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.

R. Craig Netzer (NPI 1205831864)

Field	Value
Entity Type	Individual
Organization	R. Craig Netzer
Address	4473 Pahee St
City	Lihue
State	HI
ZIP	96766
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 20, 2005

Payer Source	Total Paid
Medicare	$91.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	530	$80	$44.1K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	170	$170	$28.6K
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	$140	$6.3K
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…	70	$60	$4.4K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	20	$280	$4.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$140	$3.2K
G0009	Administration of pneumococcal vaccine	20	$30	$480
G0444	Annual depression screening, 5 to 15 minutes	10	$20	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

R. Craig Netzer — 1 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	112	1,440	100	$80	$15.2K
90677	111	130	30	$280	$12.2K
99215	180	380	40	$120	$11.2K
99213	721	1,460	70	$60	$8.4K
G0439	194	260	50	$110	$8.1K
G0438	1	30	20	$150	$4.1K
G0444	54	60	50	$20	$1.3K
G0009	118	140	30	$20	$800

Nearby Providers

Other providers in the same ZIP code as R. Craig Netzer, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilcox Memorial Hospital	HI	Rural Acute Care Hospital	$0	$28M
Kauai Medical Clinic	HI	Multi-Specialty Clinic/Center	$0	$5M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.7M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.5M
Karin Stoll	HI	Mental Health Counselor	$52.7K	$1.2M
Kuhio Pediatric Dental LLC	HI	General Practice Dentistry	$0	$925.9K
Hawaiian Island Dental, Inc.	HI	General Practice Dentistry	$0	$875.6K
Hawaii Life Flight, LLC	HI	Air Ambulance	$458.5K	$370K
Toothbuds Kauai, LLC	HI	Dentist	$0	$803.9K
Stephanie Skow Md Inc	HI	Psychiatry Physician	$0	$545.8K

R. Craig Netzer — Billing Profile & Reimbursement Data

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R. Craig Netzer — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References