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.

Women's Specialty Care LLC (NPI 1164086294)

Field	Value
Entity Type	Organization
Organization	Women's Specialty Care LLC
Address	970 N Kalaheo Ave Ste A108
City	Kailua
State	HI
ZIP	96734
Taxonomy	Maternal & Fetal Medicine Physician
NPI Enumerated	April 24, 2019

Payer Source	Total Paid
Medicaid	$184.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	600	$140	$83.5K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	1,100	$60	$68K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	200	$90	$17.3K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	170	$60	$9.7K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	80	$80	$6.3K
S9999	Sales tax	220	$0	$0

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

Women's Specialty Care LLC — 0 of 5 codes 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	7	20	460	$160	$227.9K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	8	10	1,110	$80	$141K
76805	In this procedure, the provider performs an ultrasound of a pregnant uterus for examination of the first or a single fetus and to examine the mother after the first trimester, or more than 14 weeks…	8	20	70	$110	$105.1K
76813	The provider uses either a transabdominal or transvaginal ultrasound to measure the fetal nuchal translucency, or the clear, fluid–filled space at the back of the neck, of the first or a single…	6	10	1,210	$60	$76.8K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	2	10	170	$50	$6.3K
S9999	Sales tax	117	240	200	$1	$820

Nearby Providers

Other providers in the same ZIP code as Women's Specialty Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Medical Center	HI	General Acute Care Hospital	$0	$37.6M
Hawaii Emergency Physicians Associated Inc	HI	Emergency Medicine Physician	$0	$20.2M
Howard Y Kim Dds Inc	HI	Pediatric Dentistry	$0	$3.3M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Pacific Island Medical, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Hawaii Dermatology Centers, Inc	HI	Specialist	$0	$1.4M
Medical Clinic, Inc.	HI	Multi-Specialty Clinic/Center	$0	$1.3M
Kupunaride Corporation	HI	Non-emergency Medical Transport (VAN)	$0	$943.9K
Stuart Lerner, M.d. LLC	HI	Family Medicine Physician	$0	$920.4K
Windward Heart Center LLC	HI	Cardiovascular Disease Physician	$0	$885K

Women's Specialty Care LLC — Billing Profile & Reimbursement Data

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Women's Specialty Care LLC — 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