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.

Florencio Lizama (NPI 1538220553)

Key Findings

Field	Value
Entity Type	Individual
Organization	Florencio Lizama
Address	177 Suite C Chalan Pasaheru
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicare	$97.5K
Medicaid	$0

This provider’s Medicare activity is narrowly concentrated: total Medicare revenue is $97.5K and the precomputed top 3 Medicare codes account for 70.7% of that revenue. The three top codes are 99215 ($48.7K, 50.1%), 99490 ($12.7K, 13.1%), and 99214 ($7.4K, 7.6%), indicating a small set of services drives most billing.

The revenue mix points to an outpatient primary care focus with ongoing chronic care management. The largest single code is 99215 (468 claims, $104 avg paid/claim, $48.7K revenue, 50.1% of Medicare revenue), reflecting frequent high-complexity established office visits, while 99490 (244 claims, $52 avg paid/claim, $12.7K revenue, 13.1%) shows active use of chronic care management services.

Although Medicare is meaningful in scale for this provider, there is effectively no Medicaid participation: this provider has no Medicaid billing on file. The absence of Medicaid revenue means payer mix is heavily skewed to Medicare and any analyses of state-level Medicaid exposure or dual-eligible strategies will be limited.

Competitive standing for the highest-volume code is strikingly strong: 99215 ranks #2250 of 145531 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), which suggests this clinician bills far more high-level established outpatient E/M visits than nearly all peers. By contrast, 99490 ranks #5514 of 16216 (66th percentile; typical, unremarkable volume) and 99214 ranks #252347 of 479517 (47th percentile; typical, unremarkable volume), indicating the dominance is concentrated in 99215 rather than across multiple outpatient E/M tiers.

The mix also includes inpatient follow-up and discharge management codes, so the practitioner appears to split time between ambulatory chronic care and some inpatient work. Codes 99233 ($7.1K, 7.3%), 99232 ($7K, 7.2%), and 99239 ($2.5K, 2.6%) together represent nontrivial components of Medicare revenue and point to hospital-based subsequent and discharge visits in addition to office practice.

Chronic care management is a clear operational element: beyond 99490, the provider also bills 99439 (174 claims, $39 avg paid/claim, $6.8K revenue, 7.0% of Medicare revenue), which covers additional monthly care coordination minutes. The presence of both 99490 and 99439 suggests a structured CCM program is in use and contributes materially to revenues.

Preventive and procedure-level services are minor revenue drivers for this clinician. Annual wellness visits (G0439, 23 claims, $138 avg paid/claim, $3.2K revenue, 3.3%) and influenza vaccine administration (G0008 and 90688 totaling around $1.6K) account for small shares of Medicare revenue, implying the practice’s billing emphasis is on E/M and care coordination rather than immunization or screening volume.

Tenure is long: the NPI was enumerated on 2006-12-13 (~20 years ago), so this provider has been on file for roughly two decades. That longevity, combined with a heavy reliance on high-level E/M (99215) and CCM codes, suggests an established internal medicine practice with an emphasis on managing complex, longitudinal Medicare patients.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	470	$100	$48.7K
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…	240	$50	$12.7K
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…	100	$80	$7.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$100	$7.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$60	$7K
99439	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…	170	$40	$6.8K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$140	$3.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$90	$2.5K
G0008	Administration of influenza virus vaccine	30	$30	$930
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	30	$20	$640

Showing 1–10 of 11

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

Florencio Lizama — Billing Profile & Reimbursement Data

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Florencio Lizama — 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

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	54	90	140	$90	$25.7K
99233	16	20	130	$90	$16.5K
99215	3	20	40	$120	$14.6K
99232	17	30	150	$60	$12.1K
G0439	13	20	40	$130	$8.1K
99490	3	10	100	$50	$7.7K
99239	16	20	50	$90	$4.8K
99439	2	10	80	$40	$4.4K
G0008	17	40	30	$30	$2.1K
90688	12	30	30	$20	$1.4K