather than primary revenue drivers.

The extreme dependence on a single code (G0300 at 95.1% of Medicaid revenue and the top three codes totaling 99.0%) creates concentration risk: changes to reimbursement policy, coding requirements, or care patterns for LPN in-home skilled nursing could materially affect this provider's revenue. For payers and partners, this suggests monitoring G0300 utilization and authorization controls will yield the most leverage over cost and quality for this provider.

Interpretation should be cautious due to data limitations: absence of Medicare activity and multiple codes flagged as having "no state peer volume comparison available" constrain competitive benchmarking. Where the dataset shows only one in-state reporter, rankings reflect lack of peers in the file rather than definitive market dominance, so follow-up with local network and enrollment records is recommended for complete market context.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	4,500	$200	$904.3K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	160	$210	$32.5K
A4344	Indwelling catheter, foley type, two-way, all silicone or polyurethane, each	200	$20	$4.5K
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	190	$10	$2K
A4217	Sterile water/saline, 500 ml	510	$1	$2K
A4310	Insertion tray without drainage bag and without catheter (accessories only)	140	$10	$1.7K
A4450	Tape, non-waterproof, per 18 square inches	330	$1	$1.3K
A4554	Disposable underpads, all sizes	580	$1	$1.2K
A4320	Irrigation tray with bulb or piston syringe, any purpose	180	$10	$920
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	40	$10	$290

Showing 1–10 of 11

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

Gvn, Inc. — 3 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	1	10	4,500	$200	$904.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	1	10	160	$210	$32.6K
A4344	Indwelling catheter, foley type, two-way, all silicone or polyurethane, each	1	10	200	$20	$4.5K
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	1	10	190	$10	$2.1K
A4310	Insertion tray without drainage bag and without catheter (accessories only)	1	10	140	$10	$1.7K
A4554	Disposable underpads, all sizes	1	10	580	$1	$1.4K
A4217	Sterile water/saline, 500 ml	1	10	200	$1	$1.2K
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	2	10	50	$20	$1K
A4320	Irrigation tray with bulb or piston syringe, any purpose	1	10	180	$10	$980
A4450	Tape, non-waterproof, per 18 square inches	1	10	180	$1	$850

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Gvn, Inc., ranked by combined Medicare and Medicaid revenue.

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

Gvn, Inc. — Billing Profile & Reimbursement Data

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Gvn, Inc. — 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