NEVVI Medicare utilization intelligence

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GENERAL CONFERENCE CORP OF SDA

PAC 6608777628 Physician group
FAMILY PRACTICE · TAMUNING, GU · hospital-affiliated
Specialty FAMILY PRACTICE — most common member specialty (multi-specialty groups carry one label; see Methods)
Footprint Registered in TAMUNING, GU · bills Medicare in 6 states (AP, CA, GU, HI, MS, TX)
Scale 50 providers on the CMS registry roster · 105 codes billed (five-year data window) · 32,008 services (all billed codes, CY2024)
Medicare paid $1.1M · across all billed codes, CY2024, attributed & disclosed
Affiliation Hospital-affiliated — at least one member holds a hospital affiliation in the CMS registry
Contact (671) 646-8881 — CMS registry listing
CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · figures are attributed (single-group clinicians) and disclosed fee-for-service — a subset, never complete totals · group series shown over the most recent 5 years (rosters archived from 2019)
Group analytics

Who's billing in this group, plus the paid volume analytics · CY2024

Clinician makeup · CY2024
Physicians 23Advanced-practice 10Other clinicians 2= 35 clinicians billed · CY2024
By clinician headcount, CY2024. 'Physician' follows Medicare's §1861(r) definition (MD/DO, podiatry, optometry, dental medicine, chiropractic); facility and supplier enrollments are not counted as clinicians. These 35 are the clinicians who billed in CY2024 — a subset of the all-time registry roster shown on the group's identity card.

Billed 73 of the group's 105 codes this year, across 4 states (CY2024).

The full analytics for this group

Premium

The billed-volume rank, trajectory, and economics behind this group — computed on the same disclosed Medicare Part B data.

What Medicare paid this group in CY2024 is on the group's identity card — free, on every tier. Premium breaks that figure down per code and per service, and puts the volume behind it in national and peer context.

  • Per-code payment breakdown & avg $/service — dollars behind the volume
  • Beneficiary-episode volume — reach, not just service counts
  • Office vs. facility setting mix — place-of-service code split
  • National billed-volume rank — percentile, cohort & year disclosed
  • Size-peer billed-volume benchmark — vs. groups of similar size
  • Top-3 clinician share — how volume distributes
  • 5-year volume trend — direction across the window
  • Business mix — largest codes by payment

Rank and benchmark figures are billed-volume positions among peers, not measures of care. All figures attributed (single-group clinicians) and disclosed Medicare Part B fee-for-service.

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Medicare Part B FFS · CY2024 · as published by CMS

Provider volumes, all codes · CY2024

NPIProviderCredentialsTypeCitySt Services (all codes) locked column
1912226713 Miyagi, Shishin M.D Family Practice Loma LindaCA premium
1720279268 Santos, Isaias P.T. Physical Therapist in Private Practice TamuningGU premium
1669604062 Santana, Jared MD Internal Medicine Fort WorthTX premium
1770586117 Oh, William M.D. Orthopedic Surgery TamuningGU premium
1598253379 Debardeleben, Daniel MD Family Practice TamuningGU premium
1124104195 Flores, Lisa M.D. Family Practice TamuningGU premium
1669744983 Golez, Rolan RPT Physical Therapist in Private Practice TamuningGU premium
1265169395 Hany, Ginger PA-C Physician Assistant TamuningGU premium
1992204580 Sto Nino, Gemma FNP Nurse Practitioner TamuningGU premium
1174808117 Ohno, Khampho Physician Assistant TamuningGU premium
1700659604 Kasperbauer, Caressa PA-C Physician Assistant TamuningGU premium
1356601090 Heinrich, Tina PA-C Physician Assistant TamuningGU premium
1417673393 Shironishi, Shion Nurse Practitioner TamuningGU premium
1487711982 Storey, Jeannette O.D. Optometry TamuningGU premium
1093304941 Thorp, Allison FNP Nurse Practitioner TamuningGU premium
1093702615 Kim, John OD Optometry TamuningGU premium
1184687535 Allen, David M.D. Internal Medicine SonoraCA premium
1811213523 Iizuka, Koji M.D. Psychiatry HonoluluHI premium
1538451588 Bathini, Leon · member of 4 groups MD Family Practice San BernardinoCA premium
1942255757 Garrison, Martha · member of 7 groups MD Diagnostic Radiology DecaturGA premium
1447364062 Hardesty, Jeffrey · member of 2 groups M.D. Obstetrics & Gynecology Loma LindaCA premium
1457300923 Hong, David · member of 2 groups P.A. Physician Assistant TamuningGU premium
1871600114 Ing, Jeffrey · member of 2 groups M.D. Ophthalmology StocktonCA premium
1821010109 Johnson, Chadwick · member of 2 groups ACNP Nurse Practitioner College StationTX premium
1497381354 Lee, Eun Jee · member of 2 groups MD Hospitalist Loma LindaCA premium
1821204413 Mahajan, Varun · member of 5 groups M.D. Diagnostic Radiology Chapel HillNC premium
1700143468 Minshew, Lindsey · member of 4 groups MD Diagnostic Radiology MiamiFL premium
1437228541 Nozaki, James · member of 2 groups M.D. Family Practice TamuningGU premium
1891790614 Oh, Daniel · member of 2 groups M.D. General Surgery Santa MariaCA premium
1427482280 Rizer, Magda · member of 8 groups D.O. Diagnostic Radiology Fort WorthTX premium
1104489475 Rojas, Amylie · member of 3 groups MD Family Practice TamuningGU premium
1417628306 Taneva-Cholakova, Elena · member of 3 groups FNP-BC Nurse Practitioner TamuningGU premium
1720344732 Thorp, Jonathon · member of 2 groups M.D. Internal Medicine TamuningGU premium
1710118906 Ursales, Anna Leigh Christine · member of 2 groups MD Internal Medicine Loma LindaCA premium
1164595807 Wilkens, Keith · member of 2 groups MD Family Practice SpokaneWA premium

Volumes are attributed to a group only for clinicians affiliated with exactly one group. Clinicians in several groups are listed ("member of N groups") but shown as "—" — their volume is not attributed to any single group. A "—" on a single-group clinician means CMS suppressed the figure (fewer than 11 beneficiaries), never zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average Medicare payment is the amount Medicare actually paid per service, weighted by service volume across office and facility settings. Where the roster is a single clinician, that clinician's service counts match the group's attributed volume shown on the ranked results, so they are shown here; the per-provider split across a larger roster is a premium feature. See Methods & Sources.