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.

Hafa Adal Specialist Group, LLP (NPI 1881929842)

Field	Value
Entity Type	Organization
Organization	Hafa Adal Specialist Group, LLP
Address	280 Pale San Vitores Rd
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 8, 2009

Payer Source	Total Paid
Medicare	$51K
Medicaid	$0

Key Findings

HAFA ADAL SPECIALIST GROUP, LLP is coded as an Ambulatory Surgical Clinic/Center and its Medicare claims mix is concentrated in GI endoscopy and colorectal screening procedures. The visible top procedures are G0121, 43239, 45380 and 45385, which correspond to colorectal cancer screening/colonoscopy, upper endoscopy with biopsy, colonoscopy with biopsy, and colonoscopic lesion removal — a profile consistent with a small outpatient endoscopy-focused operation.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 87.4% of this provider's total Medicare revenue, with G0121 alone generating $22.5K (44.0% of Medicare revenue), 43239 generating $13.5K (26.5%), and 45380 generating $8.6K (16.9%). This level of concentration signals that changes to utilization patterns or reimbursement for these specific services would materially affect the practice's Medicare revenue.

Scale and payer mix are narrow: total Medicare revenue on file is $51K and there is no Medicaid billing on file, so the provider is effectively single-payer from the dataset’s perspective. The absence of Medicaid activity limits exposure to state program volume but also suggests constrained participation in or access to the Medicaid patient population.

Competitive standing on the leading screening code is relatively elevated but described as typical: G0121 ranks #980 of 7750 providers nationally (87th percentile; typical, unremarkable volume for this code). In context of the practice’s small absolute Medicare revenue ($51K), this suggests the provider achieves a comparatively stronger position on this screening code than on other services, but is not a dominant national player.

The provider’s national standing for upper endoscopy with biopsy is mid-range: 43239 ranks #9496 of 17140 providers nationally (44th percentile; typical, unremarkable volume for this code). This percentile and the $255 avg paid/claim indicate routine participation in diagnostic upper endoscopy among peers rather than concentrated specialty dominance.

For therapeutic colonoscopy activity the provider is a low-volume participant: 45380 ranks #13231 of 16427 providers nationally (18th percentile; typical, unremarkable volume for this code) and 45385 ranks #14738 of 16310 providers nationally (8th percentile; typical, unremarkable volume for this code). Those lower percentiles imply relatively limited experience or throughput in excisional polypectomy and other advanced colonoscopic interventions compared with national peers.

Payment per claim varies by service: reported avg paid/claim values run from $255 for 43239 up to $431 for 45380 and $427 for 45385, with G0121 at $416 avg paid/claim. This spread suggests higher per-claim reimbursement for colonoscopy procedures that include biopsy or lesion removal compared with diagnostic upper endoscopy, consistent with the differing intensity of those services.

The provider has long tenure in the NPI registry (NPI enumerated 2009-10-08 (~17 years ago)), indicating an established practice footprint. Despite long registration, the modest lifetime Medicare revenue ($51K) and lack of Medicaid billing on file suggest this entity operates at a relatively small scale or serves a limited Medicare panel compared with typical ambulatory surgical centers.

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
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	50	$420	$22.5K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	50	$260	$13.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	20	$430	$8.6K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	20	$430	$6.4K

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

Hafa Adal Specialist Group, LLP — 2 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
G0121	1	10	30	$310	$9.6K
43239	1	10	40	$150	$5.9K
45380	1	10	20	$320	$5.5K
45385	1	10	10	$310	$4K

Nearby Providers

Other providers in the same ZIP code as Hafa Adal Specialist Group, LLP, ranked by combined Medicare and Medicaid revenue.

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

Hafa Adal Specialist Group, LLP — Billing Profile & Reimbursement Data

Sign up for Hafa Adal Specialist Group, LLP — Billing Profile & Reimbursement Data policy alerts

Hafa Adal Specialist Group, LLP — Billing Profile & Reimbursement Data

Sign up for Hafa Adal Specialist Group, LLP — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References