Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sir Akoma Medical Services

Sir Akoma Medical Services was paid $884K by Medicaid between May 2019 and Aug 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoSIR AKOMA MEDICAL SERVICES
TAMUNING, GU 96913
33aNPI1144702473assigned 09/04/2018
28Total paid$884K
24GClaims9,424
24DCodes billed14
24AFirst – last monthMay 2019 – Aug 2024
Compared with peers

Next to other Family Medicine Physician providers in Guam

Rank by total paid#2 of 7
Median peer was paid$549K
This provider vs. median1.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20191,123$89K
20201,731$144K
20211,915$201K
20221,599$166K
20232,218$211K
2024incomplete838$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 4,829 4,560 $430K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 36% 3,092 2,995 $321K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 5.4% 338 337 $48K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.1% 405 399 $45K
99383 1.6% 109 108 $14K
99384 <1% 53 53 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 45 45 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 26 26 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 61 60 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 117 115 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 13 13 $2K
86580 <1% 184 182 $2K
2 more codes
99490 Ccm add 20min <1% 140 $44.66
99406 0% 12 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialAKOMA, UGOCHUKWU (MEDICAL DIRECTOR)