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.

Joseph L. Lescano (NPI 1417030818)

Field	Value
Entity Type	Organization
Organization	Joseph L. Lescano
Address	2221 Army Dr Ste 209 Manhattan Plaza
City	Dededo
State	GU
ZIP	96929
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$59K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $59K in lifetime Medicaid revenue, making its observed footprint effectively single-payer (Medicaid) in the available data. The absence of Medicare claims suggests analyses of national Medicare competitive standing are not applicable for this NPI.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of the provider's total Medicaid revenue, with two listed codes driving all reported activity. K0001 represents 73.0% of Medicaid revenue and E0601 represents 27.0%, so nearly all billing is tied to a very small set of DME codes.

The provider’s taxonomy (Prosthetic/Orthotic Supplier) combined with the top codes indicates a operations focus on durable medical equipment for mobility and respiratory support. K0001 (Standard wheelchair) and E0601 (CPAP device) together account for the full reported Medicaid revenue, with 410 claims at $105 avg paid/claim for K0001 and 101 claims at $158 avg paid/claim for E0601, signaling handset/supplied-equipment business lines rather than high-volume clinical services.

For K0001 (Standard wheelchair) the provider ranks #1 of 2 providers in-state and is listed at the 100th percentile, yet the code is annotated as “typical, unremarkable volume for this code.” This means the provider is the top-reported in-state supplier for this code but its absolute activity ($43.1K revenue from 410 claims) should be interpreted as characteristic rather than exceptionally large in broader benchmarking.

For E0601 (CPAP device) the provider ranks #1 of 1 providers in-state, and the record notes “0th percentile; no state peer volume comparison available,” which limits competitive interpretation. As the sole reported Medicaid supplier for E0601 in-state, it generated $16K from 101 claims at $158 avg paid/claim, but there is insufficient peer data to conclude whether this represents a dominant market position beyond being the only listed filer.

The provider’s NPI was enumerated on 2006-10-23 (~20 years ago), indicating long tenure in the registry; despite this longevity, all billed activity in the available data is limited to Medicaid and concentrated DME codes, suggesting a persistent but narrowly scoped business footprint. The long enumeration date supports institutional stability but not necessarily broad payer diversification.

From a risk and opportunity perspective, the modest absolute Medicaid revenue ($59K) and heavy concentration in two DME categories imply limited scale and sensitivity to reimbursement or contracting changes for K0001 and E0601. Analysts should treat this NPI as a small, equipment-focused supplier with potential operational vulnerability or targeted growth opportunity if it pursues additional payers or expands its product mix.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
K0001	Standard wheelchair	410	$110	$43K
E0601	Continuous positive airway pressure (CPAP) device	100	$160	$16K

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

Joseph L. Lescano — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
K0001	Standard wheelchair	1	10	250	$100	$24K
E0601	Continuous positive airway pressure (CPAP) device	1	10	100	$160	$16K

Nearby Providers

Other providers in the same ZIP code as Joseph L. Lescano, 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

Joseph L. Lescano — Billing Profile & Reimbursement Data

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Joseph L. Lescano — 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