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.

Mo-ping Tham (NPI 1851462139)

Key Findings

Field	Value
Entity Type	Individual
Organization	Mo-ping Tham
Address	548 Marine Corps Dr.
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Family Medicine Physician
NPI Enumerated	November 10, 2006

Payer Source	Total Paid
Medicare	$33.7K
Medicaid	$0

This provider is effectively single-payer in the public programs on file: lifetime Medicare revenue is $33.7K and there is no Medicaid billing on file, so Medicaid does not contribute to the reported revenue mix. Analysts should treat this profile as a Medicare-centered practice in the available claims data rather than a dual-payer operation.

Revenue is highly concentrated in a small set of office-based E/M and infusion services: the top three Medicare codes (99213, 99214, 96365) account for 78.5% of the provider's total Medicare revenue. Those codes individually generated $15.6K (46.5%), $7.5K (22.3%), and $3.2K (9.7%) respectively, indicating the bulk of billed value comes from routine established-patient visits plus some in-office intravenous infusion activity.

The code mix points to a family medicine outpatient practice with additional in-office procedures: 99213 and 99214 are the dominant office E/M visits, while 96365 signals administration of initial IV infusions. Complementary codes such as 99203 and 99202 (new patient office visits) and 87811 (SARS–CoV–2 immunoassay testing) show the provider handles both new and established ambulatory care plus on-site diagnostics.

Competitive standing against national Medicare peers is modest and mixed by code: 99213 ranks #76783 of 457151 providers (83th percentile) and is described as "typical, unremarkable volume for this code," while 99214 ranks #283828 of 479517 providers (40th percentile) and 96365 ranks #5413 of 8873 providers (39th percentile), both also labeled "typical, unremarkable volume for this code." Taken together, these percentiles and labels suggest the provider operates at a modest scale nationally—not a major volume outlier but maintaining routine activity in common primary-care codes.

Tenure is long enough to indicate an established billing history: the NPI was enumerated 2006-11-10 (~20 years ago), which supports interpreting patterns as reflective of sustained practice behavior rather than a short-term or newly established clinic. This duration gives context to the concentration in a few codes as a stable operating pattern rather than a transient spike.

There are several low-value or ancillary services that supplement the E/M revenue but do not drive revenue materially: items such as 93000 ($200, 0.6% of Medicare revenue, 28th percentile) and 96372 ($170, 0.5%, 9th percentile) appear in the profile as small, routine add-ons. These entries indicate limited ancillary testing and injectable procedures beyond the primary office visit billing.

Certain specialty/therapy codes appear but at low national standing: manual therapy codes 98927 ($1.4K, 4.2% of Medicare revenue) and 98926 ($518, 1.5%) are present yet rank at the lower end of national distributions (98927 at 21th percentile and 98926 at 2th percentile), implying manual/physical therapy services are offered but are not substantial revenue drivers relative to peers. This suggests a broader but shallow scope of additional hands-on services.

A notable anomaly for follow-up investigation is J0696 (ceftriaxone), which shows 437 claims but $0 avg paid/claim and $0 revenue while ranking #742 of 9330 providers (92th percentile) in claim count. This high-claim, zero-payment pattern is data-grounded and may reflect reporting, bundling, or payer-specific adjudication rather than billed revenue; it merits closer operational or claim-level review to understand why so many administrations appear without recorded Medicare payment.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	250	$60	$15.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	80	$100	$7.5K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	60	$60	$3.2K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	50	$40	$1.9K
99203	The provider sees a new 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 provider…	30	$70	$1.7K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	30	$50	$1.4K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	30	$40	$1.3K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	10	$40	$520
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	20	$10	$200
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	$10	$170

Showing 1–10 of 11

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
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
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

Mo-ping Tham — Billing Profile & Reimbursement Data

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Mo-ping Tham — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	62	90	140	$90	$25.7K
99213	20	100	100	$60	$10.6K
96365	2	10	40	$50	$2.6K
99203	16	40	30	$70	$2.5K
98927	1	10	30	$50	$1.4K
99202	3	10	20	$40	$1.1K
87811	1	10	20	$40	$960
96372	9	10	20	$10	$700
98926	1	10	10	$40	$520
93000	16	20	20	$10	$280