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.

Kihei-wailea Medical Center. LLC (NPI 1255475752)

Field	Value
Entity Type	Organization
Organization	Kihei-wailea Medical Center. LLC
Address	221 Piikea Ave # A
City	Kihei
State	HI
ZIP	96753
Taxonomy	Specialist
NPI Enumerated	February 16, 2007

Payer Source	Total Paid
Medicaid	$175.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	7,030	$20	$105.5K
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…	1,850	$30	$48.2K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	6,290	$1	$18.9K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	140	$10	$1.4K
S9088	Services provided in an urgent care center (list in addition to code for service)	170	$10	$870
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	30	$10	$230
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	10	$1	$60
1036F	N/A	80	$0	$0
3074F	No Summary found for this code	50	$0	$0
3078F	No Summary found for this code	10	$0	$0

Showing 1–10 of 17

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

Kihei-wailea Medical Center. LLC — 1 of 7 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	67	710	650	$90	$274.1K
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…	188	690	650	$90	$235.4K
S9088	Services provided in an urgent care center (list in addition to code for service)	31	40	1,230	$10	$65.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	91	110	230	$90	$55.7K
99203	The provider sees a new 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 provider…	141	170	120	$70	$35.7K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	87	90	180	$70	$31.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	75	80	90	$10	$12.5K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	5	20	30	$20	$4.9K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	2	90	240	$1	$2.5K
90633	This code represents a vaccine product administered into a muscle to protect against hepatitis A, a liver infection. This code is specific to a pediatric/adolescent dosage with a two–dose schedule.	21	30	90	$1	$1.2K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kihei-wailea Medical Center. LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Linda Tetor	HI	Family Medicine Physician	$129.6K	$0
Gayland Yee	HI	Adult Medicine Physician	$93.3K	$0
Kenneth Kepler	HI	Internal Medicine Physician	$78.6K	$0

Nearby Providers

Other providers in the same ZIP code as Kihei-wailea Medical Center. LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cally L. Adams, Dds, LLC	HI	Pediatric Dentistry	$0	$2.6M
Pacific Island Consulting LLC	HI	Community/Behavioral Health Agency	$0	$607.6K
South Shore Physical Therapy & Sportsmedicine, Inc	HI	Physical Therapy Clinic/Center	$0	$498.7K
Bocha, LLC	HI	Developmentally Disabled Services Day Training Agency	$0	$406.8K
Amy Reisenauer	HI	Dermatopathology Physician	$389K	$0
Maui Pediatric Dentistry	HI	Pediatric Dentistry	$0	$303.1K
N B Murthi Md PC	HI	Psychiatry Physician	$0	$240.4K
Heather Bejenaru	HI	Family Medicine Physician	$172.8K	$0
George M Martin Md, Inc	HI	Specialist	$0	$152.6K
Joann Lepke	HI	Family Nurse Practitioner	$150.8K	$0

Kihei-wailea Medical Center. LLC — Billing Profile & Reimbursement Data

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Kihei-wailea Medical Center. 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

Related Providers

Nearby Providers

Frequently Asked Questions

References