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.

Government Of Guam Department Of Administration (NPI 1619928264)

Field	Value
Entity Type	Organization
Organization	Government Of Guam Department Of Administration
Address	790 Governor Carlos G. Camacho Road
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicaid	$52.7K
Medicare	$0

Key Findings

This entity has no Medicare billing on file and is effectively a single-payer Medicaid filer: Total Medicaid revenue is $52.7K and there is no reported Medicare revenue. The absence of Medicare activity means analyses should focus on Medicaid claims and state-level competitive dynamics rather than cross-payer comparisons.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicaid codes account for 95.1% of this provider's total Medicaid revenue. The top drivers are 99211 ($21.7K, 41.1%), 99213 ($21K, 39.8%), and 90833 ($7.4K, 14.1%), together explaining nearly all billed Medicaid dollars.

The provider’s code mix is consistent with a community/behavioral health outpatient operation: high volumes of low-intensity evaluation-and-management visits (99211 and 99213) combined with psychotherapy add-on services (90833 and 90837) indicate ambulatory behavioral health and counseling workflows rather than inpatient or procedure-driven services. The presence of 90863 in the activity list (prescribe/review medications after psychotherapy) also aligns with integrated psychotherapy-plus-pharmacologic management models even though that code shows no recorded revenue.

99211 is the single largest Medicaid revenue source (1.4K claims, $16 avg paid/claim, $21.7K revenue) and the provider ranks #6 of 14 in-state (62th percentile; typical, unremarkable volume for this code). This places the provider in the upper-middle of state peers for low-acuity established-patient outpatient visits, suggesting moderate scale for brief behavioral-health touchpoints.

99213 (269 claims, $78 avg paid/claim, $21K revenue) also drives nearly 40% of Medicaid revenue but ranks #33 of 48 in-state (32th percentile; typical, unremarkable volume for this code). That rank indicates the provider is a modest participant for standard, longer outpatient E/M visits compared with the broader in-state universe.

90833 (124 claims, $60 avg paid/claim, $7.4K revenue) represents 14.1% of Medicaid revenue and is listed as #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). In plain terms, the provider appears to be the sole reported filer of this add-on psychotherapy-with-E/M combination in the state dataset, making its activity for this service unique within available state comparisons.

One notable billing anomaly: code 90863 shows 102 claims but $0 avg paid/claim and $0 revenue. This pattern indicates reported encounters associated with medication-management add-on services that did not produce recorded Medicaid payments in the dataset and should be investigated further in claims-level review or reconciled with state payment records.

The provider has long-tenure enrollment with an NPI enumerated on 2006-05-16 (~20 years ago), yet the Medicaid billing footprint remains small in absolute dollars ($52.7K). This combination—long registration plus limited fee-for-service revenue—suggests the organization may operate at a modest Medicaid billing scale or rely on alternative funding streams not captured in Medicaid paid claims data.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	1,350	$20	$21.7K
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…	270	$80	$21K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	120	$60	$7.4K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	10	$130	$1.7K
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,…	30	$30	$930
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	100	$0	$0

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

Government Of Guam Department Of Administration — 0 of 5 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

6 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…	33	50	900	$80	$201.7K
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,…	16	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.	6	10	780	$20	$30.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	1	10	120	$60	$7.5K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1	10	10	$130	$1.7K
90863	The provider prescribes and reviews medications for pharmacological management after psychotherapy services at the same encounter.	1	10	100	$0	$0

Nearby Providers

Other providers in the same ZIP code as Government Of Guam Department Of Administration, 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

Government Of Guam Department Of Administration — Billing Profile & Reimbursement Data

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Government Of Guam Department Of Administration — 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