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.

Rsa - Tumon, LLC (NPI 1790090678)

Field	Value
Entity Type	Organization
Organization	Rsa - Tumon, LLC
Address	1406 N Marine Corps Dr Ste A
City	Tamuning
State	GU
ZIP	96913
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	August 16, 2010

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Key Findings

RSA - TUMON, LLC reports no Medicare billing on file and $2.9M in lifetime Medicaid revenue, which makes its commercial/Medicare exposure effectively nil and its financial footprint concentrated in the Medicaid program. The absence of Medicare claims indicates this facility operates as a Medicaid-focused provider rather than a mixed-payer dialysis provider.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 99.9% of the provider's total Medicaid revenue, with a single code, 90999, contributing $2.9M (99.7% of Medicaid revenue). This indicates the business is overwhelmingly driven by dialysis-related services captured by 90999 rather than a diversified procedure mix.

Code-level volume confirms a dialysis operations profile: 90999 has 29.9K claims at an average paid amount of $96 per claim, consistent with frequent, recurring treatment sessions typical of an ESRD/dialysis center. The NPI taxonomy (End-Stage Renal Disease Treatment Clinic/Center) plus this high-volume 90999 activity strongly suggests in-center dialysis treatments are the primary service line.

Despite carrying almost all Medicaid revenue on a single dialysis code, the provider is not a dominant statewide player for that code: 90999 ranks #4 of 5 providers in-state and sits at the 25th percentile. The provided label for 90999 is "typical, unremarkable volume for this code," so while revenue concentration is high, the provider’s relative market position is modest compared with in-state peers.

Ancillary vaccine and administration codes (90670, 90732, G0008, 90682, 90739, 90686, G0009, G0010) appear in the top 25 but together represent a negligible share of revenue (90670 $3K at 0.1%, 90732 $1.1K at 0.0% of total Medicaid revenue). These entries—each described as "typical, unremarkable volume for this code"—suggest the clinic provides routine preventive services (influenza, pneumococcal, hepatitis B vaccination) as ancillary offerings rather than as meaningful revenue drivers.

Specific billing anomalies worth noting for operational review: A4657 (syringe) shows 70 claims but $0 revenue (average paid $0 per claim), implying supplies are billed frequently but not reimbursed or are bundled into other payments. This pattern may reflect local billing conventions for supplies in dialysis care and should be considered when reconciling service volume versus reported revenue.

The provider has an established tenure at the NPI level (enumerated 2010-08-16, ~16 years ago), indicating a sustained presence in the market. Combined with the concentrated Medicaid revenue base, this longevity suggests a stable, Medicaid-focused dialysis operation rather than a recently entered or transient practice.

Competitive standing across smaller vaccine codes is uniformly modest: those codes rank between the 0th and ~56th percentiles in-state and are consistently labeled "typical, unremarkable volume for this code." In sum, RSA - TUMON functions primarily as a Medicaid-funded dialysis center with routine ancillary vaccination activity, modest statewide rank for its primary dialysis code, and concentrated revenue risk tied to Medicaid reimbursement dynamics.

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	29,950	$100	$2.9M
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…	20	$140	$3K
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…	10	$80	$1.1K
G0008	Administration of influenza virus vaccine	130	$10	$1K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	40	$20	$860
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	10	$50	$580
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	80	$10	$550
G0009	Administration of pneumococcal vaccine	40	$10	$410
G0010	Administration of hepatitis b vaccine	30	$10	$180
0004A	N/A	10	$10	$160

Showing 1–10 of 11

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

Rsa - Tumon, LLC — 0 of 10 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	4	10	40,320	$100	$3.8M
0004A	N/A	6	10	20	$40	$6.5K
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	5	10	30	$50	$4K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	4	10	60	$20	$1.6K
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…	3	10	30	$50	$1.2K
G0010	Administration of hepatitis b vaccine	3	10	80	$10	$1.2K
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…	4	10	20	$10	$870
G0008	Administration of influenza virus vaccine	5	10	100	$10	$830
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	6	10	100	$1	$580
G0009	Administration of pneumococcal vaccine	4	10	40	$10	$510

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Rsa - Tumon, LLC, ranked by combined Medicare and Medicaid revenue.

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
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
Leopoldo Arcilla	GU	Internal Medicine Physician	$81.3K	$1.5M

Rsa - Tumon, LLC — Billing Profile & Reimbursement Data

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Rsa - Tumon, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References