Family Medicine in Guam
10 providers, $5,437 in total reported payments from drug and device makers. Ranked below by lifetime general payments.
Ranking high here usually means a consulting or royalty arrangement, not wrongdoing. Payments to device inventors and trial investigators are legal, disclosed, and concentrated in a small number of people — which is exactly why a list like this has a steep top and a long flat tail.
What Medicare pays family medicine clinicians in Guam
Across 6 family medicine clinicians in Guam who billed Original Medicare Part B in 2024, Medicare allowed $515,060 in total — an average of $85,843 each, of which $79,019 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
Ranked by reported payments
- 1James NozakiTamuning$4,134
- 2Amylie RojasTamuning$1,073
- 3Kelli JarrettTamuning$93
- 4Daniel DebardelebenTamuning$43
- 5Esther GuardTamuning$29
- 6Karlene HartLithonia$22
- 7Amanda WallerAgana Heights$17
- 8Maria Chela MarianoDededo$15
- 9Scott MeteerTamuning$12
- 10Julie NammTamuning$0