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.

Daniel Moges (NPI 1700238722)

Field	Value
Entity Type	Individual
Organization	Daniel Moges
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Hospitalist Physician
NPI Enumerated	July 2, 2016

Payer Source	Total Paid
Medicare	$31.8K
Medicaid	$0

Key Findings

The provider’s billing mix is consistent with a hospitalist-focused practice: both top Medicare codes are initial hospital inpatient or observation E/M visits (99223 and 99222), with 99223 representing high-complexity or long-time encounters. This concentration on initial inpatient evaluation suggests the provider primarily operates in an inpatient hospitalist role rather than outpatient or procedure-based services.

Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of the provider’s total Medicare revenue, and a single code, 99223, alone accounts for $26.8K (84.4%) of the $31.8K total Medicare revenue. That level of concentration indicates most Medicare dollars come from high-complexity initial inpatient visits rather than a broad range of services.

Claim volume and payment levels underscore the dominance of 99223: the provider reported 197 claims for 99223 with an average paid per claim of $136, compared with 48 claims for 99222 at $103 avg paid/claim. These counts show substantially greater utilization of high-complexity initial hospital visits relative to moderate-complexity initial visits.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $31.8K and there is no Medicaid billing on file. Because Medicaid is absent from the record, analyses of this provider’s financial exposure, contracting leverage, or access considerations should treat Medicare as the primary public-payer datasource.

Competitive standing varies by code: for 99223 the provider ranks #8644 of 139583 nationally (94th percentile) and is described as notably above typical national volume for this code, indicating a strong national-level activity on high-complexity initial inpatient visits. By contrast, 99222 ranks #31994 of 117621 (72th percentile) and is characterized as having typical, unremarkable volume, so the provider is a major participant for high-complexity initial admits but not broadly dominant across other initial-visit complexity levels.

The provider’s NPI was enumerated on 2016-07-02 (~10 years ago), signaling roughly a decade of recorded enrollment; combined with the concentrated Medicare activity, this suggests an established hospitalist presence rather than a very new or transient biller. Tenure supports using these Medicare patterns as reflective of ongoing practice activity rather than a one-off reporting period.

From a utilization and operational perspective, the near-exclusive reliance on initial inpatient E/M codes (99223 and 99222) suggests stakeholders should focus reviews on admission workflows, intensity of initial evaluations, and hospitalist staffing models. Given 99223’s outsized share ($26.8K, 84.4% of Medicare revenue) and national standing, payer and provider analysts may prioritize clinical documentation and coding consistency reviews around high-complexity initial inpatient encounters.

The absence of any Medicaid claims (none on file) removes in-state Medicaid competitive comparisons and reduces observable payer diversification; therefore, any benchmarking against peers should be framed around Medicare activity and national inpatient E/M utilization rather than state Medicaid performance.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	200	$140	$26.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$100	$4.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Daniel Moges — 1 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	1	20	30	$130	$7K
99222	2	20	30	$100	$2.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K

Daniel Moges — Billing Profile & Reimbursement Data

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Daniel Moges — 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

Nearby Providers

Frequently Asked Questions

References