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.

Waikiki Health (NPI 1093156119)

Field	Value
Entity Type	Organization
Organization	Waikiki Health
Address	935 Makahiki Way
City	Honolulu
State	HI
ZIP	96826
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 17, 2013

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0140	Limited oral evaluation – problem focused	6,250	$290	$1.8M
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…	6,270	$110	$715.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	4,180	$80	$342.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	1,280	$200	$258K
D9999	N/A	640	$290	$186.5K
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…	650	$140	$87.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	540	$140	$73.3K
Q3014	Telehealth originating site facility fee	580	$20	$9.3K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$150	$4.1K
99442	N/A	20	$210	$3.1K

Showing 1–10 of 45

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

Waikiki Health — 1 of 19 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

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	19	20	2,200	$280	$1.6M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	24	70	370	$150	$457.3K
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…	74	710	650	$90	$274.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	9	30	1,850	$60	$248.9K
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…	344	690	650	$90	$235.4K
D0140	Limited oral evaluation – problem focused	6	120	400	$140	$150.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	59	190	190	$100	$122.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	439	440	500	$90	$116.1K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	13	10	610	$70	$111.5K
99442	N/A	49	60	80	$130	$67.7K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waikiki Health	HI	Federally Qualified Health Center (FQHC)	$0	$22.3M
Robert Aki	HI	Podiatrist	$58.9K	$960.1K
Jonathan Aki	PA	Emergency Medicine Physician	$30.2K	$0
Kyle Oroku	HI	Optometrist	$7.2K	$0
Seulyn Au	HI	Optometrist	$3.6K	$0

Nearby Providers

Other providers in the same ZIP code as Waikiki Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kapiolani Medical Center For Women & Children	HI	Children's Hospital	$0	$102.4M
Emergency Medicine Physicians Of Honolulu Kapiolani, LLC	HI	Emergency Medicine Physician	$0	$7.9M
Usrc Beretania, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.3M
Kapiolani Medical Specialists	HI	Multi-Specialty Clinic/Center	$0	$5.1M
Hawaii Anesthesia Group Inc	HI	Anesthesiology Physician	$0	$3.6M
Kapiolani Medical Center For Women & Children	HI	Multi-Specialty Clinic/Center	$0	$3.3M
Shriners Hospitals For Children	HI	Children's Hospital	$0	$2.8M
Pediatric Ophthalmology Associates Of Hawaii Inc	HI	Ophthalmology Physician	$0	$1.7M
Dentistry For Children Inc.	HI	Pediatric Dentistry	$0	$1.5M
Peggy Liao	HI	Ophthalmology Physician	$3.3K	$968K

Waikiki Health — Billing Profile & Reimbursement Data

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Waikiki Health — 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