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    OpenPayerNPI Medicare & MedicaidUgochukwu Akoma
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    Ugochukwu Akoma — Billing Profile & Reimbursement Data

    NPI 1417157397 · Tamuning, GU · Family Medicine Physician

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    Ugochukwu Akoma is a family medicine physician provider located in Tamuning, Guam. This profile covers 9 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationUgochukwu Akoma
    Address543 Guma Yuos Ln
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 19, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$90.3K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the sole payer footprint on file: total Medicare revenue is $90.3K and there is no Medicaid billing on file (Medicaid: none). The NPI was enumerated on 2007-07-19 (~19 years ago), indicating a long-tenured individual practice profile rather than a newly established entrant to the Medicare market.

    Revenue is highly concentrated in a small set of office-based primary care services: the precomputed top-3 Medicare codes account for 75.3% of this provider’s total Medicare revenue. The three leading contributors are 99214 ($44.9K, 49.7%), 99490 ($13.8K, 15.3%), and 99213 ($9.3K, 10.3%), which together dominate the practice’s billed Medicare dollars.

    The CPT mix points to a classic family medicine/primary care operational model emphasizing longitudinal outpatient management. High volume for 99214 (483 claims) and meaningful volume for 99213 (131 claims) show routine management of established patients, while 99490 (300 claims) reflects an active chronic care management program requiring recurring monthly clinical staff time.

    The presence of chronic care management and care-planning codes underlines a practice workflow built around population health tasks: 99490 generated $13.8K (15.3% of Medicare revenue) and G0506 (57 claims, $2.6K; 2.8% of revenue) documents both ongoing monthly CCM activity and separate comprehensive care-planning billing. These patterns suggest the provider invests clinical-staff time in managing patients with multiple chronic conditions rather than relying solely on discrete problem-focused visits.

    Preventive services are a visible secondary revenue stream: G0439 (48 claims, $6.5K; 7.2%) and G0438 (37 claims, $6.3K; 7.0%) show routine billing for annual wellness visits and personalized prevention plans, with G0438 ranked #2317 of 17441 providers nationally (86th percentile) and characterized as typical, unremarkable volume for this code. Lower volume for the initial preventive physical G0402 (12 claims, $2.1K; 17th percentile) indicates fewer newly enrolled Medicare beneficiaries in the panel.

    On competitive standing for key codes, the provider appears to be a solid but not dominant national participant: 99214 is ranked #51703 of 479517 (89th percentile) yet described as typical, unremarkable volume for this code; 99490 ranks #4605 of 16216 (72th percentile) and 99213 ranks #149895 of 457151 (67th percentile), both also labeled typical, unremarkable volume. In short, volume per code is generally in line with peer-level expectations rather than indicating outlier dominance or unusually low uptake.

    The visit mix favors established-patient throughput over new-patient intake: 99214 tallied 483 claims versus just 27 claims for 99204 and 36 claims for 99203. This imbalance reinforces a panel-based practice focus—ongoing management of an existing Medicare population—rather than rapid expansion through new-patient onboarding.

    Financially, the practice’s absolute Medicare scale is modest ($90.3K lifetime Medicare revenue) and concentrated in a handful of codes (top 3 = 75.3%), which creates revenue concentration exposure if reimbursement or coding patterns change for those services. Analysts should view performance as that of a long-standing, ambulatory family medicine provider with routine primary care and chronic care management activity rather than a multi-specialty or high-volume procedural practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…480$90$44.9K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…300$50$13.8K
    99213The 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…130$70$9.3K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$140$6.5K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit40$170$6.3K
    99204The provider sees a new 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 provider…30$120$3.1K
    G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)60$50$2.6K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment10$170$2.1K
    99203The provider sees a new 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 provider…40$50$1.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141690140$90$25.7K
    9921340100100$60$10.6K
    G043972040$130$8.1K
    99490210100$50$7.7K
    99204275030$110$6.7K
    G043811020$170$4.1K
    99203124030$70$2.5K
    G040221010$170$2K
    G050611050$40$1.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Guam Distribution
    Ugochukwu Akoma — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam