Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarianas Medical Response LLC
    Ask Trek AI about this page

    Table of contents

    Progress1 / 10

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Marianas Medical Response LLC — Billing Profile & Reimbursement Data

    NPI 1861853228 · Barrigada, GU · Non-emergency Medical Transport (VAN)

    Customize your policy alerts

    Sign up for Marianas Medical Response LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Marianas Medical Response LLC is a non-emergency medical transport (van) provider located in Barrigada, Guam. This profile covers 2 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMarianas Medical Response LLC
    Address107 Camacho St.
    CityBarrigada
    StateGU
    ZIP96913
    TaxonomyNon-emergency Medical Transport (VAN)
    NPI EnumeratedMarch 14, 2016

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

    Payer SourceTotal Paid
    Medicare$14.2K
    Medicaid$9.9K

    Key Findings

    MARIANAS MEDICAL RESPONSE LLC is registered under the Non-emergency Medical Transport (VAN) taxonomy and its commercial activity is tightly concentrated in routine ground ambulance services. The provider’s billing mix is dominated by basic life support non-emergency transports (A0428) and ground mileage (A0425), and precomputed top-3 code groupings account for 100.0% of reported Medicare revenue and 100.0% of reported Medicaid revenue, indicating a narrowly focused service line rather than a broad set of clinical procedures.

    Medicare revenue is concentrated with A0428 accounting for $12.2K (86.3% of this provider's total Medicare revenue) from 75 claims at an average paid/claim of $163. The remaining Medicare revenue is represented by A0425 at $1.9K (13.7%) from 278 claims with an average paid/claim of $7, showing the operation’s Medicare dollars are driven primarily by BLS transports rather than ancillary procedures.

    Medicaid revenue follows the same pattern: A0428 drives $8.6K (86.6% of this provider's total Medicaid revenue) across 38 claims at an average paid/claim of $226, while A0425 contributes $1.3K (13.4%) across 38 claims at an average paid/claim of $35. This mirror of Medicaid code concentration reinforces that the business model is centered on non-emergency BLS ground transports plus mileage billing.

    On payer mix, the provider reports total Medicare revenue of $14.2K and total Medicaid revenue of $9.9K, indicating Medicare is the larger single-payer source but that both payers contribute material, single-service-line revenue. The absolute dollar figures suggest a small-scale transport operator rather than a large regional fleet, given the low overall lifetime revenues reported to each program.

    Competitive standing by code shows modest national participation for Medicare and a small in-state footprint for Medicaid. For Medicare, A0428 ranks #1842 of 2772 providers nationally (33th percentile) and is described as typical, unremarkable volume for this code, while A0425 ranks #8479 of 8934 (5th percentile) and is likewise typical but at very low relative volume; for Medicaid, A0428 ranks #3 of 3 providers in-state (0th percentile) and A0425 ranks #2 of 2 in-state (0th percentile), signaling that within the state this provider is one of very few billers but not a dominant in-state leader.

    Operational billing patterns differ by payer: Medicare claim counts show 278 claims for A0425 versus 75 for A0428, whereas Medicaid shows 38 claims for each code, suggesting Medicare encounters more billed mileage relative to transports while Medicaid billing is balanced between the two codes. Average paid/claim also varies by payer—A0428 is $163 (Medicare) versus $226 (Medicaid), and A0425 is $7 (Medicare) versus $35 (Medicaid)—which may reflect payer-specific rate schedules or claim composition rather than differences in underlying clinical care.

    The provider’s NPI has been enumerated since 2016-03-14 (~10 years ago), which establishes a multi-year presence in the market but not necessarily large scale: lifetime Medicare revenue of $14.2K and Medicaid revenue of $9.9K combined with the concentrated code mix points to a stable but small-volume non-emergency transport operation rather than rapid expansion or diversification.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)80$160$12.2K
    A0425Ground mileage, per statute mile280$10$1.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042821080$180$197.3K
    A04252107,960$10$65K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)40$230$8.6K
    A0425Ground mileage, per statute mile40$40$1.3K

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0428Ambulance service, basic life support, non-emergency transport, (bls)3101,040$110$158.1K
    A0425Ground mileage, per statute mile2101,680$20$36.9K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Guam Distribution
    Marianas Medical Response LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam
    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
    Marianas Medical Response LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam