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.

Ricardo Eusebio (NPI 1679795603)

Field	Value
Entity Type	Individual
Organization	Ricardo Eusebio
Address	633 Gov Carlos Camacho Road
City	Tamuning
State	GU
ZIP	86913
Taxonomy	Surgery Physician
NPI Enumerated	May 2, 2007

Payer Source	Total Paid
Medicare	$63.2K
Medicaid	$0

Key Findings

RICARDO EUSEBIO is operating as a surgery physician in Tamuning, GU with a code mix dominated by vascular access procedures for hemodialysis; the largest single code is 36821 (arteriovenous anastomosis) with 51 claims and $25K in Medicare revenue, and 36830 (AV fistula with nonautogenous graft) is the second-largest procedural driver with 25 claims and $11.9K in Medicare revenue. These procedure-level details indicate the provider’s practice is focused on creating and managing vascular access rather than broad inpatient surgical subspecialties or primarily chronic medical management services.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 70.1% of this provider’s total Medicare revenue, driven by 36821 at $25K (39.6% of Medicare revenue), 36830 at $11.9K (18.8%), and 99204 at $7.4K (11.7%). That concentration signals dependence on a small set of procedures and a single evaluation-and-management code for most Medicare dollars.

This provider is effectively single-payer in the available data: lifetime Medicare revenue is $63.2K while there is no Medicaid billing on file, indicating no measurable Medicaid footprint to inform state-level payer contracting or utilization comparisons. For payers and analysts, this means Medicare performance drives visibility into clinical volumes and revenue dynamics for this NPI.

On competitive standing, the provider is a national outlier for the top vascular access procedure: 36821 ranks #20 of 575 providers nationally (96th percentile) and is characterized in the source as notably above typical national volume for this code, which positions the provider among high-volume national performers for that specific service. Other high-revenue procedure codes such as 36830 rank #29 of 235 (87th percentile) and are noted as typical or unremarkable in volume, while common outpatient E/M codes (for example 99204 and 99213) have ranks consistent with modest, typical national participation rather than market dominance.

The presence of 36589 (removal of a tunneled central venous access device) with 37 claims, $126 avg paid/claim, and $4.7K revenue (7.4% of Medicare revenue) — ranked #180 of 1598 providers nationally (88th percentile) — reinforces that the provider’s service line includes both creation and subsequent management/removal of vascular access devices. That pattern supports an integrated vascular access workflow (creation, follow-up E/M visits, and device removal) concentrated within outpatient settings.

Evaluation-and-management activity is meaningful but not dominant: 99204 (58 claims, $127 avg paid/claim, $7.4K revenue, 11.7%) and 99213 (112 claims, $63 avg paid/claim, $7.1K revenue, 11.2%) together represent significant portions of non-procedural revenue while ranking at typical national volumes (99204 rank #61493 of 227068, 72nd percentile; 99213 rank #170914 of 457151, 62nd percentile). These E/M patterns indicate routine new and established outpatient visits that accompany the procedural vascular access work rather than a high-volume primary care or multi-specialty clinic.

The NPI tenure (enumerated 2007-05-02, ~19 years ago) shows a long-standing billing presence under this NPI, but lifetime Medicare revenue of $63.2K is modest in absolute scale. This combination of long tenure with relatively small lifetime Medicare dollars suggests a stable, narrow-scope practice rather than a large multi-provider billing enterprise.

For payer contracting and network planning in Guam, the provider’s specialty concentration and high relative national ranking on 36821 signal a potential local source for hemodialysis vascular access services; however, the lack of any Medicaid billing on file means state Medicaid programs have no utilization history to assess. Contracting or referral discussions should therefore lean on Medicare volume and procedural rankings (especially the 96th-percentile standing on 36821) rather than Medicaid comparators.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36821	The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…	50	$490	$25K
36830	In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis…	30	$480	$11.9K
99204	The provider sees a new 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 provider…	60	$130	$7.4K
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…	110	$60	$7.1K
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…	50	$100	$4.7K
36589	In this procedure, the provider removes a tunneled central venous access device without the subcutaneous port or pump.	40	$130	$4.7K
99203	The provider sees a new 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 provider…	20	$70	$1.6K
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.	40	$20	$860

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Ricardo Eusebio — 1 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	72	90	140	$90	$25.7K
36821	1	10	30	$490	$16.2K
36830	1	10	30	$480	$11.9K
99213	44	100	100	$60	$10.6K
99204	15	50	30	$110	$6.7K
36589	1	10	40	$130	$4.6K
99203	19	40	30	$70	$2.5K
99211	9	10	60	$20	$1K

Ricardo Eusebio — Billing Profile & Reimbursement Data

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Ricardo Eusebio — 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

Frequently Asked Questions

References