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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. Guam

Guam Medicare Spending

Medicare provider payments and utilization data for Guam (GU)

🔎 Data Analysis

Guam received $132.6M in total Medicare provider payments across 10 years of data.

The top specialty by spending is Internal Medicine, accounting for $2.8M in payments across 35 providers.

In 2023, 207 providers were actively billing Medicare in Guam.

Annual Medicare spending grew 74% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Total Payments (10yr)
$132.6M
+5.4% vs 2022
Active Providers (2023)
207
534.9K services
Top Specialty
Internal Medicine
$2.8M total
Specialties
30
$80.4K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$9.6M403.1K129—
2015$11.5M387.1K152+20.6%
2016$10.4M250.9K166-9.8%
2017$11.3M271.5K180+8.5%
2018$12.0M326.8K187+6.6%
2019$13.9M345.9K193+15.5%
2020$14.4M342.3K196+3.5%
2021$17.1M371.4K204+19.2%
2022$15.8M440.8K200-7.8%
2023$16.7M534.9K207+5.4%

Top Providers in Guam

#ProviderSpecialtyPaymentsServices
1Scott ShayInterventional Radiology$1.2M28.5K
2Jeffery ShayInterventional Radiology$987.9K19.5K
3Guam Surgicenter, LlcAmbulatory Surgical Center$713.5K888
4Access Medical TransportAmbulance Service Provider$706.1K18.8K
5Hoseong YangDermatology$645.2K8.3K
6Yoichi InabaDiagnostic Radiology$575.9K8.3K
7Peter LombardOphthalmology$575.7K4.0K
8Georgey EasowInternal Medicine$539.5K5.9K
9Nathaniel BergDiagnostic Radiology$513.2K38.5K
10Unknown MallikarjunappaDiagnostic Radiology$391.1K91.3K
11Samuel FriedmanHematology-Oncology$351.7K69.9K
12Matthew KlocekOphthalmology$331.1K2.1K
13Ashish KhandelwalDiagnostic Radiology$309.3K62.4K
14Samir AmbraleHematology-Oncology$292.2K24.4K
15Guam Fire DepartmentAmbulance Service Provider$277.5K2.0K
16Guam Surgicenter, LlcRadiation Therapy Center$249.5K1.6K
17Robert NervesNephrology$238.7K2.1K
18Jarod GoodrichOrthopedic Surgery$238.7K3.5K
19Peachy Mae Piana-PachecoInterventional Radiology$223.2K4.4K
20Ramel CarlosNeurology$189.5K4.7K
21Jonathon ThorpInternal Medicine$188.8K4.9K
22Sherif PhilipsInternal Medicine$175.0K638
23Hieu CampusFamily Practice$164.2K2.4K
24Andrew GravesDiagnostic Radiology$163.4K16.4K
25Joel Marc RubioInternal Medicine$158.9K2.1K

Most Billed Procedures in Guam

CodeDescriptionPaymentsServicesProviders
99214Established patient office or other outpatient visit, 30-39 minutes$2.4M27.3K92
99213Established patient office or other outpatient visit, 20-29 minutes$1.0M17.8K98
37225Removal of plaque in arteries of leg$650.6K1032
A0428Ambulance service, basic life support, non-emergency transport, (bls)$591.8K3.2K3
66984Removal of cataract with insertion of prosthetic lens$522.5K8035
37229Removal of plaque in artery of leg, initial vessel$442.7K562
J0178Injection, aflibercept, 1 mg$419.2K6322
90960Dialysis services, 4 or more physician visits per month (20 years or older)$371.9K1.4K5
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$364.0K6.0K30
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist$359.3K3362
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$330.4K3.6K20
99204New patient office or other outpatient visit, 45-59 minutes$301.2K2.7K45
99215Established patient office or other outpatient visit, 40-54 minutes$277.2K2.4K19
99285Emergency department visit with high level of medical decision making$258.1K1.9K17
A0429Ambulance service, basic life support, emergency transport (bls-emergency)$257.1K1.8K1
92014Established patient complete exam of visual system$205.6K2.5K9
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function$189.2K2.6K5
36906Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist$181.5K372
96910Therapy procedure using ultraviolet radiation with tar or petroleum jelly application$171.9K1.6K1
J0897Injection, denosumab, 1 mg$170.2K9.2K1

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Internal Medicine$2.8M35$78.7K
Interventional Radiology$2.4M4$605.0K
Diagnostic Radiology$2.2M12$181.8K
Ophthalmology$1.1M4$271.3K
Family Practice$1.0M22$45.7K
Ambulance Service Provider$997.8K3$332.6K
Ambulatory Surgical Center$764.5K2$382.3K
Dermatology$653.2K2$326.6K
Hematology-Oncology$651.3K3$217.1K
Nurse Practitioner$565.6K23$24.6K
Emergency Medicine$545.0K16$34.1K
Physician Assistant$363.9K14$26.0K
General Surgery$341.0K9$37.9K
Orthopedic Surgery$330.5K5$66.1K
Nephrology$306.8K2$153.4K
Urology$261.4K3$87.1K
Radiation Therapy Center$249.5K1$249.5K
Neurology$208.5K2$104.2K
Physical Therapist in Private Practice$203.7K7$29.1K
Otolaryngology$127.3K1$127.3K
Endocrinology$109.8K1$109.8K
Certified Registered Nurse Anesthetist (CRNA)$90.2K7$12.9K
Medical Oncology$90.0K2$45.0K
Anesthesiology$66.7K4$16.7K
Optometry$56.4K5$11.3K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.