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.

Mariano Prime Limited Liability (NPI 1518003136)

Field	Value
Entity Type	Organization
Organization	Mariano Prime Limited Liability
Address	330 W Marine Corps Dr
City	Dededo
State	GU
ZIP	96929
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$13.7K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a single-payer Medicaid reporter: Total Medicare revenue: none (no Medicare billing on file) while Total Medicaid revenue: $13.7K. The absence of Medicare activity indicates its billing and reimbursement exposure is concentrated entirely in Medicaid programs.

Revenue concentration is extreme within the small Medicaid footprint: the precomputed top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue, with A4211 at $8.4K (61.3% of Medicaid revenue), A4253 at $5.1K (37.6%), and A4259 at $153 (1.1%). This means nearly all of the provider's Medicaid dollars flow through a very narrow set of supply codes.

The code mix (A4211, A4253, A4259) points to a community/retail pharmacy model focused on dispensing durable medical supplies and diabetes self-care consumables: A4211 (supplies for self-administered injections), A4253 (blood glucose test strips, per 50), and A4259 (lancets, per 100). Average paid amounts per claim are low ($10 for A4211, $12 for A4253, $1 for A4259), consistent with high-volume, low-unit-value retail supply dispensing rather than higher-reimbursement clinical services.

Competitive standing for A4211 is relatively strong in-state: A4211 reports 837 claims and $8.4K revenue and ranks #2 of 10 providers in-state (89th percentile; typical, unremarkable volume). While its percentile and rank place it near the top among peers for this supply code, the dataset labels the volume as "typical, unremarkable," suggesting it is a notable but not exceptional statewide supplier.

For A4253 and A4259 the provider is a modest participant in-state: A4253 shows 428 claims, $5.1K revenue and ranks #3 of 11 providers (80th percentile; typical, unremarkable volume), while A4259 shows 153 claims, $153 revenue and ranks #4 of 9 providers (63th percentile; typical, unremarkable volume). These rank/percentile positions indicate presence across the state market but not market dominance for glucose testing supplies or lancets.

The absolute Medicaid scale is small: Total Medicaid revenue of $13.7K indicates limited revenue exposure overall, and reliance on low-dollar consumable codes means the practice has modest margins and revenue sensitivity to reimbursement or supply-price shifts. With nearly all revenue tied to a few codes, any changes to coverage or reimbursement for A4211 or A4253 could materially affect the provider's Medicaid receipts.

The provider has an established enrollment history—NPI enumerated 2007-01-30 (~19 years ago)—which indicates long tenure in the market. Despite long-standing registration, current billing activity appears limited in scale and concentrated in retail supply dispensing to Medicaid beneficiaries in DEDEDO, GU.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A4211	Supplies for self-administered injections	840	$10	$8.4K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	430	$10	$5.1K
A4259	Lancets, per box of 100	150	$1	$150

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

Mariano Prime Limited Liability — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	3	10	130	$20	$5.8K
A4211	Supplies for self-administered injections	2	10	100	$10	$2.9K
A4259	Lancets, per box of 100	4	10	140	$1	$530

Nearby Providers

Other providers in the same ZIP code as Mariano Prime Limited Liability, 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

Mariano Prime Limited Liability — Billing Profile & Reimbursement Data

Sign up for Mariano Prime Limited Liability — Billing Profile & Reimbursement Data policy alerts

Mariano Prime Limited Liability — Billing Profile & Reimbursement Data

Sign up for Mariano Prime Limited Liability — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References