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.

James Nozaki (NPI 1437228541)

Field	Value
Entity Type	Individual
Organization	James Nozaki
Address	388 Ypao Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Family Medicine Physician
NPI Enumerated	November 6, 2006

Payer Source	Total Paid
Medicare	$121.4K
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is consistent with a family medicine primary-care practice: the top revenue-generating codes are an established patient office visit 99214 ($54.3K, 647 claims) and preventive services including annual wellness visits G0439 ($13.2K, 98 claims) plus vaccine administration codes such as 90677 ($19.1K, 68 claims). The mix of E/M, AWV, multiple vaccine products (90677, 90662, G0008, G0009) and chronic care/coordination codes (99490, 99439) points to longitudinal primary care with an emphasis on prevention and immunization delivery.

Revenue concentration is high: the precomputed top 3 Medicare codes (99214, 90677, G0439) account for 71.2% of the provider’s total Medicare revenue, which totals $121.4K in lifetime Medicare receipts. That concentration indicates that a small set of office visits and preventive/vaccine services drive the bulk of billing activity and revenue for this clinician.

This profile is effectively single-payer at the claims level: Medicare revenue is $121.4K and there is no Medicaid billing on file (none below), so the provider’s public-payer footprint is dominated by Medicare and there is no recorded Medicaid activity to diversify payer mix. Analysts should treat this entity as Medicare-centric when modeling reimbursement risk or networks in-state.

Competitive standing varies by service line: the provider ranks relatively high nationally for the principal E/M code 99214 (rank #30778 of 479517, 94th percentile) and is described as notably above typical national volume for this code, indicating unusually strong Medicare volume for mid-level established patient visits. By contrast, vaccine administration and AWV codes such as 90677 (rank #2382 of 52451, 95th percentile), G0439 (rank #34109 of 105855, 67th percentile) and several other frequently used codes are labeled as typical, unremarkable volume for those codes, so the practice is not uniformly dominant across all service lines.

Preventive and immunization services are a meaningful revenue stream: 90677 alone accounts for $19.1K (15.7% of Medicare revenue) and additional vaccine administration codes (G0008 $2.9K, G0009 $2.2K, 90662 $5K) appear throughout the top codes. Several vaccine-related codes carry high national rank labels (for example G0009 is ranked #2670 of 58343, 95th percentile) but are characterized in the data as typical, unremarkable volume for those codes, suggesting active immunization delivery without being an outlier in every vaccine product.

Telehealth and care-coordination services are regularly used: the provider reported 114 claims for 99443 ($7.1K) and 112 claims for 99442 ($5K), both labeled as typical, unremarkable volume for these codes, and also bills chronic care management codes 99490 (50 claims, $2.6K) and 99439 (33 claims, $1.3K). This pattern indicates adoption of remote/telephonic visit modalities and monthly clinical staff–directed care coordination, consistent with contemporary primary care workflows for complex patients.

Visit-intensity and patient complexity skew toward higher-acuity established visits: 99214 appears 647 times ($54.3K) while a lower-intensity established visit 99213 appears only 67 times ($4K). The dominance of 99214 relative to 99213, together with recorded use of chronic care management codes, suggests a panel with a substantial share of patients requiring moderate medical decision making or longer visit times.

Provider tenure is long but billing scale is modest: the NPI was enumerated on 2006-11-06 (~20 years ago), indicating long-standing enrollment in Medicare, yet lifetime Medicare revenue is $121.4K, which is a relatively modest Medicare billing footprint for a long-tenured clinician. This combination may reflect part-time practice, a small panel, or limited Medicare-only activity rather than a high-volume clinic operation.

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
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…	650	$80	$54.3K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	70	$280	$19.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$140	$13.2K
99443	N/A	110	$60	$7.1K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	70	$70	$5K
99442	N/A	110	$50	$5K
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…	70	$60	$4K
G0008	Administration of influenza virus vaccine	90	$30	$2.9K
99490	The 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…	50	$50	$2.5K
G0009	Administration of pneumococcal vaccine	70	$30	$2.2K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

James Nozaki — 1 of 16 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

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	11	90	140	$90	$25.7K
90677	2	10	40	$250	$10.8K
99213	60	100	100	$60	$10.6K
G0439	3	20	40	$130	$8.1K
99490	6	10	100	$50	$7.7K
99443	1	10	110	$60	$7K
99204	38	50	30	$110	$6.7K
99439	4	10	80	$40	$4.4K
G0438	3	10	20	$170	$4.1K
90662	3	10	50	$70	$3.9K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with James Nozaki, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lodi Memorial Hospital Association Inc	CA	General Acute Care Hospital	$0	$36.8M
Travers Mcloughlin	CA	Radiation Oncology Physician	$1.6M	$0
Jaideep Sohi	IL	Nuclear Radiology Physician	$1.5M	$6.9K
Ramin Manshadi	CA	Cardiovascular Disease Physician	$1.3M	$0
Bahareh Bahadini	CA	Hematology & Oncology Physician	$1M	$0
Pericles Ioannides	CA	Radiation Oncology Physician	$532.7K	$0
Alberto Del Pilar	CA	Family Medicine Physician	$485.4K	$14.9K
Dilbahar Mohar	CA	Interventional Cardiology Physician	$447K	$0
Muhammad Alim	CA	Pulmonary Disease Physician	$407.7K	$0
Rajinder Singh	CA	Clinical Cardiac Electrophysiology Physician	$380.2K	$0

Nearby Providers

Other providers in the same ZIP code as James Nozaki, 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

James Nozaki — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References