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    OpenPayerNPI Medicare & MedicaidArania Adolphson
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    Arania Adolphson — Billing Profile & Reimbursement Data

    NPI 1922023654 · Dededo, GU · Family Medicine Physician

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    Arania Adolphson is a family medicine physician provider located in Dededo, Guam. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationArania Adolphson
    Address655 Harmon Loop Rd Ste 108
    CityDededo
    StateGU
    ZIP96929
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$39.6K
    Medicaid$0

    Key Findings

    This clinician is effectively a Medicare-only biller: lifetime Medicare revenue is $39.6K while there is no Medicaid billing on file, indicating a single-payer footprint in the available data rather than a mixed payer panel. That concentration means Medicaid-related service lines, access patterns, and reimbursement pressures are not observable for this NPI.

    Revenue is highly concentrated in a small set of office E/M visits: the precomputed top 3 Medicare codes account for 80.7% of the provider's total Medicare revenue, showing a heavy reliance on a narrow set of outpatient evaluation-and-management services. Operationally this suggests the practice is primarily delivering office-based longitudinal care rather than procedure-heavy specialty services.

    Two established-patient E/M codes dominate Medicare dollars: 99214 generated $14.5K (36.7% of Medicare revenue) and 99215 generated $14K (35.5% of Medicare revenue). Together these two mid-to-high complexity established visit codes represent the majority of billed services, consistent with a family medicine office handling moderate- to high-complexity follow-up visits.

    Competitive standing on 99215 is relatively strong: the provider ranks #21425 of 145531 nationally for 99215 (85th percentile), indicating above-typical volume for that high-complexity established visit compared with peers. By contrast, 99214 ranks at the 66th percentile (#161587 of 479517), suggesting more typical volumes for that code and an overall modest national presence anchored by stronger performance on the higher-complexity visit code.

    Service mix includes preventive and basic in-office procedures: the top-25 list shows G0439 (Annual wellness visit) and vaccination administration codes G0008 and 90688 among top line items, plus minor procedures such as joint injections (20610) and EKG interpretation (93000). This mix implies the practice manages routine preventive care, immunizations, point-of-care diagnostics, and some basic musculoskeletal procedures in the office setting.

    Tenure is long-standing: the NPI was enumerated around 2006-07-13 (~20 years ago), indicating the provider has an established presence and likely continuity in the community and payer relationships that produced the observed Medicare billing history.

    Many billed services are at or below typical peer volumes: several codes with nontrivial claim counts (for example G0439, G0008, 99213, 20610) are described as "typical, unremarkable volume" and rank at modest percentiles regionally or nationally, reinforcing that this provider operates at a modest scale overall despite the strong 99215 placement.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…190$80$14.5K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…130$110$14K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$140$3.4K
    99204The provider sees a new 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 provider…30$70$2.5K
    G0008Administration of influenza virus vaccine40$30$1.2K
    99213The 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…30$40$1.1K
    90688This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.40$20$800
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…20$40$790
    G0444Annual depression screening, 5 to 15 minutes30$20$600
    93000The 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$250

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143590140$90$25.7K
    9921552040$120$14.6K
    9921384100100$60$10.6K
    G0439122040$130$8.1K
    99204225030$110$6.7K
    2061061060$50$2.7K
    G0008154030$30$2.1K
    90688113030$20$1.4K
    G044471040$20$1.3K
    71046192020$20$1.3K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Arania Adolphson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Filomeno GonzalezTXFamily Medicine Physician$176.2K$0
    Martha Manquero-butlerTXFamily Medicine Physician$52.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Arania Adolphson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guam Healthcare Development IncorporatedGUClinic/Center$0$30.8M
    C V Alegria Dds IncGUGeneral Practice Dentistry$0$11.3M
    Albert HuangGUDentist$0$5.4M
    Usrc Finegayan, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.5M
    Renal Centers Of Guam, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Government Of Guam Department Of AdministrationGUFederally Qualified Health Center (FQHC)$0$2.4M
    Maria Chela MarianoGUFamily Medicine Physician$0$1.8M
    Scott ShayGUVascular & Interventional Radiology Physician$1.2M$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Blue Ocean Medical Group LLCGUFamily Medicine Physician$0$665.1K

    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
    Arania Adolphson — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam