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.

Kapaa Physical Therapy Inc (NPI 1063863637)

Field	Value
Entity Type	Organization
Organization	Kapaa Physical Therapy Inc
Address	4-1579 Kuhio Hwy Ste 209
City	Kapaa
State	HI
ZIP	96746
Taxonomy	Physical Therapist
NPI Enumerated	June 24, 2016

Payer Source	Total Paid
Medicaid	$141.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	2,220	$60	$126.3K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	640	$20	$14.7K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	20	$40	$650

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

Kapaa Physical Therapy Inc — 0 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	39	110	1,000	$40	$108.5K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	46	90	690	$20	$47.3K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	19	20	90	$60	$12.9K

Nearby Providers

Other providers in the same ZIP code as Kapaa Physical Therapy Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Mahelona Memorial Hospital	HI	Critical Access Hospital	$0	$7M
Mark A. Baird D.d.s. Inc	HI	General Practice Dentistry	$0	$1.4M
Kapaa Pediatrics LLC	HI	Pediatrics Physician	$0	$349.1K
Jere Graham	HI	Adult Psychiatric/Mental Health Clinical Nurse Specialist	$17.6K	$186.9K
Longs Drug Stores California ,L.L.C.	HI	Pharmacy	$120.1K	$4.2K
Jeffrey Gatling	HI	Physical Therapist	$65.2K	$0
Amanda Gutierrez	HI	Orthopedic Physical Therapist	$57K	$0
Alana Goo-frazier	HI	Family Nurse Practitioner	$49.6K	$0
Ashok Kannan	HI	Geriatric Medicine (Internal Medicine) Physician	$43.3K	$0
Christopher Liloy	HI	Physical Therapist	$38.7K	$0

Kapaa Physical Therapy Inc — Billing Profile & Reimbursement Data

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Kapaa Physical Therapy Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References