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.

Alix Chenet (NPI 1669530507)

Field	Value
Entity Type	Individual
Organization	Alix Chenet
Address	850 Governor Carlos Camacho Road
City	Oka Tamuning
State	GU
ZIP	96913
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicare	$64.7K
Medicaid	$0

Key Findings

This provider is effectively a single-payer Medicare biller: lifetime Medicare revenue is $64.7K while there is no Medicaid billing on file. The absence of any Medicaid claims suggests the provider either does not serve Medicaid patients, bills Medicaid under a different NPI/group, or has minimal engagement with state Medicaid programs in this market.

Revenue is extremely concentrated in office visit E/M codes: the precomputed top three Medicare codes account for 99.4% of the provider's total Medicare revenue. The three codes driving that concentration are 99213 ($38.8K, 60.3%), 99214 ($24.4K, 37.9%), and 99211 ($840, 1.3%), indicating nearly all billed Medicare activity is routine ambulatory visits.

The code mix and payments indicate a primary ambulatory internal medicine practice focused on established-patient visits. High volumes and payments for 99213 ($59 avg paid/claim; 658 claims) and 99214 ($91 avg paid/claim; 268 claims) point to routine clinic-based chronic care and longitudinal follow-up rather than procedure-driven services, while low counts for procedure codes like 93000 (37 claims, $10 avg paid/claim, $370 revenue) show minimal ancillary testing billed to Medicare.

Despite modest absolute Medicare revenue ($64.7K), the provider shows a strong national standing on the top volume code: 99213 ranks #16199 of 457151 providers nationally (96th percentile) and is described as notably above typical national volume for this code. This suggests the provider sees a comparatively large number of 99213 visits relative to peers, even though total Medicare dollars remain limited.

In contrast, the provider's standing on 99214 is ordinary: 99214 ranks #114038 of 479517 providers nationally (76th percentile) and is labeled typical/unremarkable volume. That pattern — very strong relative volume for lower-level E/M 99213 but typical volume for 99214 — implies a clinical mix weighted toward lower-complexity established visits.

Claim-level economics support the visit-focused profile: 99213 averages $59 paid/claim and 99214 averages $91 paid/claim, while lower-intensity visits (99211) average $15 paid/claim and contribute only $840 total. The greater count of 99213 claims (658) versus 99214 (268) is consistent with throughput-based ambulatory care rather than a practice driven by higher-complexity evaluation or billable procedures.

Tenure in Medicare is long-standing: the NPI was enumerated on 2006-12-04 (~20 years ago). Long enrollment with relatively low lifetime Medicare revenue suggests steady, small-scale outpatient practice activity rather than rapid expansion or large institutional billing under this NPI.

Operational risk and competitive interpretation: because 99.4% of Medicare revenue stems from three office-visit codes, this provider has limited service-line diversification in the Medicare book of business. Absent Medicaid billing on file and with most revenue tied to E/M visits, the provider’s competitive position is that of a modest, visit-focused ambulatory internal medicine clinician who posts above-typical volume on 99213 but otherwise ranks as a typical participant on other measured codes.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	660	$60	$38.8K
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…	270	$90	$24.4K
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.	60	$20	$840
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	40	$10	$370

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Alix Chenet — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	25	90	140	$90	$25.7K
99213	5	100	100	$60	$10.6K
99211	8	10	60	$20	$1K
93000	6	20	20	$10	$280

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alix Chenet, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Peachy Mae Piana-pacheco	GU	Diagnostic Radiology Physician	$223.2K	$180

Nearby Providers

Other providers in the same ZIP code as Alix Chenet, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
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
Leopoldo Arcilla	GU	Internal Medicine Physician	$81.3K	$1.5M

Alix Chenet — Billing Profile & Reimbursement Data

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Alix Chenet — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References