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    OpenPayerNPI Medicare & MedicaidRenal Services Of America Fhphc Dialysis. LLC
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    Renal Services Of America Fhphc Dialysis. LLC — Billing Profile & Reimbursement Data

    NPI 1811569130 · Tamuning, GU · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Renal Services Of America Fhphc Dialysis. LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Tamuning, Guam. This profile covers 0 Medicare and 1 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 TypeOrganization
    OrganizationRenal Services Of America Fhphc Dialysis. LLC
    Address548 S Marine Corps Dr
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJuly 15, 2021

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

    Payer SourceTotal Paid
    Medicaid$83.8K
    Medicare$0

    Key Findings

    Business/service-line profile: The provider taxonomy is End-Stage Renal Disease (ESRD) Treatment Clinic/Center and its entire Medicaid billing is for code 90999, which is used to report dialysis services or procedures that do not have a specific code. This concentration in 90999 indicates the operation is delivering routine dialysis-related services rather than a diversified set of procedure-specific interventions, consistent with a focused dialysis clinic model rather than a multi-specialty facility.

    Revenue concentration: The provider reports $83.8K in total Medicaid revenue and the precomputed top-codes metric shows the top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue. In practice that concentration is entirely in a single code (90999), so virtually all billed Medicaid revenue is tied to unspecified dialysis procedure reporting.

    Payer mix and scale: There is no Medicare billing on file for this provider and total Medicare revenue is listed as none, making this effectively a single‑payer (Medicaid) profile in the dataset. With $83.8K Medicaid lifetime revenue and 716 claims at an average paid per claim of $117, the provider’s Medicaid activity is modest in absolute terms based on the reported totals.

    Top-code operational implication: The reliance on 90999 (716 claims, $117 avg paid/claim, $83.8K revenue) suggests the facility bills a high volume of standard dialysis encounters that are not captured under more specific CPT/HCPCS dialysis codes. This pattern can reflect either the nature of services delivered (routine dialysis sessions or ancillary dialysis procedures) or coding practice choices that consolidate billing under the unspecified dialysis code.

    Competitive standing in-state: For 90999 this provider ranks #5 of 5 providers in-state and is at the 0th percentile, characterized in the source as "typical, unremarkable volume for this code." That ranking positions the provider as a modest participant in the state market for this specific dialysis billing category rather than a dominant or high-volume center.

    Statistical standing and variability: The dataset labels the provider’s 90999 volume as "typical, unremarkable," indicating no statistical outlier behavior for its primary Medicaid billing activity. There is no indication of unusually high or anomalous utilization in the available Medicaid code-level data.

    Tenure and recency: The provider’s NPI was enumerated on 2021-07-15 (~5 years ago), so it has a relatively recent enrollment history in Medicare/Medicaid systems. The combination of recent enumeration and the currently limited Medicaid revenue footprint may reflect a small or newly established operating footprint during the covered period.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.720$120$83.8K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Guam median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.51040,320$100$3.8M

    Nearby Providers

    Other providers in the same ZIP code as Renal Services Of America Fhphc Dialysis. LLC, 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.

    Medicaid Revenue by Year vs. Guam Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Guam Distribution
    Renal Services Of America Fhphc Dialysis. LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam