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.

International Health Providers, LLC (NPI 1740525278)

Field	Value
Entity Type	Organization
Organization	International Health Providers, LLC
Address	655 Harmon Loop Rd
City	Dededo
State	GU
ZIP	96929
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 10, 2012

Payer Source	Total Paid
Medicaid	$3.6K
Medicare	$0

Key Findings

INTERNATIONAL HEALTH PROVIDERS, LLC appears to operate as a primary care/internal medicine practice based on its top Medicaid procedure codes: 99213 and 99214 are both established-patient office E/M visits, indicating routine outpatient evaluation and management encounters are the core service lines driving revenue. The code mix (only moderate- and low-complexity established-patient visits) suggests the practice focuses on ongoing ambulatory care rather than procedural or specialty services.

This provider has no Medicare billing on file and therefore no Medicare revenue reported, while its Medicaid revenue is limited to $3.6K. In practical terms the entity functions as effectively single-payer (Medicaid) in the available dataset, with Medicaid representing 100% of the documented public-payor revenue for this NPI.

Revenue concentration within the provider’s Medicaid portfolio is very high and narrow: the precomputed top-3 Medicaid codes together account for 100.0% of total Medicaid revenue. This indicates that nearly all reported Medicaid payments are coming from a small set of routine evaluation-and-management visits rather than a diversified set of services.

The two listed Medicaid codes show split contributions: 99213 accounts for $1.9K (51.8% of the provider’s Medicaid revenue) while 99214 accounts for $1.7K (48.2% of the provider’s Medicaid revenue). Both codes together fully explain the $3.6K Medicaid total, reinforcing that revenue is concentrated in low- to moderate-complexity outpatient visits.

Relative to in-state peers, the provider is a modest participant for these codes. For 99213 the provider ranks #44 of 48 (9th percentile) and is described as “typical, unremarkable volume for this code,” while for 99214 it ranks #30 of 35 (15th percentile) and is also characterized as “typical, unremarkable volume.” These rankings indicate the practice is not a dominant statewide provider for either service and operates at low-to-moderate volume levels compared with peers.

The provider has an NPI enumerated on 2012-12-10, meaning it has been registered for approximately 14 years. That tenure suggests an established presence in the market despite the low Medicaid revenue observed in the claims data.

Average paid-per-claim differs between the two top codes: 99213 shows an average paid/claim of $64 while 99214 shows an average paid/claim of $27. This discrepancy, together with the higher claim count for 99214 (64 claims versus 29 claims for 99213), suggests the practice sees a higher volume of moderate-complexity visits but at a lower average reimbursement per claim in the recorded Medicaid payments.

Given the very small total Medicaid revenue ($3.6K) and absence of Medicare billing, the provider’s footprint in fee-for-service public programs is minimal. Analysts should treat this NPI as a low-public-payer-volume entity when modeling network capacity or reimbursement exposure in the region, and consider supplementing with commercial or other data sources if a fuller picture of the practice’s scale is required.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

2 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…	30	$60	$1.9K
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…	60	$30	$1.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Guam providers billing the same CPT/HCPCS codes.

Claims Volume vs. Guam Distribution

International Health Providers, LLC — 0 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. Guam median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	44	50	900	$80	$201.7K
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…	30	40	630	$90	$172.1K

Nearby Providers

Other providers in the same ZIP code as International Health Providers, LLC, 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

International Health Providers, LLC — Billing Profile & Reimbursement Data

Sign up for International Health Providers, LLC — Billing Profile & Reimbursement Data policy alerts

International Health Providers, LLC — Billing Profile & Reimbursement Data

Sign up for International Health Providers, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References