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    OpenPayerNPI Medicare & MedicaidAndrew Graves
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    Andrew Graves — Billing Profile & Reimbursement Data

    NPI 1760696702 · Tamuning, GU · Diagnostic Radiology Physician

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    Andrew Graves is a diagnostic radiology physician provider located in Tamuning, Guam. This profile covers 41 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
    OrganizationAndrew Graves
    Address548 S Marine Corps Dr
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 9, 2007

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

    Payer SourceTotal Paid
    Medicare$163.3K
    Medicaid$0

    Key Findings

    This provider is a Diagnostic Radiology Physician with a service mix weighted toward breast imaging and cross-sectional studies: 77067 (screening mammography) accounts for $37.3K and 24.7% of Medicare revenue, 74178 (CT abdomen/pelvis with and without contrast) accounts for $23.7K and 15.6%, and 76641 (complete breast ultrasound) accounts for $9.3K and 6.2%. The presence of MRI brain codes such as 70553 ($7.8K, 5.1%) and multiple CT codes (71270, 74176, 71250) indicates the practice performs a range of diagnostic imaging beyond mammography, consistent with a general outpatient radiology operation rather than a single-service clinic.

    Revenue is concentrated in a small set of procedures: the precomputed top 3 Medicare codes by revenue account for 46.5% of this provider's total Medicare revenue. With total Medicare revenue of $163.3K, nearly half of that amount is driven by 77067, 74178, and 76641, exposing the practice to demand shifts in screening mammography and abdominal CT services.

    Payer mix is effectively single-payer: the provider reports $163.3K in total Medicare revenue and has no Medicaid billing on file. The absence of any Medicaid claims (

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…260$140$37.3K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…80$290$23.7K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.90$100$9.3K
    71270In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. He then follows with contrast material and takes more…70$120$8K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…30$230$7.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.50$140$6.3K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.70$90$5.9K
    74183The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.20$280$5.7K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.30$150$4.3K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…190$20$4.1K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74178310110$280$27.8K
    77080310650$40$20.4K
    71271410120$150$20.1K
    93925410130$170$19.2K
    7055331070$230$17.3K
    72148310110$140$12.5K
    71270310110$120$12.3K
    7418331040$290$10.3K
    7706721020$110$9.4K
    7664131060$80$7.8K

    Showing 1–10 of 41

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Andrew Graves, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Takecare Insurance Company Inc.GUHealth Service Clinic/Center$0$1.4M

    Nearby Providers

    Other providers in the same ZIP code as Andrew Graves, 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
    Andrew Graves — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam