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.

Edwina Reyes (NPI 1124209846)

Field	Value
Entity Type	Individual
Organization	Edwina Reyes
Address	92-6043 Makeke St
City	Kapolei
State	HI
ZIP	96707
Taxonomy	Marriage & Family Therapist
NPI Enumerated	November 21, 2007

Payer Source	Total Paid
Medicaid	$138.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,520	$90	$138.5K

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

Edwina Reyes — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	106	440	500	$90	$116.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usrc Kapolei, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Responsive Caregivers Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc West Oahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Family Tree Project, LLP	HI	Community/Behavioral Health Agency	$0	$1.5M
Kidshine Kapolei LLC	HI	Dental Clinic/Center	$0	$1.5M
Dean T. Sueda D.d.s., M.s. Inc	HI	Pediatric Dentistry	$0	$1.4M
Wendell Danforth	HI	Ophthalmology Physician	$974.5K	$0
Workstar Occupational Health Systems Inc	HI	Occupational Medicine Physician	$0	$911.7K

Edwina Reyes — Billing Profile & Reimbursement Data

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Edwina Reyes — 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