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.

Ramsey Chichakli (NPI 1457478273)

Field	Value
Entity Type	Individual
Organization	Ramsey Chichakli
Address	543 Chalan Guma Yu'os
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Urology Physician
NPI Enumerated	March 25, 2007

Payer Source	Total Paid
Medicare	$150.1K
Medicaid	$0

Key Findings

This provider is effectively single-payer: lifetime Medicare revenue is $150.1K and there is no Medicaid billing on file (none below). That concentration makes Medicare the sole source of recorded public-payer revenue and means payer-network exposure and utilization patterns should be evaluated primarily against Medicare benchmarks rather than Medicaid comparators.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 59.3% of this provider's total Medicare revenue. The top three line items are 55874 ($41.1K, 27.4% of Medicare revenue), 99204 ($26.5K, 17.6%), and 99213 ($21.4K, 14.3%), indicating a small number of procedures and E/M visits drive most payments.

Clinical mix and service-line implications point to office-based urology with prostate-focused procedures: 55874 (prostate spacer placement) is the single largest revenue driver at $41.1K, and related procedure codes present include A4648 (tissue marker), 55876 (prostate marker placement), 76872 (transrectal ultrasound), and 52000 (cystoscopy). Alongside these procedures, high volumes of E/M codes (99204, 99213, 99214) suggest the practice blends procedural prostate care with substantial office evaluation and management.

Competitive standing is mixed by code: 99204 is a clear outlier on the ambulatory E/M side, ranking in the 98th percentile and described as notably above typical national volume, which signals unusually high new-patient or complex visit activity relative to peers. By contrast, 55874 ranks #338 of 557 (33th percentile; typical, unremarkable volume) and 52000 ranks in the 53th percentile (typical, unremarkable volume), indicating the provider is not a dominant national procedural leader for those specific urology interventions.

Several codes show zero or negligible payments despite nontrivial claim counts: J1626 has 160 claims with $0 avg paid/claim and $0 revenue, and J1100 has 150 claims with $0 avg paid/claim and $0 revenue. These entries indicate billed units with no recorded Medicare payment to the provider and should be flagged for further operational or billing reconciliation, but do not by themselves indicate why payments are zero.

Ancillary infusional and in-office administration services are present but modest: chemotherapy/infusion code 96413 appears with 37 claims, $121 avg paid/claim, and $4.5K revenue (3.0% of Medicare revenue), and administration codes such as 96365 and 96375 also appear at lower revenue. This pattern suggests occasional use of infusion or procedure-related drug administration alongside the core urology procedures rather than a primary oncology infusion practice.

Operational history supports an established practice footprint: the NPI was enumerated on 2007-03-25 (~19 years ago), consistent with a long-tenured clinician who may have stable referral relationships that support the elevated 99204 volume. Tenure plus a high share of revenue concentrated in prostate and office E/M services suggests an experienced urology physician rather than a newly established provider.

For payers evaluating network impact, the provider’s overall Medicare scale is modest ($150.1K lifetime Medicare revenue) but concentrated; nearly 60% of revenue comes from three codes, which increases exposure to changes in reimbursement or utilization for those specific services. Given no Medicaid presence, any care-management or utilization interventions targeted at this clinician should be framed around Medicare E/M and prostate-related procedural pathways rather than state Medicaid programs.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55874	Under imaging guidance, the provider inserts a needle through the perineum, the area between the anus and the scrotum, and injects one or more biodegradable materials, i.e., material that decomposes…	20	$2,740	$41.1K
99204	The 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…	200	$130	$26.5K
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…	300	$70	$21.4K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	80	$220	$17K
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…	160	$100	$16.2K
99203	The 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…	60	$90	$5.4K
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	40	$130	$4.7K
55700	Code deleted December 31, 2025.	20	$210	$4.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	40	$120	$4.5K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	40	$50	$1.9K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Ramsey Chichakli — 3 of 19 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
55874	1	10	20	$2,740	$41.1K
99214	41	90	140	$90	$25.7K
96413	3	10	190	$110	$20.6K
99213	19	100	100	$60	$10.6K
52000	1	10	40	$210	$10.2K
99204	3	50	30	$110	$6.7K
76872	1	10	40	$130	$4.7K
55700	1	10	20	$200	$4.4K
96375	3	10	250	$10	$4.3K
96365	8	10	40	$50	$2.6K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scripps Health	CA	General Acute Care Hospital	$0	$64.2M
Scripps Health	CA	Clinical Medical Laboratory	$8.9M	$301.7K
Darren Sigal	CA	Medical Oncology Physician	$2.9M	$0
Munveer Bhangoo	CA	Medical Oncology Physician	$2.3M	$0
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$2.2M	$0
NPI 1063405082	—	—	$2.1M	$0
Anne Hanneken	CA	Ophthalmology Physician	$2.1M	$0
Alan Saven	CA	Hematology & Oncology Physician	$1.7M	$0
Michael Kosty	CA	Hematology & Oncology Physician	$1.5M	$0
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$1.5M	$0

Nearby Providers

Other providers in the same ZIP code as Ramsey Chichakli, 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

Ramsey Chichakli — 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