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.

Bsjc, LLC (NPI 1659885523)

Field	Value
Entity Type	Organization
Organization	Bsjc, LLC
Address	692 N Marine Corps Dr Ste 301
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Endodontics
NPI Enumerated	November 29, 2017

Payer Source	Total Paid
Medicaid	$43K
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only biller: Medicare revenue is listed as none while total Medicaid revenue is $43K, indicating a single-payer footprint concentrated in state Medicaid rather than a mixed Medicare/Medicaid practice. The NPI was enumerated 2017-11-29 (~9 years ago), so the organization has been active for a moderately long period but is not a long-standing multi-decade incumbent.

Revenue is highly concentrated: the precomputed top three Medicaid codes account for 75.9% of this provider’s total Medicaid revenue, driven by D9310 ($18.5K, 43.1%), D2950 ($7.5K, 17.5%), and D3330 ($6.6K, 15.4%). This concentration means a small set of services generate most cash flow, making the provider’s Medicaid performance sensitive to changes in reimbursement or utilization for those specific codes.

The code mix and listed taxonomy (Endodontics) point to a specialist endodontic practice model: D3330 is a high-value endodontic procedure and, together with substantial counts of intraoral radiographs D0220 and D0230, suggests the practice performs diagnostic imaging and higher-complexity root canal services. Several top-revenue codes have “no description available” in the dataset (D9310, D2950, D2161), but their relative revenue shares imply these unspecified items are important to the practice’s case mix.

Competitive standing across top Medicaid services is generally modest statewide. D3330 ranks #1 of 2 providers (100th percentile; typical, unremarkable volume) indicating the provider is the primary listed biller for that particular endodontic code in-state, while D9310 ranks #2 of 4 (67th percentile; typical, unremarkable volume) and D2950 ranks #3 of 6 (60th percentile; typical, unremarkable volume), both reflecting typical, not dominant, volumes.

High-volume, low-dollar imaging contributes materially to case throughput: D0220 shows 352 claims at $14 avg paid/claim for $4.9K revenue and D0230 shows 297 claims at $13 avg paid/claim for $3.9K revenue, together representing 20.5% of Medicaid revenue. These radiographic items indicate many visits involve diagnostic imaging that supports endodontic procedures but generate relatively low per-claim revenue compared with procedural codes.

There is a clear disparity in average paid-per-claim across codes, with D3330 at $508 avg paid/claim versus D0220/D0230 at $14 and $13 respectively. This highlights that a small number of higher-priced procedures (e.g., D3330) drive a disproportionate share of dollars while larger volumes of low-cost imaging drive visit counts and casework.

No code shows a labeled statistical anomaly in the dataset: every listed code is described as "typical, unremarkable volume" despite differing percentiles (for example, D2161 is #6 of 6, 0th percentile; typical, unremarkable volume). Overall, the pattern suggests steady, conventional billing behavior for an endodontic practice rather than extreme outlier activity.

From a payer strategy perspective, the provider’s Medicaid-only revenue base and reliance on a small set of codes (75.9% concentrated in the top three) means payers and network analysts should monitor reimbursement or utilization changes for D9310, D2950, and D3330 to assess near-term financial impact and referral patterns; any policy or fee schedule adjustments to those codes could materially affect the provider’s Medicaid revenue stream.

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
D9310	N/A	290	$60	$18.5K
D2950	N/A	50	$140	$7.5K
D3330	N/A	10	$510	$6.6K
D0220	Intraoral - periapical first radiographic image	350	$10	$4.9K
D0230	Intraoral - periapical each additional radiographic image	300	$10	$3.9K
D2161	N/A	10	$130	$1.6K

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

Bsjc, LLC — 0 of 6 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
D0230	Intraoral - periapical each additional radiographic image	8	10	1,370	$20	$85.3K
D9310	N/A	2	10	230	$60	$79.8K
D2161	N/A	6	10	220	$130	$56.5K
D0220	Intraoral - periapical first radiographic image	8	20	350	$10	$38K
D2950	N/A	3	10	50	$160	$37.7K
D3330	N/A	1	10	10	$510	$6.6K

Nearby Providers

Other providers in the same ZIP code as Bsjc, LLC, 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

Bsjc, LLC — Billing Profile & Reimbursement Data

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Bsjc, LLC — 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