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.

Usrc Finegayan, LLC (NPI 1881116697)

Field	Value
Entity Type	Organization
Organization	Usrc Finegayan, LLC
Address	781 Route 3 Ste 101
City	Dededo
State	GU
ZIP	96929
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	July 13, 2017

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only biller: there is no Medicare billing on file while Total Medicaid revenue is $4.5M, so the provider’s recorded revenue base for public payers rests entirely with Medicaid. That payer concentration means analyses of utilization or payment risk should focus on Medicaid reimbursement and program policy in GU.

Revenue is extremely concentrated in a single service line: the top 3 Medicaid codes account for 99.8% of this provider’s total Medicaid revenue, and 90999 alone generates $4.4M (99.6% of Medicaid revenue). This indicates the provider’s financial performance is driven almost entirely by dialysis-related services captured under 90999.

The code mix and taxonomy align with a dialysis-focused operation: the provider taxonomy is End-Stage Renal Disease (ESRD) Treatment Clinic/Center and the dominant code 90999 (dialysis services or procedures without a specific code) supports that this is an on-site dialysis provider. Smaller vaccine administration codes (for example 90739 and G0008) are present at low volumes, consistent with routine ancillary preventive care offered to dialysis patients.

Despite the large dialysis revenue, the provider is not an outright statewide leader for that service: 90999 ranks #2 of 5 providers in-state and sits at the 75th percentile with a label of "typical, unremarkable volume." In practical terms, the provider appears to be a modest but not dominant in-state participant in dialysis services rather than a clear market leader.

Ancillary service billing is present but immaterial to revenue: 90739 ($7.1K, #2 of 5, 75th percentile) and G0008 ($2.6K, #2 of 10, 89th percentile) together represent only a tiny fraction of total Medicaid revenue. These codes represent vaccine administration and other routine preventive services and reflect ancillary offerings that accompany the core dialysis service line.

There are codes with recorded claims but zero paid amounts on file, notably J0887 (145 claims, $0 avg paid/claim, $0 revenue; ranks #1 of 2, 100th percentile) and A4657 (32 claims, $0 avg paid/claim, $0 revenue). This pattern indicates reporting of certain supplies or ESRD-related drug items without associated paid reimbursements in the dataset and should be reviewed if payment-level detail is required.

The provider has an established NPI tenure, enumerated on 2017-07-13 (~9 years ago), which supports that the observed billing pattern is not from a newly created entity. Given the long-running single-payer Medicaid revenue base and the dominance of 90999, the organization appears to operate as a stable, dialysis-focused clinic whose financial exposure is concentrated in one procedure category and a single public payer.

From a risk/opportunity perspective, dependence on a single high-volume code (90999) and on Medicaid means any changes in Medicaid policy, reimbursement for dialysis-related codes, or local payer mix shifts could materially affect this provider’s revenue. Conversely, modest ancillary services (vaccines and similar codes) present limited diversification opportunities unless the provider expands service offerings or pursues non-Medicaid payers.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	46,170	$100	$4.4M
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	120	$60	$7.1K
G0008	Administration of influenza virus vaccine	220	$10	$2.6K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	30	$60	$1.9K
G0010	Administration of hepatitis b vaccine	130	$10	$1.4K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	20	$90	$1.4K
90747	This code represents a vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a four–dose schedule. The dosage is for patients who are…	10	$110	$1.3K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	50	$20	$1.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	130	$10	$1.2K
G0009	Administration of pneumococcal vaccine	50	$10	$670

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

Usrc Finegayan, LLC — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	2	10	40,320	$100	$3.8M
0004A	N/A	3	10	20	$40	$6.5K
0002A	N/A	6	10	40	$40	$6.1K
0001A	N/A	7	10	50	$30	$5.6K
90739	This code represents an adult–dosage vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The product has a synthetic DNA called CpG added to improve the…	2	10	30	$50	$4K
90682	This code represents a quadrivalent flu vaccine given by injection into the muscle. The vaccine is made using recombinant DNA technology and contains only a protein from the virus. It does not…	3	10	60	$20	$1.6K
90732	The provider intramuscularly or subcutaneously injects pneumococcal polysaccharide vaccine in an individual two years or older. This vaccine provides protection against meningitis and pneumonia that…	1	10	30	$50	$1.2K
G0010	Administration of hepatitis b vaccine	2	10	80	$10	$1.2K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	5	10	20	$10	$870
G0008	Administration of influenza virus vaccine	2	10	100	$10	$830

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Usrc Finegayan, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guam Healthcare Development Incorporated	GU	Clinic/Center	$0	$30.8M
C V Alegria Dds Inc	GU	General Practice Dentistry	$0	$11.3M
Albert Huang	GU	Dentist	$0	$5.4M
Renal Centers Of Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.1M
Government Of Guam Department Of Administration	GU	Federally Qualified Health Center (FQHC)	$0	$2.4M
Maria Chela Mariano	GU	Family Medicine Physician	$0	$1.8M
Scott Shay	GU	Vascular & Interventional Radiology Physician	$1.2M	$0
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Blue Ocean Medical Group LLC	GU	Family Medicine Physician	$0	$665.1K
Yolanda Carrera	GU	Pediatrics Physician	$0	$334.5K

Usrc Finegayan, LLC — Billing Profile & Reimbursement Data

Sign up for Usrc Finegayan, LLC — Billing Profile & Reimbursement Data policy alerts

Usrc Finegayan, LLC — Billing Profile & Reimbursement Data

Sign up for Usrc Finegayan, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References