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.

The Offices Of Ramel A Carlos Md Inc (NPI 1568517357)

Field	Value
Entity Type	Organization
Organization	The Offices Of Ramel A Carlos Md Inc
Address	241 Farenholt Avenue
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Neurology with Special Qualifications in Child Neurology Physician
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$835.4K
Medicare	$0

Key Findings

THE OFFICES OF RAMEL A CARLOS MD INC shows an effectively single-payer footprint: there is no Medicare billing on file while Medicaid revenue totals $835.4K, indicating the provider’s entire recorded public-payer billing is concentrated in Medicaid. This pattern makes the practice highly dependent on Medicaid reimbursement flows for its public-payer revenue exposure.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 87.9% of this provider’s total Medicaid revenue, driven by 99214 (50.0%), 95819 (23.5%), and 95816 (14.4%). This concentration indicates that a few service lines — primarily office E/M and EEG testing — generate the bulk of cash flow for the practice.

The code mix signals a neurology practice focused on outpatient evaluation and diagnostic neurophysiology: high volumes and revenue for 99214 and 99204 point to routine established- and new-patient office visits, while 95819 and 95816 are EEG procedures (awake/sleep and awake/drowsy) that together comprise a substantial share of revenue. The presence of both E/M and EEG codes is consistent with a child neurology specialization that combines clinical visits with diagnostic testing on-site.

Competitive standing for office visits is mixed. 99214 generates $418.1K in revenue and ranks #6 of 35 providers in-state (85th percentile) and is described as typical, unremarkable volume for this code, suggesting solid but not dominant established-patient activity; by contrast, 99204 produced $75K and ranks #2 of 20 providers in-state (95th percentile), flagged as notably above typical state volume, indicating above-average new-patient evaluation volume relative to peers.

For EEG and other neurodiagnostic procedures the provider appears uniquely positioned in-state: 95819 ($196.1K) and 95816 ($120.5K) each rank #1 of 1 providers in-state with no state peer volume comparison available. This suggests the practice may be the sole or primary reporter of these EEG services in the state data, reflecting a distinctive local capability in diagnostic EEG testing.

Smaller-proportion procedure codes and ancillary studies contribute only modestly to revenue: 95886 accounts for $19.7K (2.4% of Medicaid revenue) and 95912 accounts for $2.6K (0.3% of Medicaid revenue), while minor E/M code 99211 contributes $1.9K. These limited secondary revenue streams underscore a narrow procedural breadth and reinforce that the practice’s financial profile is driven by a few high-value codes rather than a diversified set of services.

The provider’s NPI has been enumerated since 2007-01-24 (~19 years ago), indicating a long-tenured presence in the market. Combined with the concentrated service mix and the strong state-level rankings on select codes, tenure supports the interpretation of an established specialty practice with a focused set of clinical offerings.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,940	$110	$418.1K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	430	$460	$196.1K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	320	$380	$120.5K
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…	510	$150	$75K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	100	$200	$19.7K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	10	$200	$2.6K
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.	80	$20	$1.9K
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…	10	$130	$1.5K

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

The Offices Of Ramel A Carlos Md Inc — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1	10	430	$460	$195.9K
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…	6	40	630	$90	$172.1K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1	10	320	$380	$120.3K
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…	22	20	140	$110	$35.4K
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.	12	10	780	$20	$30.2K
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…	2	20	60	$140	$20.8K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	1	10	100	$200	$19.7K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	1	10	10	$200	$2.6K

Nearby Providers

Other providers in the same ZIP code as The Offices Of Ramel A Carlos Md Inc, 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

The Offices Of Ramel A Carlos Md Inc — Billing Profile & Reimbursement Data

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The Offices Of Ramel A Carlos Md Inc — 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