Guam Medicare Revenue Analysis
CMS Medicare Physician & Other Practitioners data
Guam has 207 Medicare providers who collectively received $16.7M in Medicare payments, averaging $80K per provider. Guam providers earn moderate Medicare revenue per provider, with significant opportunity to capture additional revenue through program enrollment and coding optimization.
The most common specialty is Internal Medicine with 35 providers, followed by Nurse Practitioner (23) and Family Practice (22). Internal Medicine providers in Guam average $79K annually, with room to grow through CCM, RPM, and AWV program adoption.
The largest Medicare provider concentration is in Tamuning (117 providers), with Dededo and Sinajana also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.
Total Providers
207
in Guam
Total Medicare Payment
$16.7M
Avg Payment / Provider
$80K
Total Services
535K
Guam Performance Signals
Revenue per Provider
$80,436
+0.9% vs benchmark · national avg $79,744
Provider Market Share
0.0% of US
-99.1% vs benchmark · 207 providers
CCM Adoption
3.9%
-65.7% vs benchmark · national 11.3%
RPM Adoption
0.5%
-92.5% vs benchmark · national 6.5%
AWV Completion
7.2%
-58.5% vs benchmark · national 17.5%
Key Stats
How This Compares
Top Opportunities
How Guam Compares
Top Revenue Opportunities in Guam
Chronic Care Management (99490)
Only 3.9% of providers bill CCM vs 11.3% national average. 15 additional providers could adopt CCM to close this gap.
Remote Patient Monitoring (99454)
RPM adoption is 0.5% vs 6.5% nationally. 12 providers could implement RPM programs.
Annual Wellness Visits (G0438/G0439)
AWV completion at 7.2% trails the 17.5% national average. 21 additional providers could offer AWV services.
Market Opportunities by Specialty
Top Specialties in Guam
| Specialty | Providers | Avg Payment |
|---|---|---|
| Internal Medicine | 35 | $79K |
| Nurse Practitioner | 23 | $25K |
| Family Practice | 22 | $46K |
| Emergency Medicine | 16 | $34K |
| Physician Assistant | 14 | $26K |
| Diagnostic Radiology | 12 | $182K |
| General Surgery | 9 | $38K |
| Certified Registered Nurse Anesthetist (CRNA) | 7 | $13K |
| Physical Therapist in Private Practice | 7 | $29K |
| Orthopedic Surgery | 5 | $66K |
| Optometry | 5 | $11K |
| Interventional Radiology | 4 | $605K |
| Ophthalmology | 4 | $271K |
| Anesthesiology | 4 | $17K |
| Podiatry | 3 | $18K |
| Ambulance Service Provider | 3 | $333K |
| Urology | 3 | $87K |
| Hematology-Oncology | 3 | $217K |
| Ambulatory Surgical Center | 2 | $382K |
| Dermatology | 2 | $327K |
Top 50 Providers in Guam
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