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NPI 1932202298 · Tamuning, GU · Surgery Physician
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Peter Kh Go is a surgery physician provider located in Tamuning, Guam. This profile covers 7 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Peter Kh Go |
| Address | 1757 Army Dr |
| City | Tamuning |
| State | GU |
| ZIP | 96913 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | September 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.5M |
| Medicare | $152.8K |
This provider’s billing is heavily weighted toward Medicaid: Total Medicare revenue is $152.8K while Total Medicaid revenue is $1.5M, so Medicaid activity materially exceeds Medicare activity on file. The scale difference suggests the provider’s primary payer exposure and patient panel is concentrated in the state Medicaid population rather than Medicare beneficiaries.
Revenue is highly concentrated in a very small set of E/M codes for both payers: the precomputed top-3 Medicare codes account for 97.5% of Medicare revenue and the precomputed top-3 Medicaid codes account for 98.4% of Medicaid revenue. For Medicare the top contributors are 99214, 99204, and 99213; for Medicaid the dominant drivers are 99213, 99214, and 99203, indicating most receipts come from a narrow set of office/outpatient visit codes.
The code mix points to an outpatient, clinic-driven operation despite the provider taxonomy of Surgery Physician: the highest-revenue services are office/outpatient evaluation and management codes (99213, 99214, 99204, 99203), with only occasional procedure-level billing such as 97597 (debridement) recorded on Medicare. This pattern implies the practice functions largely as a clinic providing evaluation/management, post-operative follow-up, and some wound-care services rather than facility-based surgical procedures.
On Medicare this provider is an extreme/high outlier for 99214 nationally: 99214 generates $124.8K (81.8% of Medicare revenue) and ranks #3340 of 479517 providers (99th percentile; extreme outlier). 99204 also shows notably above-typical national volume (rank #9180 of 227068, 96th percentile), while 99213 is a more typical national volume (66th percentile), indicating a strong national-level intensity for higher-complexity office visits concentrated in 99214.
Within the state Medicaid market the provider is a major outpatient E/M participant: 99213 generated $905.7K (61.6% of Medicaid revenue) and ranks #2 of 48 in-state (98th percentile), while 99214 generated $525.5K (35.8%) and ranks #3 of 35 in-state (94th percentile). These ranks indicate the provider is one of the top regional billers for routine and moderate-complexity office visits and likely a leading outpatient access point for Medicaid beneficiaries locally.
The provider bills transitional care management codes on Medicaid (99495 and 99496) and appears as the sole in-state reporter for those codes (#1 of 1 providers in-state), which suggests the practice is actively providing post-discharge care management services. Because those codes require specific timing and follow-up activities, their presence complements the heavy office-based E/M volume and signals a service mix that includes care transitions and follow-up coordination.
Ancillary services are present but low-revenue: Medicare lists small volumes for vaccine administration (G0008 and 90686) and electrocardiogram recording (93005), together representing a tiny portion of total revenue, while Medicaid shows claims for the same vaccine codes with $0 avg paid/claim and $0 revenue. This indicates vaccination and basic diagnostic recording are offered but are not material revenue drivers for this provider.
The provider has longstanding enrollment: NPI was enumerated on 2006-09-05 (~20 years ago), consistent with an established operation. Combined with the heavy concentration in a few outpatient E/M codes (top-3 shares of 97.5% Medicare and 98.4% Medicaid), this tenure plus concentrated billing suggests stable, clinic-centered throughput but also a dependence on a narrow set of services for most revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,540 | $80 | $124.8K |
| 99204 | The 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… | 160 | $100 | $16.2K |
| 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… | 130 | $60 | $7.8K |
| 97597 | The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,… | 20 | $90 | $1.5K |
| G0008 | Administration of influenza virus vaccine | 30 | $30 | $1.1K |
| 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… | 40 | $20 | $920 |
| 93005 | 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… | 40 | $10 | $190 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 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… | 10,660 | $90 | $905.7K |
| 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… | 6,110 | $90 | $525.5K |
| 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… | 110 | $120 | $13.8K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 50 | $160 | $7.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 130 | $50 | $6.9K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 40 | $120 | $4.9K |
| 99204 | The 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… | 90 | $50 | $4.2K |
| 93005 | 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… | 150 | $10 | $1K |
| 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… | 10 | $0 | $0 |
| G0008 | Administration of influenza virus vaccine | 20 | $0 | $0 |
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
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2 | 50 | 900 | $80 | $201.7K |
| 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… | 3 | 40 | 630 | $90 | $172.1K |
| 93005 | 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… | 3 | 10 | 150 | $100 | $142.1K |
| 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… | 13 | 20 | 140 | $110 | $35.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 10 | 20 | 120 | $60 | $35.1K |
| 99204 | The 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… | 7 | 20 | 60 | $140 | $20.8K |
| 99495 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,… | 1 | 10 | 50 | $160 | $7.2K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 1 | 10 | 40 | $120 | $4.9K |
| G0008 | Administration of influenza virus vaccine | 7 | 10 | 100 | $10 | $830 |
| 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… | 9 | 10 | 100 | $1 | $580 |
Other providers in the same ZIP code as Peter Kh Go, 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 |
| Leopoldo Arcilla | GU | Internal Medicine Physician | $81.3K | $1.5M |
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