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.

Sherif Philips (NPI 1487731733)

Field	Value
Entity Type	Individual
Organization	Sherif Philips
Address	1406 N Marine Corps Dr
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Specialist
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicare	$175K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is $175K while Medicaid revenue is none, so the practice is effectively a single-payer (Medicare) billing entity on file. The absence of Medicaid billing on file means there is no in-state Medicaid footprint to evaluate for payer mix or competitive standing within Medicaid networks.

Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of the provider’s total Medicare revenue, and a single code, 90960, accounts for $174.8K of that total. The 90960 line shows 638 claims with an average paid per claim of $274, indicating nearly all Medicare dollars reported derive from repeated use of this one service.

Code 90960 (monthly ESRD care management with face-to-face visits four or more times per month) drives the clinical and business profile of the practice. The code mix is consistent with a practice focused on end-stage renal disease care or nephrology monthly management, where frequent, recurring face-to-face encounters are required rather than episodic high-reimbursement procedures.

In national competitive standing for code 90960 the provider ranks #70 of 6549 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). That rank positions the provider among the top national billers for this ESRD monthly-management code despite a modest absolute Medicare revenue total.

The operational picture implied by 638 claims at $274 avg paid/claim is a volume-driven service model that bills many standardized monthly management encounters rather than a diversified CPT mix. This pattern suggests steady, recurring monthly activity associated with a defined patient cohort (ESRD patients who require frequent in-person monthly management).

The provider’s NPI was enumerated on 2006-11-01 (~20 years ago), indicating a long-tenured presence in the Medicare program; tenure supports an established practice pattern rather than a short-term billing spike. Longevity combined with concentrated billing may reflect a stable clinical focus on ESRD care.

High concentration in a single code and single payer creates business and reimbursement risk: changes in Medicare coverage rules, eligibility, or coding guidance for 90960 would materially affect the provider’s revenue given that 100.0% of Medicare revenue maps to its top-3 codes (and effectively to 90960 specifically). Analysts should treat performance and savings projections cautiously without evidence of additional diversified service lines.

The complete lack of Medicaid billing (listed as none below) means state Medicaid programs have no observed claims history to assess this provider’s participation or access for Medicaid members. For payers and network planners, that absence is a clear signal that the provider either does not bill Medicaid or bills under other NPIs/organizational arrangements not visible in this file.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	640	$270	$174.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Sherif Philips — 1 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	10	290	$260	$74.4K

Nearby Providers

Other providers in the same ZIP code as Sherif Philips, 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

Sherif Philips — Billing Profile & Reimbursement Data

Sign up for Sherif Philips — Billing Profile & Reimbursement Data policy alerts

Sherif Philips — Billing Profile & Reimbursement Data

Sign up for Sherif Philips — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References