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    OpenPayerNPI Medicare & MedicaidMeagan Bamba-ada
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    Meagan Bamba-ada — Billing Profile & Reimbursement Data

    NPI 1568874345 · Dededo, GU · Family Nurse Practitioner

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    Meagan Bamba-ada is a family nurse practitioner provider located in Dededo, Guam. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMeagan Bamba-ada
    Address520 W Santa Monica Ave
    CityDededo
    StateGU
    ZIP96929
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 28, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$53.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue footprint is small in absolute terms, with total Medicare revenue of $53.7K and no Medicaid billing on file; the practice is effectively single‑payer Medicare based on the available claims. The absence of any Medicaid billing records suggests limited direct exposure to Medicaid populations or separate billing through another entity.

    Revenue is highly concentrated in a very small set of inpatient E/M codes: the precomputed top three Medicare codes account for 87.6% of total Medicare revenue. Specifically, 99232 accounts for $28.5K (53.2% of Medicare revenue), 99233 accounts for $12.6K (23.6%), and 99239 accounts for $5.8K (10.8%).

    The code mix indicates a practice pattern focused on inpatient/observation care and discharge management rather than outpatient primary-care office visits. The top codes—99232, 99233 and 99239—are all subsequent hospital care or discharge E/M services, and an additional code 99231 ($5.7K; 10.7% of Medicare revenue) reinforces consistent inpatient follow-up activity.

    Operationally this provider occasionally bills for dialysis-related services but at very low volume: 90935 appears with 19 claims, $49 avg paid/claim and $931 revenue (1.7% of Medicare revenue). This small contribution from 90935 suggests the provider is not primarily a dialysis clinician but may provide E/M on days of dialysis in select cases.

    Competitive standing is mixed across the top codes. For 99232 the provider ranks #13736 of 177383 (92th percentile) and for 99231 ranks #4059 of 50953 (92th percentile), indicating relatively higher-than-average national activity for those codes while the dataset still characterizes the volumes as "typical, unremarkable volume for this code." For 99233 (rank #40782 of 128818, 68th percentile) and 99239 (rank #26081 of 62398, 58th percentile) the provider is a modest to moderate participant nationally.

    Claims-level detail supports the inpatient focus: 99232 has 527 claims at $54 avg paid/claim, 99233 has 154 claims at $82 avg paid/claim, and 99239 has 72 claims at $80 avg paid/claim. These claim counts and average payments align with the revenue concentration reported above and explain why a small number of service types drives most Medicare dollars.

    Being enumerated with NPI on 2014-05-28 (~12 years ago) shows a multi-year presence in the registry, which is consistent with a stable, established billing pattern centered on inpatient E/M services rather than recent or transient activity. This tenure supports interpreting the code mix as an established practice pattern rather than a short-term anomaly.

    From a payer/contracting perspective the combination of a narrowly concentrated inpatient E/M revenue stream (87.6% from the top three codes) and no Medicaid billing suggests limited diversification of payer exposure; payers assessing network value should view this provider as specialized in inpatient follow-up and discharge management within the Medicare population rather than a broad ambulatory or Medicaid-serving practice.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The 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…530$50$28.5K
    99233The 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…150$80$12.6K
    99239The 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…70$80$5.8K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…170$30$5.7K
    90935Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…20$50$930

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99233720130$90$16.5K
    99232230150$60$12.1K
    90935310140$60$10.7K
    9923952050$90$4.8K
    9923111070$40$3.1K

    Nearby Providers

    Other providers in the same ZIP code as Meagan Bamba-ada, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guam Healthcare Development IncorporatedGUClinic/Center$0$30.8M
    C V Alegria Dds IncGUGeneral Practice Dentistry$0$11.3M
    Albert HuangGUDentist$0$5.4M
    Usrc Finegayan, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.5M
    Renal Centers Of Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Government Of Guam Department Of AdministrationGUFederally Qualified Health Center (FQHC)$0$2.4M
    Maria Chela MarianoGUFamily Medicine Physician$0$1.8M
    Scott ShayGUVascular & Interventional Radiology Physician$1.2M$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Blue Ocean Medical Group LLCGUFamily Medicine Physician$0$665.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Guam Distribution
    Meagan Bamba-ada — 2 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam