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.

Arnold Yee (NPI 1194792119)

Field	Value
Entity Type	Individual
Organization	Arnold Yee
Address	1329 Lusitana St Ste 307
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$319.5K
Medicaid	$0

Key Findings

ARNOLD YEE’s billing pattern is consistent with a community Hematology & Oncology outpatient practice: the top codes are high-complexity established patient visits (99214, 99213) combined with infusion/chemotherapy administration and injectable drug codes (J0885, J0897, 96413, 96365) and frequent lab orders (85025, 80048, 80076). This mix suggests a longitudinal care model managing chronic oncology/hematology patients with on-site or tightly integrated infusion and lab services rather than a procedural- or hospital-based surgical focus.

Revenue is highly concentrated in a small set of Medicare codes: the precomputed top 3 codes account for 63.7% of the provider’s total Medicare revenue, with a single code 99214 alone representing $146.7K (46.4% of Medicare revenue). That concentration means changes to E/M billing patterns, coding guidance, or payer audits focused on office visits could materially affect overall revenue.

This provider is effectively single-payer in observed claims: total Medicare revenue is $319.5K and there is no Medicaid billing on file. The absence of Medicaid activity makes the practice highly dependent on Medicare and commercial payers for volume and suggests limited exposure to, or participation in, state Medicaid networks.

On competitive standing for specific codes, 99214 is an outlier nationally: it ranks #3725 of 479517 (99th percentile; labeled an "extreme outlier") indicating extraordinarily high national volume for that E/M code relative to peers. Other high-volume E/M and administration codes also sit well above typical levels—99213 ranks in the 95th percentile (notably above typical), and 96372 ranks in the 98th percentile (notably above typical)—while drug administration codes like J0885 rank at the 59th percentile (typical) and J0897 at the 14th percentile (typical, unremarkable), reflecting selective strengths rather than uniformly dominant drug utilization.

Operationally the practice shows substantial infusion and supportive-care activity: 96365 (initial IV infusion), 96367 (additional infusions), 96413 (chemotherapy administration), and drug codes J0885 (epoetin alfa) and J0897 (denosumab) all appear in the top codes list. These entries are consistent with active management of anemia, bone-health agents, and systemic cancer therapy in the outpatient setting, indicating investment in infusion capabilities and staff skilled in therapeutic infusions.

Lab ordering and processing are prominent and concentrated: CBC (85025) shows 1.2K claims and ranks in the 94th percentile, BMP (80048) has 845 claims at the 97th percentile, and hepatic panel (80076) has 830 claims at the 93th percentile. High percentiles on these routine panels imply frequent monitoring of medically complex patients and either in-house phlebotomy or close lab integration to support ongoing oncology/hematology management.

The provider’s NPI was enumerated on 2006-03-08 (~20 years ago), indicating long tenure in the market. Combined with high-volume, repeat-visit E/M billing and sustained lab and infusion activity, this tenure is consistent with an established referral base and continuity of care for a stable Medicare patient population.

Concentration presents both risk and opportunity: reliance on high-volume E/M visits (99214/99213) creates revenue vulnerability to coding, reimbursement, or practice-pattern shifts, while the lack of Medicaid billing signals potential growth opportunity to expand payer mix locally. If the practice seeks diversification, pursuing Medicaid participation or broader commercial contracts could mitigate single-payer exposure while leveraging existing infusion and lab capabilities.

Medicare: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,480	$100	$146.7K
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…	550	$60	$31.7K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	3,880	$10	$23.3K
J0897	Injection, denosumab, 1 mg	1,160	$20	$20.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	100	$120	$11.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	1,250	$10	$10K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	170	$60	$9.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$150	$7.4K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	850	$10	$6.8K
80076	The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.	830	$10	$6.6K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Arnold Yee — 5 of 25 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

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
84443	6	10	100	$20	$134.2K
J0897	13	20	2,530	$20	$121.5K
84153	4	10	2,630	$20	$79.2K
36415	6	30	50	$10	$56.2K
80048	5	10	940	$10	$45.9K
85025	4	30	50	$10	$40.5K
82728	6	10	160	$10	$22.5K
J0885	1	10	3,760	$10	$20K
99214	7	1,440	100	$80	$15.2K
96413	3	10	100	$110	$13.8K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hawaii Cancer Care Inc	HI	Specialist	$0	$1.3M
David Tamura	HI	Hematology & Oncology Physician	$373.7K	$0
Melvin Palalay	HI	Hematology & Oncology Physician	$328.4K	$0
Jon Fukumoto	HI	Hematology (Internal Medicine) Physician	$135.9K	$0
William Loui	HI	Hematology & Oncology Physician	$87.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M

Arnold Yee — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References