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    OpenPayerNPI Medicare & MedicaidMichael Roach
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    Michael Roach — Billing Profile & Reimbursement Data

    NPI 1114226735 · Honolulu, HI · Radiation Oncology Physician

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    Michael Roach is a radiation oncology physician provider located in Honolulu, Hawaii. This profile covers 24 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Roach
    Address2226 Liliha St Ste B2
    CityHonolulu
    StateHI
    ZIP96817
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedMarch 22, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$385.5K
    Medicaid$0

    Key Findings

    This provider's Medicare billing is specialized and heavily procedure-oriented, dominated by radiation therapy delivery and planning services. The top revenue-driving CPT/HCPCS codes are G6015, G6012 and 77014, and the top three Medicare codes account for 53.1% of total Medicare revenue, indicating a concentrated service mix focused on radiation treatment delivery and associated simulation/verification procedures.

    G6015 is the single largest revenue contributor with $125.5K (32.5% of Medicare revenue) across 406 claims, reflecting high-volume intensity-modulated treatment delivery activity; national rank for this code (#843 of 1429, 41st percentile) places the provider in the middle of peers for that service, which suggests typical local scale rather than market dominance.

    G6012 and 77014 contribute $41.2K (10.7%) and $38K (9.9%) respectively, supporting that much of revenue is generated by multi-field radiation delivery and frequent imaging/simulation services; both codes show typical, unremarkable volumes relative to national peers (G6012 at the 52nd percentile and 77014 at the 76th percentile).

    The provider performs stereotactic services at modest volume: 77373 and 77371 together make meaningful revenue ($26.4K and $21K respectively) and indicate capability in stereotactic body and radiosurgery treatments. However, national positioning differs — 77373 ranks at the 14th percentile (typical volume but lower among peers) while 77371 is ranked 3 of 3 providers (0th percentile) for this code, implying a very small national sample for that code and limited comparative interpretation.

    Operationally, the code mix (multiple IMRT, simulation, dosimetry, physics consultation and stereotactic codes such as 77334, 77290, 77336, 77301, 77295) indicates a full-service radiation oncology practice offering treatment planning and delivery plus ongoing physics support. The presence of both treatment delivery codes (G6015/G6012) and planning/dosimetry codes (77290, 77295, 77334) suggests integrated in-house planning and delivery rather than a purely consultative role.

    Payer mix is effectively single-payer: this provider reported Total Medicare revenue of $385.5K and has no Medicaid billing on file, so Medicare is the exclusive public-payer source in the dataset and accounts for the entire public revenue footprint. That concentrated payer exposure should be considered when evaluating reimbursement risk and patient population reach.

    Competitive standing across most reported codes is modest—many codes fall in mid-to-lower national percentiles (examples include G6015 at 41st, 77301 at 26th, 77334 at 85th percentile which is relatively higher but still characterized as typical). There are no strong indicators of national dominance in these Medicare services; the provider appears to be a regional practitioner with generally typical volumes for a radiation oncology clinician.

    Tenure in the Medicare program is long-standing: the NPI was enumerated on 2011-03-22 (~15 years ago), which supports an established presence in the market and likely accumulated experience delivering the radiation oncology services reflected in billing patterns.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session410$310$125.5K
    G6012Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev200$210$41.2K
    77014N/A830$50$38K
    77373This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…30$910$26.4K
    77371This code represents the technical component of stereotactic radiosurgery, in which a provider uses a three–dimensional coordinate system to locate small targets or lesions inside the brain and…10$1,910$21K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…20$810$19.5K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…100$150$14.9K
    G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy490$30$13.3K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.240$50$12.8K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…60$210$11.3K

    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

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6015710560$320$165K
    G6012510220$210$40.2K
    7737321030$910$27.3K
    7730191030$660$25.6K
    774271020100$150$21.6K
    77014620350$50$21.1K
    7737111010$1,910$21K
    992141,1821,440100$80$15.2K
    G6002410480$30$14.1K
    77336710180$70$12.4K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$9.8M
    Cancer Center Of Hawaii, LLCHIRadiation Oncology Clinic/Center$0$1.1M
    Ahsan UsmanILHospitalist Physician$306.9K$417.5K
    Alexander RyanILDiagnostic Radiology Physician$128.6K$564K
    Louba LaurieILDiagnostic Radiology Physician$184.7K$453.6K
    Pramod MenonLAInterventional Cardiology Physician$586.2K$0
    Michael FriedmanILDiagnostic Radiology Physician$145.5K$436.8K
    Chester HarrisonILDiagnostic Radiology Physician$178.2K$383.2K
    Richard LeeHIRadiation Oncology Physician$561K$0
    Michael GoldsteinMDRadiation Oncology Physician$549.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$42.8M
    Kalihi Palama Health CenterHIFederally Qualified Health Center (FQHC)$0$38.9M
    Careresource HawaiiHIHome Health Agency$0$12.8M
    Lanakila PacificHIHome Delivered Meals$0$11.7M
    Usrc Aloha LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.1M
    Kuakini Medical CenterHIGeneral Acute Care Hospital$0$10.9M
    Usrc Honolulu, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.1M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.3M
    Ku Aloha Ola MauHICounselor$220.5K$5.8M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Michael Roach — 0 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii