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.

John Taitano (NPI 1740336247)

Key Findings

Field	Value
Entity Type	Individual
Organization	John Taitano
Address	851 Governor Carlos Camacho Road
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Internal Medicine Physician
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicare	$108.1K
Medicaid	$0

This provider’s Medicare revenue totals $108.1K while there is no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) billing profile at present and cannot be benchmarked on Medicaid activity. The absence of any Medicaid entries means state Medicaid utilization and competitive comparisons are not available for this NPI.

Revenue concentration is high: the precomputed top three Medicare codes (99214, 99213, G0008) account for 74.1% of the provider’s Medicare revenue, with 99214 generating $43K and 99213 generating $29.6K. That concentration indicates most Medicare dollars come from office/outpatient evaluation-and-management and influenza vaccine administration codes.

The code mix points to an internal medicine primary-care operation focused on established-patient office visits and preventive care: high-count E/M codes 99214 (537 claims, $43K) and 99213 (604 claims, $29.6K) dominate revenue, and several vaccine administration/product codes (G0008 $7.4K, 90688 $4.8K, 90732 $6.5K, G0009 $1.7K) appear among the top lines. Presence of hospital E/M codes 99232 ($6.4K) and 99238 ($1.6K) also shows the provider does some inpatient/observation follow-up or discharge management in addition to office practice.

Competitive standing by code is mixed: 99213 ranks #19180 of 457151 nationally (96th percentile; notably above typical national volume), indicating relatively strong national activity for this lower-level established-patient E/M code, while 99214 ranks #43440 of 479517 (91th percentile; typical, unremarkable volume) suggesting solid but not dominant billing for the higher-complexity established visit. Several vaccine-related codes show high relative activity — 90732 ranks #108 of 3407 (97th percentile; typical, unremarkable volume) and G0008 ranks #9935 of 119096 (92th percentile; typical, unremarkable volume) — pointing to above-average preventive immunization throughput versus peers.

There are clear statistical outliers in the immunization mix: 90688 (influenza vaccine product) is labeled an "extreme outlier" and ranks #18 of 3096 providers nationally (99th percentile), which indicates unusually high vaccine-product billing relative to peers and may reflect a practice emphasis on flu shot administration or a local population demand pattern. Other vaccine and administration codes mostly carry the descriptor "typical, unremarkable volume," so the 90688 signal stands out as the most pronounced deviation from peers.

Scale and commercial implications: total Medicare revenue of $108.1K represents a modest Medicare footprint in absolute dollars, concentrated in a small set of office-based E/M and vaccine codes, which suggests limited scale for broad-network contracting or delegation of large panel responsibilities without supplemental providers. The concentration in a few codes (top 3 = 74.1%) also highlights revenue sensitivity to changes in outpatient E/M and vaccine reimbursement or seasonal variation.

Tenure and continuity: the provider’s NPI was enumerated on 2007-01-26 (approximately 19 years ago), indicating a long-standing billing presence in the Medicare program that supports continuity of care and an established local practice profile. That tenure, combined with steady volumes in core E/M codes, suggests an enduring primary-care role rather than a recent entrant or short-term clinic.

Limitations for payer analysis: because there is no Medicaid billing on file, any assessment of Medicaid-dependent revenue streams or state-level competitive posture cannot be made; analysts should treat this profile as Medicare-only and seek supplemental state enrollment/contracting data if Medicaid exposure is required for network decisions. Additionally, many other listed codes are described as "typical, unremarkable volume," so competitive differentiation beyond the noted vaccine outlier and strong 99213 activity is limited in the available claims snapshot.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	540	$80	$43K
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…	600	$50	$29.6K
G0008	Administration of influenza virus vaccine	240	$30	$7.4K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	50	$130	$6.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$60	$6.4K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	240	$20	$4.8K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	10	$230	$2.5K
G0009	Administration of pneumococcal vaccine	60	$30	$1.7K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	30	$60	$1.6K
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…	10	$100	$1.2K

Showing 1–10 of 16

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

John Taitano — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14	90	140	$90	$25.7K
99232	19	30	150	$60	$12.1K
99213	6	100	100	$60	$10.6K
99204	42	50	30	$110	$6.7K
G0180	2	10	20	$50	$4.4K
90732	1	10	20	$130	$2.7K
99203	30	40	30	$70	$2.5K
90670	1	10	10	$230	$2.5K
G0008	2	40	30	$30	$2.1K
99238	2	10	30	$60	$1.8K