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.

Ginelle Sakima Roberts (NPI 1205089745)

Field	Value
Entity Type	Individual
Organization	Ginelle Sakima Roberts
Address	81-6627 Mamalahoa Hwy
City	Kealakekua
State	HI
ZIP	96750
Taxonomy	Pediatric Dentistry
NPI Enumerated	October 28, 2008

Payer Source	Total Paid
Medicaid	$129.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1120	Prophylaxis–child	920	$30	$23.8K
D0120	Periodic oral evaluation - established patient	1,060	$20	$21.2K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	1,110	$20	$17.8K
D1351	Sealant - per tooth	830	$20	$17.5K
D0272	N/A	550	$20	$10.5K
D0274	N/A	300	$30	$7.6K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	200	$30	$6.5K
D0230	Intraoral - periapical each additional radiographic image	670	$10	$6K
D2391	Resin‑based composite – one surface, posterior	90	$60	$5.2K
D0330	N/A	190	$30	$4.9K

Showing 1–10 of 15

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

Ginelle Sakima Roberts — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	112	120	400	$140	$150.2K
D9230	N/A	30	40	980	$60	$115K
D1120	Prophylaxis–child	51	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	58	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	56	60	370	$80	$78.4K
D1351	Sealant - per tooth	25	40	880	$30	$59.7K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	39	100	610	$20	$51K
D0272	N/A	44	90	380	$20	$47.8K
D0330	N/A	41	70	260	$60	$46.2K
D0274	N/A	50	100	290	$40	$42.8K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Ginelle Sakima Roberts, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kona Hospital	HI	General Acute Care Hospital	$0	$22.3M
Affordable Care LLC	HI	Home Health Agency	$0	$1.5M
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$257.6K
Yaser Alsaadi	HI	Dental Clinic/Center	$0	$208.7K
Sound Physicians Of Hawaii Inc	HI	Internal Medicine Physician	$0	$195K
Timothy Kale	HI	Optometrist	$71.7K	$103.7K
Nathan King	HI	Internal Medicine Physician	$116.9K	$45.3K
S.sira,m.d.,facog,inc	HI	Clinic/Center	$0	$140.9K
Bradon Kimura	HI	Family Medicine Physician	$135.6K	$0
Wesley J. Sugai, M.d., Inc.	HI	Pediatrics Physician	$0	$131.6K

Ginelle Sakima Roberts — Billing Profile & Reimbursement Data

Sign up for Ginelle Sakima Roberts — Billing Profile & Reimbursement Data policy alerts

Ginelle Sakima Roberts — Billing Profile & Reimbursement Data

Sign up for Ginelle Sakima Roberts — 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