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.

Kimberly Mora (NPI 1154864064)

Field	Value
Entity Type	Individual
Organization	Kimberly Mora
Address	888 S King St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	November 25, 2016

Payer Source	Total Paid
Medicare	$12.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	60	$50	$3.3K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$90	$2.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$60	$1.9K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	40	$50	$1.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$120	$1.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$80	$1.5K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	20	$20	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Kimberly Mora — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	290	320	110	$90	$16.1K
99232	274	390	70	$60	$8.6K
99223	301	340	30	$130	$6.9K
99498	4	10	40	$60	$6.1K
99497	43	130	40	$60	$4.2K
99222	82	210	20	$100	$3.1K
G0316	12	10	50	$20	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
Meridian Medical Group - Specialty Care, PC	NJ	Specialist	$0	$8.2M
Aristotelis Vlahos	NJ	Cardiovascular Disease Physician	$856.9K	$0
Pali Momi Medical Center	HI	Multi-Specialty Clinic/Center	$0	$599.4K
Matthew Samra	NJ	Vascular Surgery Physician	$598.5K	$0
Jorge Corzo	NJ	Physical Medicine & Rehabilitation Physician	$401.2K	$0
Arthur Demarsico	NJ	Vascular Surgery Physician	$310.2K	$0
Vinh Trang	WA	Hematology & Oncology Physician	$280.9K	$0
Anthony Yudd	NJ	Nuclear Radiology Physician	$265.5K	$0
Ellen Conner	NJ	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$248.2K	$0

Kimberly Mora — Billing Profile & Reimbursement Data

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Kimberly Mora — 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

Frequently Asked Questions

References