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.

Amy Reisenauer (NPI 1104927110)

Field	Value
Entity Type	Individual
Organization	Amy Reisenauer
Address	1300 N Holopono St Ste 215
City	Kihei
State	HI
ZIP	96753
Taxonomy	Dermatopathology Physician
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicare	$389K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in a mixed dermatology/dermatopathology practice model: the top revenue codes are 88305 (surgical pathology level IV, $126.2K, 32.4% of Medicare revenue), 99213 (established office E/M, $73K, 18.7%), and 11102 (single lesion shave biopsy, $38.5K, 9.9%), and the precomputed top-3 codes together account for 61.0% of this provider's total Medicare revenue. The combination of high-revenue anatomic pathology interpretation (88305) with high-volume office visits and skin biopsy codes indicates the provider both performs clinic procedures and reads pathology specimens rather than operating purely as a non-procedural pathologist or as a procedural dermatologist alone.

Revenue scale and payer mix are highly concentrated: total Medicare revenue is $389K while there is no Medicaid billing on file. In practical terms this provider is effectively single-payer from a public program perspective, with Medicare representing the entire reported public-payor revenue stream and Medicaid contributing none.

Competitive standing on Medicare is mixed by service line. For the top pathology code 88305 the provider ranks #1408 of 14580 (90th percentile) which signals above-average but not dominant national participation in surgical pathology interpretation; by contrast the office E/M code 99213 ranks #4453 of 457151 (99th percentile) and is labelled an “extreme outlier, far above typical national volume,” indicating unusually high office-visit volume relative to national peers.

Procedure-level biopsy and lesion-management codes show consistently above-typical activity. The shave biopsy 11102 ranks #1043 of 18797 (94th percentile; notably above typical national volume), and lesion destruction codes 17000, 17004, and add-on 17003 are all in the upper percentiles (17000 at 94th, 17004 at 90th, 17003 at 95th) which together point to a steady procedural dermatology caseload focused on skin lesion removal and destruction.

The modality mix supports a workflow where clinic encounters generate both in-office procedures and specimens for histopathology: beyond 88305 and 11102, other pathology and immunostain codes such as 88312, 88342, 88304 appear on the roster, while procedural codes 17110, 11103, and 1726x series contribute additional lesion-management revenue. This pattern is consistent with a clinician who performs biopsies and lesion treatments and also bills for pathology interpretation or is closely integrated with pathology services.

Tenure and local footprint: the provider’s NPI was enumerated on 2006-09-25 (~20 years ago), indicating long-standing Medicare participation which can support stable referral and specimen volumes over time. That longevity, combined with the high 99213 volume, suggests an established outpatient practice with a sustained patient panel.

Overall revenue concentration is notable: a single pathology code plus two high-volume office/biopsy codes make up the majority of Medicare receipts (top 3 = 61.0%), which implies revenue sensitivity to changes in referral, biopsy rate, or reimbursement for those specific services. Analysts should view shifts in utilization or policy affecting 88305, 99213, or 11102 as likely to disproportionately affect this provider’s Medicare revenue.

Absence of Medicaid activity is operationally meaningful for payers and network planners: the practice reports no Medicaid billing on file, so state Medicaid networks and utilization patterns will not be informed by this provider’s claims experience. For competitive analysis within Hawaii, this means the provider’s measurable public-program activity is limited to Medicare and should be treated as effectively single-payer in Medicaid-influenced market models.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,380	$50	$126.2K
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…	1,160	$60	$73K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	520	$70	$38.5K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	810	$40	$31.5K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	180	$140	$25.4K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	3,170	$10	$19K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	200	$90	$18K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	360	$40	$15.7K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	70	$130	$9.5K
17261	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 0.6 cm to 1.0 cm in…	90	$100	$8.9K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Amy Reisenauer — 7 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	3	50	460	$40	$35.1K
17004	11	40	80	$130	$18.3K
99214	1,269	1,440	100	$80	$15.2K
17110	16	70	110	$80	$11.4K
88341	32	30	230	$40	$9.8K
99213	8	1,460	70	$60	$8.4K
11102	1	60	100	$70	$8.2K
17000	2	80	140	$40	$7.7K
17262	3	20	30	$120	$5.4K
88342	28	40	90	$50	$5.3K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Mccalmont	CA	Dermatopathology (Pathology) Physician	$1M	$0
Seaver Soon	CA	Dermatology Physician	$642.9K	$0
Alan Song	HI	MOHS-Micrographic Surgery Physician	$84.5K	$0
Crystal Yamada	HI	Family Nurse Practitioner	$17.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cally L. Adams, Dds, LLC	HI	Pediatric Dentistry	$0	$2.6M
Pacific Island Consulting LLC	HI	Community/Behavioral Health Agency	$0	$607.6K
South Shore Physical Therapy & Sportsmedicine, Inc	HI	Physical Therapy Clinic/Center	$0	$498.7K
Bocha, LLC	HI	Developmentally Disabled Services Day Training Agency	$0	$406.8K
Maui Pediatric Dentistry	HI	Pediatric Dentistry	$0	$303.1K
N B Murthi Md PC	HI	Psychiatry Physician	$0	$240.4K
Kihei-wailea Medical Center. LLC	HI	Specialist	$0	$175.1K
Heather Bejenaru	HI	Family Medicine Physician	$172.8K	$0
George M Martin Md, Inc	HI	Specialist	$0	$152.6K
Joann Lepke	HI	Family Nurse Practitioner	$150.8K	$0

Amy Reisenauer — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References