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.

Ruth Compton (NPI 1831484047)

Field	Value
Entity Type	Individual
Organization	Ruth Compton
Address	Usnh Guam
City	Tutuhan
State	GU
ZIP	96910
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 15, 2011

Payer Source	Total Paid
Medicare	$31.2K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated and small in scale: Total Medicare revenue is $31.2K and there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare-only) in the available data. The absence of any Medicaid codes suggests the provider either does not serve Medicaid beneficiaries or does not bill Medicaid through systems captured here.

Revenue is heavily concentrated in three emergency-focused codes: 99285 accounts for $16.1K (51.5% of Medicare revenue), 99284 accounts for $8.6K (27.4%), and 99291 accounts for $5.7K (18.3%); the precomputed top‑3 share is 97.3% of this provider’s Medicare revenue. This concentration implies the business is narrowly focused on higher-acuity emergency department and critical care services rather than a broad mix of outpatient evaluation-and-management or procedure codes.

Code-level volumes and unit payments show an ED/critical care practice pattern: 99285 has 121 claims at $133 avg paid/claim, 99284 has 93 claims at $92 avg paid/claim, and 99291 has 36 claims at $159 avg paid/claim. Those claim counts and average payments align with a workflow dominated by emergency department encounters and episodic critical care interventions rather than longitudinal office-based care.

Competitive standing is modest rather than dominant across its top codes: 99285 ranks #27063 of 61347 providers nationally (56th percentile) and is characterized as typical, unremarkable volume; 99284 ranks #18100 of 64306 (71th percentile) and is likewise labeled typical, unremarkable volume. These percentiles indicate the provider operates at roughly the middle of national peers for high-acuity ED visits, not as a high-volume regional center.

99291 (critical care) ranks #41261 of 71290 (41th percentile) with 36 claims and $159 avg paid/claim, which the available labels call typical, unremarkable volume; the presence of measurable 99291 billing signals that this emergency medicine physician also provides time‑based critical care services in some encounters. While 99291 contributes meaningfully (18.3%) to Medicare revenue, its percentile suggests the provider is a modest user of billed critical care relative to national peers.

Lower-acuity ED billing is minimal: 99283 shows only 16 claims, $53 avg paid/claim and $848 revenue (2.7% of Medicare revenue), ranking #21162 of 31069 (27th percentile). This skew toward higher-acuity codes (99285/99284) and away from lower-acuity ED visits suggests case mix leans toward more complex patients or documentation/billing practices that capture higher levels of E/M service.

Provider tenure is established but not long-tenured by historical standards: the NPI was enumerated on 2011-06-15 (~15 years ago), indicating roughly a decade-and-a-half in the Medicare billing system. That tenure supports stability in the billing record but, given the modest total Medicare revenue ($31.2K), does not correspond to a large Medicare practice footprint.

From a business risk and operational viewpoint, the very high concentration (97.3%) in three emergency/critical codes creates exposure to coding, reimbursement, or utilization shifts that affect ED and critical care payments. For payer/provider analysts, this profile points to a specialist emergency medicine practice with a narrow revenue base that would be sensitive to changes in ED visit volumes, critical care utilization, or unit payment rates for 99285, 99284, and 99291.

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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	120	$130	$16.1K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	90	$90	$8.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$160	$5.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	20	$50	$850

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

Ruth Compton — 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
99285	7	20	80	$140	$15.2K
99291	10	10	60	$170	$13.1K
99284	9	20	90	$90	$9.4K
99283	13	10	30	$50	$2.1K

Nearby Providers

Other providers in the same ZIP code as Ruth Compton, 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
Evangeline Claassens	GU	Family Nurse Practitioner	$39.4K	$0

Ruth Compton — Billing Profile & Reimbursement Data

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Ruth Compton — 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