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.

Evangeline Claassens (NPI 1790275675)

Field	Value
Entity Type	Individual
Organization	Evangeline Claassens
Address	736 South Route 4, Suite 103
City	Sinajana
State	GU
ZIP	96910
Taxonomy	Family Nurse Practitioner
NPI Enumerated	May 16, 2018

Payer Source	Total Paid
Medicare	$39.4K
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single-payer: total Medicare revenue is $39.4K and there is no Medicaid billing on file, so all documented public-payer activity flows through Medicare. The absence of Medicaid claims indicates payer-mix analysis should treat this profile as Medicare-dominant unless other commercial or state data are available separately.

Revenue is highly concentrated in a very narrow set of services: the precomputed top-three Medicare codes account for 100.0% of the provider's Medicare revenue. In particular, code 90960 alone generates $35.3K (89.5% of Medicare revenue), while 90961 and 99213 contribute $3.1K (7.8%) and $1.1K (2.8%) respectively, signaling extreme concentration in a specific service line.

The code mix points to an ESRD-focused practice pattern rather than broad primary care: 90960 and 90961 are monthly ESRD management visits (face-to-face four or more times, and two to three times per month, respectively), so the provider appears to deliver routine, recurring care for end stage renal disease patients. This pattern suggests operational alignment with dialysis programs or monthly ESRD case management rather than predominantly general outpatient medicine.

Detailed activity metrics reinforce the ESRD emphasis: 90960 shows 150 claims at $235 avg paid/claim for $35.3K in revenue, making it the dominant revenue driver. By contrast, the other ESRD code 90961 recorded only 16 claims at $191 avg paid/claim ($3.1K revenue), indicating most ESRD billing is concentrated in the higher-frequency/face-to-face monthly visits captured by 90960.

General evaluation-and-management services are minimal in the Medicare mix: 99213 appears in just 17 claims at $64 avg paid/claim for $1.1K (2.8% of Medicare revenue). The small contribution from 99213 suggests limited office-based E/M volume relative to the provider’s ESRD management activity, consistent with a role focused on dialysis-associated care.

Competitive standing across these codes is modest rather than dominant. For 90960 the provider ranks #3349 of 6549 nationally (49th percentile) and the dataset labels the volume as "typical, unremarkable"; 90961 ranks #5722 of 6091 nationally (5th percentile, "typical, unremarkable"); and 99213 ranks #416873 of 457151 nationally (8th percentile, "typical, unremarkable"). Together these positions imply the provider is not a high-volume outlier and operates at modest scale against national peers for each reported code.

Tenure-wise the NPI was enumerated on 2018-05-16 (~8 years ago), so the provider has an established enrollment history. However, the lifetime Medicare revenue total of $39.4K is small in absolute terms, which may indicate part-time practice, site-limited credentialing, or a narrowly scoped clinical role concentrated on ESRD services rather than broad patient panels.

From a payer or network perspective, the combination of concentrated ESRD coding, minimal E/M billing, and no Medicaid activity suggests business development or network negotiations should treat this clinician primarily as an ESRD/monthly-management resource. Any consideration of expanding this provider’s role in broader primary care or Medicaid-covered services should account for the current lack of Medicaid claims and the dominant reliance on a single Medicare service line.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	150	$240	$35.3K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	20	$190	$3.1K
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…	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Evangeline Claassens — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	4	10	290	$260	$74.4K
99213	95	100	100	$60	$10.6K
90961	3	10	50	$210	$8.3K

Nearby Providers

Other providers in the same ZIP code as Evangeline Claassens, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rsa - Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.4M
Pacific Med & Nephrology	GU	Multi-Specialty Clinic/Center	$0	$2.3M
Guam Fire Department	GU	Land Ambulance	$277.5K	$1.3M
Advanced Eyecare, LLC	GU	Ophthalmology Physician	$0	$813.8K
Peter Lombard	GU	Ophthalmology Physician	$575.7K	$0
Robert Nerves	GU	Nephrology Physician	$238.7K	$0
Kunsun Lee	GU	Dentist	$0	$168.2K
Ideal Vision Center LLC	GU	Clinic/Center	$0	$81.5K
Saied Safabakhsh	GU	Nephrology Physician	$68K	$0
Carla Haddock	GU	Family Nurse Practitioner	$34K	$0

Evangeline Claassens — Billing Profile & Reimbursement Data

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Evangeline Claassens — 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