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.

Daniel Debardeleben (NPI 1598253379)

Field	Value
Entity Type	Individual
Organization	Daniel Debardeleben
Address	388 Ypao Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Family Medicine Physician
NPI Enumerated	April 26, 2018

Payer Source	Total Paid
Medicare	$109.5K
Medicaid	$0

Key Findings

This provider is effectively single-payer: lifetime Medicare revenue is $109.5K and there is no Medicaid billing on file, so analysis should focus on Medicare patterns rather than dual-payer mix. The precomputed metric shows the top 3 Medicare codes by revenue account for 60.6% of this provider's total Medicare revenue, indicating concentrated dependence on a small set of services.

The code mix and taxonomy (Family Medicine Physician) indicate a classic primary care operation driven by office E/M visits and preventive visits: 99214 (356 claims, $33.1K revenue, 30.8% of Medicare revenue) and 99213 (327 claims, $19K revenue, 17.6%) are the two largest revenue contributors, with G0439 (97 claims, $13.1K revenue, 12.2%) adding a substantial share from annual wellness visits. Together these codes point to a practice workflow centered on established-patient management and Medicare-focused preventive care.

Revenue concentration is high at the top of the fee schedule: the precomputed top-3 share is 60.6%, and 99215 adds another meaningful slice at $9K (8.3% of Medicare revenue). This concentration implies that shifts in visit volume or coding for these few E/M and wellness codes will materially affect overall Medicare receipts for this provider.

Competitive standing on core E/M codes is modest-to-typical rather than dominant: 99214 ranks #81215 of 479517 providers nationally (83th percentile; typical, unremarkable volume), and 99213 ranks #52933 of 457151 providers (88th percentile; typical, unremarkable volume). These percentile placements suggest the provider has stable, ordinary Medicare visit volume relative to national peers rather than unusually high or dominant market share.

Preventive services and vaccinations are a meaningful but not outsized part of the portfolio: G0439 (annual wellness, 12.2% of revenue) and G0438 (initial AWV, $3.8K, 3.5%) demonstrate active AWV billing, while pneumococcal vaccine 90677 generated $4.5K (4.2% of Medicare revenue) and ranks in the 29th percentile nationally. This pattern is consistent with a primary care practice offering routine immunizations and preventive screenings, but vaccine administration is below the national midline for that specific pneumococcal product.

Ancillary services and chronic disease monitoring are present and used regularly: high counts for phlebotomy (36415, 376 claims, $3K, 2.8% of revenue; 84th percentile) and lab testing such as lipid panels (80061, 219 claims, $2.8K, 2.6%; 75th percentile) and A1C (83036, 176 claims, $1.6K, 1.5%; 86th percentile) point to on‑site or routinely ordered diagnostics to support ongoing chronic care. These utilization patterns align with family medicine workflows focused on cardiovascular and diabetes risk management.

There are low-penetration or low-ranking services that stand out relative to peers: care management billing via 99490 is present but limited (21 claims, $966 revenue; ranked in the 4th percentile nationally), and certain imaging/mammography-related codes such as 77067 sit in much lower national percentiles. These low percentiles suggest limited engagement with billed chronic care management programs and some lower-volume procedural lines compared with national peers.

Provider tenure is established but not long-tenured in historical datasets: NPI was enumerated 2018-04-26 (~8 years ago). Given that timeframe, the lifetime Medicare total of $109.5K is modest, consistent with a single‑practitioner family medicine profile in a small market (Tamuning, GU) rather than a large multi‑provider or high-volume suburban/urban group practice.

Medicare: Complete Services Breakdown

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

34 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…	360	$90	$33.1K
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…	330	$60	$19K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$140	$13.1K
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…	70	$140	$9K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$4.5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$170	$3.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	380	$10	$3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	30	$110	$2.9K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	220	$10	$2.8K
G0444	Annual depression screening, 5 to 15 minutes	100	$20	$1.9K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Daniel Debardeleben — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	19	90	140	$90	$25.7K
99215	8	20	40	$120	$14.6K
90677	4	10	40	$250	$10.8K
99213	17	100	100	$60	$10.6K
77067	6	10	20	$110	$9.4K
G0439	4	20	40	$130	$8.1K
99490	8	10	100	$50	$7.7K
G0438	2	10	20	$170	$4.1K
77065	7	10	20	$70	$3.2K
90732	5	10	20	$130	$2.7K

Showing 1–10 of 34

Nearby Providers

Other providers in the same ZIP code as Daniel Debardeleben, 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

Daniel Debardeleben — Billing Profile & Reimbursement Data

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Daniel Debardeleben — 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