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.

Oahu Oral And Maxillofacial Surgery (NPI 1164948642)

Field	Value
Entity Type	Organization
Organization	Oahu Oral And Maxillofacial Surgery
Address	45-1144 Kam Hwy Ste 301
City	Kaneohe
State	HI
ZIP	96744
Taxonomy	Oral and Maxillofacial Surgery Clinic/Center
NPI Enumerated	August 16, 2017

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	4,350	$340	$1.5M
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	8,800	$150	$1.4M
D7230	N/A	1,190	$250	$299.4K
D0330	N/A	5,420	$50	$271.1K
D0140	Limited oral evaluation – problem focused	7,420	$30	$237.6K
D9243	N/A	300	$100	$29.5K
D9239	N/A	120	$100	$12.1K
D7250	N/A	30	$230	$7.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	130	$30	$3.8K
D0366	N/A	10	$130	$1.5K

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

Oahu Oral And Maxillofacial Surgery — 4 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	1	10	310	$280	$348.8K
D9243	N/A	3	10	520	$80	$161.1K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1	30	310	$150	$157.6K
D0140	Limited oral evaluation – problem focused	3	120	400	$140	$150.2K
D7230	N/A	2	10	400	$230	$122.4K
D9239	N/A	3	10	1,100	$100	$74.7K
D7250	N/A	2	10	510	$140	$70.2K
D0330	N/A	1	70	260	$60	$46.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	31	50	220	$60	$35.1K
D0366	N/A	1	10	10	$130	$1.5K

Nearby Providers

Other providers in the same ZIP code as Oahu Oral And Maxillofacial Surgery, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Alcoholic Rehabilitation Services Of Hawaii Inc	HI	Substance Abuse Rehabilitation Facility	$0	$4.5M
Po Ailani	HI	Mental Illness Community Based Residential Treatment Facility	$0	$3.3M
Usrc Ko'olau LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Western Health Resources	HI	Home Health Agency	$0	$1.9M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M
Usrc Windward, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.4M
Paul M.t. Yim	HI	Dentist	$0	$960.9K
Windward Pediatrics, Inc.	HI	Specialist	$0	$848.2K
David Roscoe	HI	Clinical Psychologist	$0	$711.3K

Oahu Oral And Maxillofacial Surgery — Billing Profile & Reimbursement Data

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Oahu Oral And Maxillofacial Surgery — Billing Profile & Reimbursement Data

Sign up for Oahu Oral And Maxillofacial Surgery — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References