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.

Annie Bordallo (NPI 1518182187)

Field	Value
Entity Type	Individual
Organization	Annie Bordallo
Address	472 Chalan San Antonio
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	April 17, 2007

Payer Source	Total Paid
Medicaid	$75.5K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively single-payer in the claims data: total Medicaid revenue is $75.5K and no Medicare revenue is reported, indicating the available payer footprint is concentrated in Medicaid rather than a split Medicare/Medicaid practice. Analysts should treat this profile as a Medicaid-dominated billing picture rather than a multi-payer operation.

Revenue is highly concentrated in three codes: the precomputed top three Medicaid codes account for 86.7% of the provider's Medicaid revenue. The top contributors are 99213 ($30.2K, 39.9% of Medicaid revenue), 59025 ($23.4K, 30.9%), and J1050 ($12K, 15.9%), so these three services together explain most of the $75.5K total.

The code mix points to an outpatient OB/GYN practice focused on routine office-based care and prenatal monitoring: 99213 reflects low-level established patient E/M office visits (402 claims), 59025 reflects fetal heart rate testing tied to prenatal surveillance (508 claims), and J1050 indicates use of medroxyprogesterone acetate injections consistent with contraceptive services. This combination suggests day-to-day clinic workflows centered on routine gynecologic visits, prenatal monitoring, and contraceptive management rather than high-acuity procedural work.

59025 is a notable competitive signal: the provider reports 508 claims and $23.4K for 59025 and ranks #1 of 1 providers in-state with a 0th percentile notation and no state peer volume comparison available. That makes this provider the sole in-state reporter for this specific fetal monitoring code in the dataset, which could reflect a localized service niche or a unique coding pattern for prenatal fetal heart-rate monitoring.

99213 shows modest, typical volume relative to peers: the provider filed 402 claims for 99213 generating $30.2K and ranks #30 of 48 in-state (38th percentile; described as "typical, unremarkable volume"). This places the provider as a modest participant for routine E/M office visits in the state rather than a high-volume leader.

J1050 (medroxyprogesterone acetate injection) is a meaningful revenue contributor but competitively typical: 148 claims produced $12K (15.9% of Medicaid revenue) and the provider ranks #2 of 3 in-state (50th percentile; typical, unremarkable volume). This indicates the practice offers contraceptive injection services at rates comparable to a small set of state peers rather than dominating that segment.

Secondary services appear in small but diverse volume: 96372 (203 claims, $2.8K; 3.8% of revenue) ranks #4 of 6 in-state (40th percentile) and G0101 (60 claims, $2.5K; 3.3% of revenue) ranks #2 of 2 in-state (0th percentile). These entries show the clinic performs in-office injections and preventive cervical/breast screening in addition to its core prenatal and E/M work, contributing modestly to total Medicaid revenue.

The provider has a long-established NPI (enumerated 2007-04-17, ~19 years ago), signaling a stable presence in the market. Given the small total Medicaid revenue ($75.5K) alongside several hundred claims in the top procedures, the practice appears to operate at modest scale with a concentrated service mix focused on routine OB/GYN outpatient care and prenatal monitoring rather than broad multi-specialty or high-volume Medicaid activity.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	400	$80	$30.1K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	510	$50	$23.4K
J1050	Injection, medroxyprogesterone acetate, 1 mg	150	$80	$12K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	200	$10	$2.8K
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…	30	$90	$2.8K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	60	$40	$2.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$650
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	10	$50	$620
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	30	$10	$310
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$20	$270

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

Annie Bordallo — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	30	50	900	$80	$201.7K
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…	33	40	630	$90	$172.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	19	20	120	$60	$35.1K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	13	10	780	$20	$30.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	4	10	210	$70	$23.4K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	1	10	510	$50	$23.4K
J1050	Injection, medroxyprogesterone acetate, 1 mg	2	10	150	$90	$20.6K
86580	The lab analyst performs an intradermal skin test on a patient to test for tuberculosis.	15	20	450	$10	$11.3K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	2	10	100	$40	$4K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	3	10	30	$40	$2.1K

Nearby Providers

Other providers in the same ZIP code as Annie Bordallo, 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

Annie Bordallo — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References