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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRolan Golez
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    Rolan Golez — Billing Profile & Reimbursement Data

    NPI 1669744983 · Tamuning, GU · Physical Therapist

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    Rolan Golez is a physical therapist provider located in Tamuning, Guam. This profile covers 4 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
    OrganizationRolan Golez
    Address388 Ypao Rd
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyPhysical Therapist
    NPI EnumeratedFebruary 1, 2012

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

    Payer SourceTotal Paid
    Medicare$41.7K
    Medicaid$0

    Key Findings

    This provider is a physical therapist based in TAMUNING, GU with an NPI enumerated on 2012-02-01 (~14 years ago), indicating long-term Medicare enrollment and continuity of practice in the market. The NPI tenure suggests experience and an established billing history rather than a recently created practice.

    Medicare is effectively this provider's only payer on file: total Medicare revenue is $41.7K while there is no Medicaid billing on file, so the provider functions as a single-payer (Medicare-only) biller in the available data. This concentration limits insight into dual-payer strategies and suggests the provider either does not participate in Medicaid or has not billed it during the covered period.

    Revenue is highly concentrated in a small set of therapy services: the precomputed top 3 Medicare codes account for 91.8% of total Medicare revenue, which indicates a narrow service mix centered on a few procedure types rather than a broad array of billable services. This concentration implies that operational and reimbursement changes affecting those codes would materially affect the provider's revenue.

    The dominant revenue driver is 97110 (therapeutic exercise), which generated $27.5K and represents 65.4% of the provider's Medicare revenue. That code’s volume (1.3K claims) and rank (#13838 of 79999, 83rd percentile) characterize the provider as a typical, unremarkable-volume participant nationally for therapeutic exercise rather than a specialty or high-volume center.

    Secondary revenue contributors are 97140 (manual therapy) with $5.8K (13.9% of Medicare revenue) and 97162 (PT evaluation, moderate complexity) with $5.3K (12.5% of Medicare revenue). Both codes are described as producing typical volumes for this provider; 97140 ranks in the 59th percentile and 97162 in the 90th percentile nationally, indicating relatively stronger performance on evaluations and moderate activity on manual therapy versus peers.

    G0283 (electrical stimulation unattended) accounts for $3.4K (8.2% of Medicare revenue) and appears as an additional, smaller revenue stream; it ranks in the 80th percentile nationally, showing the provider uses adjunctive modalities at a higher-than-average rate but not as a primary revenue source. This mix (therapeutic exercise + manual therapy + evaluations + unattended electrical stimulation) describes a typical outpatient physical therapy practice focused on hands-on and exercise-based care.

    Competitive standing across reported Medicare codes is modest: percentile ranks (83rd for 97110, 59th for 97140, 90th for 97162, 80th for G0283) place the provider largely within typical national ranges rather than as a dominant national player. The provider shows pockets of relatively stronger standing (notably 97162 at the 90th percentile), but overall volume and revenue ($41.7K lifetime Medicare) are consistent with a small to mid-sized individual clinician or clinic.

    Given the lack of any Medicaid billing on file, the provider’s market exposure and reimbursement risk are concentrated in Medicare policy and local referral patterns for Medicare beneficiaries. Any changes in Medicare coverage, payment for the primary codes (97110, 97140, 97162), or utilization management focused on these services could disproportionately affect this provider.

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,310$20$27.5K
    97140Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…340$20$5.8K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…70$70$5.3K
    G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care490$10$3.4K

    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

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97110310720$20$20.5K
    97140210200$20$4.1K
    9716221020$80$3K
    G0283110170$10$1.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    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
    Rolan Golez — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam