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.

Chawat Tongma (NPI 1780970467)

Field	Value
Entity Type	Individual
Organization	Chawat Tongma
Address	133 Route 3
City	Dededo
State	GU
ZIP	96929
Taxonomy	Hospitalist Physician
NPI Enumerated	June 22, 2011

Payer Source	Total Paid
Medicare	$40.4K
Medicaid	$0

Key Findings

CHAWAT TONGMA operates as a hospitalist-focused clinician based on the claims mix: the top revenue-driving codes are inpatient subsequent care and discharge management (99232, 99233, 99239), indicating routine work on inpatient/observation units rather than outpatient procedural or clinic-based service lines. This pattern aligns with the provider taxonomy of Hospitalist Physician and suggests day-to-day inpatient coverage responsibilities.

Revenue is highly concentrated in a very small set of inpatient E/M codes: the top three Medicare codes (99232, 99233, 99239) account for 95.8% of this provider's total Medicare revenue, with 99232 contributing $20.5K (50.7%), 99233 $12.8K (31.8%), and 99239 $5.4K (13.3%). Such concentration means the provider's Medicare income is largely dependent on continued inpatient E/M volume for these specific services.

This provider is effectively single-payer in the observed data: total Medicare revenue is $40.4K and there is no Medicaid billing on file. That absence of Medicaid activity indicates limited or no participation in state Medicaid programs during the period covered, which constrains payer diversification and may affect eligibility for certain network roles that expect mixed-payer experience.

Competitive standing on Medicare is modest overall: 99232 ranks #28369 of 177383 providers nationally (84th percentile), 99233 ranks #45574 of 128818 (64th percentile), and 99239 ranks #30944 of 62398 (50th percentile). The dataset explicitly characterizes the volumes for these codes as "typical, unremarkable volume for this code," so while 99232 sits higher in the distribution, none of the codes show statistical outlier behavior; the provider appears to be a routine national participant rather than a dominant market player.

Claim and payment profile reinforce an inpatient follow-up practice: 99232 shows 320 claims with $64 avg paid/claim, 99233 has 135 claims with $95 avg paid/claim, and 99239 has 57 claims with $94 avg paid/claim. The high count for 99232 relative to the other codes suggests frequent subsequent hospital visits, while the average paid per claim values are in a modest range, indicating the revenue arises from volume of E/M encounters rather than high per-procedure payments.

The provider has an established enrollment history, with the NPI enumerated on 2011-06-22 (~15 years ago), which suggests stable presence in Medicare billing across multiple years. For payer/provider analysts, this tenure supports interpretation of patterns as persistent practice behavior rather than a short-term anomaly.

Operational implications for contracting or network planning: given the dominant role of inpatient E/M and discharge codes, CHAWAT TONGMA is best positioned to support hospital coverage, inpatient throughput, and discharge management needs rather than ambulatory service expansion. Network strategies that require Medicaid coverage or outpatient ambulatory volume should not assume this provider brings those capabilities based on the available billing record.

None of the reported top codes are labeled as statistical outliers in the supplied data; each is described as "typical, unremarkable volume for this code." This indicates the provider's utilization profile for those services falls within expected national ranges, reducing the likelihood that review will uncover anomalous utilization patterns relative to peer benchmarks.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	320	$60	$20.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	140	$100	$12.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	60	$90	$5.4K
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	$70	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Chawat Tongma — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	10	20	130	$90	$16.5K
99232	7	30	150	$60	$12.1K
99239	7	20	50	$90	$4.8K
99238	2	10	30	$60	$1.8K

Nearby Providers

Other providers in the same ZIP code as Chawat Tongma, 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

Chawat Tongma — 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