Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Castle Physician Network (NPI 1043974538)

Field	Value
Entity Type	Organization
Organization	Castle Physician Network
Address	660 Kailua Rd
City	Kailua
State	HI
ZIP	96734
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	October 29, 2021

Payer Source	Total Paid
Medicaid	$353.5K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,490	$70	$101K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,490	$60	$81.8K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,800	$40	$66.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	290	$90	$24.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	380	$60	$24.1K
S9088	Services provided in an urgent care center (list in addition to code for service)	1,350	$20	$23K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	250	$80	$20.2K
0241U	N/A	70	$120	$7.7K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	90	$40	$3.2K
99442	N/A	20	$50	$1.1K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

Castle Physician Network — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	239	710	650	$90	$274.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	219	690	650	$90	$235.4K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	21	30	1,040	$50	$157.3K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	20	50	980	$30	$111.1K
0241U	N/A	17	20	730	$50	$100K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	19	20	850	$50	$89.6K
99442	N/A	46	60	80	$130	$67.7K
S9088	Services provided in an urgent care center (list in addition to code for service)	19	40	1,230	$10	$65.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	45	170	120	$70	$35.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	38	170	70	$90	$23.3K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Castle Physician Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Medical Center	HI	Clinic/Center	$0	$628.9K
Us Med Urgent Care	HI	Urgent Care Clinic/Center	$0	$256.1K
Steven Ito	HI	Family Nurse Practitioner	$228.7K	$0
Us Med Urgent Care, LLC	HI	Urgent Care Clinic/Center	$0	$102.5K
Mark Chung	HI	Family Medicine Physician	$48.1K	$0
Kimberly Danks	HI	Family Nurse Practitioner	$40.4K	$0
Christopher Dubuque	HI	Internal Medicine Physician	$37.1K	$0
Jason Woo	HI	Emergency Medicine Physician	$31K	$0
Jose Almeida	HI	Emergency Medicine Physician	$30.5K	$0
Keith Stephenson	HI	General Practice Physician	$16.2K	$0

Nearby Providers

Other providers in the same ZIP code as Castle Physician Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Medical Center	HI	General Acute Care Hospital	$0	$37.6M
Hawaii Emergency Physicians Associated Inc	HI	Emergency Medicine Physician	$0	$20.2M
Howard Y Kim Dds Inc	HI	Pediatric Dentistry	$0	$3.3M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Pacific Island Medical, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Hawaii Dermatology Centers, Inc	HI	Specialist	$0	$1.4M
Medical Clinic, Inc.	HI	Multi-Specialty Clinic/Center	$0	$1.3M
Kupunaride Corporation	HI	Non-emergency Medical Transport (VAN)	$0	$943.9K
Stuart Lerner, M.d. LLC	HI	Family Medicine Physician	$0	$920.4K
Windward Heart Center LLC	HI	Cardiovascular Disease Physician	$0	$885K

Castle Physician Network — Billing Profile & Reimbursement Data

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Castle Physician Network — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References