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.

Mark Nishihara (NPI 1134330491)

Field	Value
Entity Type	Individual
Organization	Mark Nishihara
Address	98-1079 Moanalua Rd
City	Aiea
State	HI
ZIP	96701
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 25, 2007

Payer Source	Total Paid
Medicare	$104K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	180	$270	$48K
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…	730	$50	$32.8K
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…	210	$40	$8.8K
G0009	Administration of pneumococcal vaccine	180	$30	$5.5K
99442	N/A	60	$60	$3.3K
99441	N/A	90	$40	$3.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$40	$920
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	$40	$680
G0008	Administration of influenza virus vaccine	20	$30	$540
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$20	$350

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Mark Nishihara — 3 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	53	1,440	100	$80	$15.2K
90677	1	130	30	$280	$12.2K
99213	301	1,460	70	$60	$8.4K
G0439	199	260	50	$110	$8.1K
G0438	15	30	20	$150	$4.1K
G0008	245	310	40	$30	$4K
99442	18	90	20	$60	$2.7K
99441	10	60	30	$40	$2K
93000	167	180	30	$10	$1K
G0009	1	140	30	$20	$800

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jay Marumoto	HI	Sports Medicine (Orthopaedic Surgery) Physician	$103.6K	$0
Marissa Takase	HI	Internal Medicine Physician	$89.6K	$0
Malissa Iida-takashima	HI	Internal Medicine Physician	$79.1K	$0
Francis Buto	HI	Internal Medicine Physician	$71K	$0
Keolamau Yee	HI	Internal Medicine Physician	$54K	$0
Michael Mihara	HI	Internal Medicine Physician	$47.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diagnostic Laboratory Services, Inc	HI	Clinical Medical Laboratory	$10.5M	$46M
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
Dlmc, Inc.	HI	Home Health Agency	$0	$39.5M
Usrc Pearlridge, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M
International Life Support Inc	HI	Ambulance	$1.2M	$8.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.8M
Pharmacare International, Inc.	HI	Community/Retail Pharmacy	$125.1K	$4.7M
Emergency Medicine Physicians Of Honolulu Pali Momi, LLC	HI	Emergency Medicine Physician	$0	$4.2M
Absolute Care Management Services	HI	Point of Service	$0	$3.2M
Derek B Tom Dds LLC	HI	Pediatric Dentistry	$0	$2.6M

Mark Nishihara — Billing Profile & Reimbursement Data

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Mark Nishihara — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References