Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $288 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
303
Rank: 9th
out of 21 providers in this state & specialty
Services
Performed
1,891
Rank: 6th
out of 21 providers in this state & specialty
Avg Services
Per Patient
6.2 This Provider
Avg 4.9
Total Paid
by Medicare
$89K
Rank: 8th
out of 21 providers in this state & specialty
Avg Paid
Per Patient
$294 This Provider
Avg $288

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 50 different services in 2015
(38 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
650
times performed,
34% of his services

1st 2nd

most performed service for this provider most performed service in this state & specialty

215
patients got this service, 71% of his patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$50,576.50an average of $77.81 per time performed $29,997.50
an average of $46.15 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
276
times performed,
15% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in GU perform this service

38
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
$11,166.96an average of $40.46 per time performed $8,575.32
an average of $31.07 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
172
times performed,
9% of his services

3rd 1st

most performed service for this provider most performed service in this state & specialty

112
patients got this service, 37% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.2)
$19,841.92an average of $115.36 per time performed $13,629.28
an average of $79.24 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
116
times performed,
6% of his services

4th 3rd

most performed service for this provider most performed service in this state & specialty

22
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$8,711.60an average of $75.10 per time performed $6,746.56
an average of $58.16 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ×

Service Code: Q2038
Performed in an office
109
times performed,
6% of his services

5th 8th

most performed service for this provider most performed service in this state & specialty

102
patients got this service, 34% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,325.44an average of $12.16 per time performed $1,274.21
an average of $11.69 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
108
times performed,
6% of his services

6th 6th

most performed service for this provider most performed service in this state & specialty

101
patients got this service, 33% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,041.28an average of $28.16 per time performed $2,971.08
an average of $27.51 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
70
times performed,
4% of his services

7th 7th

most performed service for this provider most performed service in this state & specialty

62
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$17,366.30an average of $248.09 per time performed $10,289.30
an average of $146.99 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
53
times performed,
3% of his services

8th 13th

most performed service for this provider most performed service in this state & specialty

46
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$4,075.17an average of $76.89 per time performed $3,100.50
an average of $58.50 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
44
times performed,
2% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in GU perform this service

39
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
$430.32an average of $9.78 per time performed $287.76
an average of $6.54 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in an office
44
times performed,
2% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in GU perform this service

39
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
$387.64an average of $8.81 per time performed $259.16
an average of $5.89 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
28
times performed,
1% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in GU perform this service

28
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$2,179.80an average of $77.85 per time performed $2,136.12
an average of $76.29 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
28
times performed,
1% of his services

12th 21st

most performed service for this provider most performed service in this state & specialty

28
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$793.52an average of $28.34 per time performed $777.56
an average of $27.77 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Vincent A Duenas
Average for Internal Medicine Providers in Guam

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Read our methodology.