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.

Gurusamy Inc. (NPI 1942277967)

Field	Value
Entity Type	Organization
Organization	Gurusamy Inc.
Address	655 Harmon Loop Rd Ste 102
City	Dededo
State	GU
ZIP	96929
Taxonomy	Family Medicine Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicaid	$56.7K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively a Medicaid-only reporter with total Medicaid revenue of $56.7K; therefore payer-mix analysis should treat Medicaid as the sole material public payer for this NPI. The absence of Medicare claims contrasts with the NPI tenure and suggests the practice’s revenue activity, at least in public programs, is concentrated in state Medicaid rather than in Medicare populations.

Revenue is highly concentrated in a very small set of codes: the precomputed top three Medicaid codes (99349, 99213, K0001) account for 93.5% of this provider's total Medicaid revenue. Dollar shares are concentrated in 99349 ($25.7K, 45.3%) and 99213 ($22.4K, 39.5%), with K0001 contributing $5K (8.7%), indicating a narrow set of services drives nearly all Medicaid receipts.

The procedure mix points to a primary-care, home-visiting orientation with supplemental durable medical equipment supply. 99349 (401 claims, $64 avg/claim) is the single largest Medicaid revenue driver and represents home/residence E/M visits of substantial time or decision-making; 99213 (386 claims, $58 avg/claim) and 99214 (66 claims, $56 avg/claim) reflect routine established-patient office E/M care, while K0001 (84 claims, $59 avg/claim) shows DME activity through standard wheelchair provision. Together these codes imply the practice spends substantial provider time on direct patient encounters in both home and clinic settings and also dispenses basic mobility equipment.

Competitive standing is mixed: the provider ranks as the only in-state reporter for 99349 (ranks #1 of 1 providers in-state; no state peer volume comparison available), making it a unique in-state source for billed home-visit encounters, but its volume for standard office E/M is modest against peers. For 99213 the provider ranks #31 of 48 in-state (36th percentile; typical, unremarkable volume for this code) and for 99214 it ranks #29 of 35 (18th percentile; typical, unremarkable volume), indicating unremarkable outpatient visit volume relative to state peers. K0001 ranks #2 of 2 in-state (0th percentile; typical, unremarkable volume for this code), showing a small but present role in wheelchair provision.

The provider’s tenure is long: the NPI was enumerated on 2006-03-08 (~20 years ago). Despite two decades of registration, lifetime public-program revenue on file is limited to $56.7K in Medicaid, which may reflect a small practice scale, late entry into Medicaid billing, or limited public-payor participation.

Statistical standing of individual codes should be interpreted cautiously: 99349 is a standout in the dataset because it accounts for the single largest share of Medicaid revenue ($25.7K, 45.3%) and the provider is the sole in-state reporter for that code (no peer volume comparison available), while the remaining high-revenue codes are characterized in the source as "typical, unremarkable volume" for state peers. This combination—one uniquely reported high-share code plus several typical-volume codes—creates a concentrated-revenue profile that is not broadly replicated across other Medicaid codes.

Operational risk and business implications flow from the narrow revenue base: with nearly all Medicaid receipts coming from a small set of E/M and one DME code, the provider is exposed to reimbursement or utilization shifts for home visits and routine office E/M. Analysts and payers evaluating contracting or network adequacy should note the dependence on 99349 and 99213 revenues and that diversification beyond these services is limited in the Medicaid data.

For payers and competitive-intelligence purposes, the lack of Medicare billing combined with concentrated Medicaid activity suggests this NPI is not a traditional Medicare-focused ambulatory provider; instead, it functions as a small-scale Medicaid service point with notable home-visit capability and some DME supply. That profile may affect network inclusion decisions, referral patterns, and comparisons to larger multi-payer practices in the market.

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	400	$60	$25.7K
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…	390	$60	$22.4K
K0001	Standard wheelchair	80	$60	$5K
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…	70	$60	$3.7K

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

Gurusamy Inc. — 0 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. Guam median

4 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…	31	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…	29	40	630	$90	$172.1K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1	10	400	$60	$25.5K
K0001	Standard wheelchair	2	10	250	$100	$24K

Nearby Providers

Other providers in the same ZIP code as Gurusamy Inc., 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
Usrc Finegayan, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.5M
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

Gurusamy Inc. — Billing Profile & Reimbursement Data

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Gurusamy Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References