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.

Lorraine Sonoda-fogel (NPI 1326065129)

Field	Value
Entity Type	Individual
Organization	Lorraine Sonoda-fogel
Address	65-1230 Mamalahoa Hwy Ste A10
City	Kamuela
State	HI
ZIP	96743
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 16, 2006

Payer Source	Total Paid
Medicare	$33.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new 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 provider…	190	$120	$22.3K
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…	110	$90	$10K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	10	$50	$650
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	50	$1	$150
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	10	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Lorraine Sonoda-fogel — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	690	1,440	100	$80	$15.2K
99204	14	630	30	$110	$5.3K
11000	2	10	20	$50	$1.1K
96372	155	160	40	$10	$780
81002	17	70	20	$1	$270

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lorraine Sonoda-fogel, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hilo Urgent Care Center, LLC	HI	Urgent Care Clinic/Center	$0	$6.5M
Lorraine Sonoda-fogel Md Inc.	HI	Internal Medicine Physician	$0	$505.2K
Hawaii Hospital Physicians Inc	HI	Internal Medicine Physician	$0	$247.6K
Marios Voulgaridis	HI	Family Medicine Physician	$139.3K	$0
Ky Le	HI	Internal Medicine Physician	$117.1K	$0
Bradley Tokeshi	HI	Pulmonary Disease Physician	$85.9K	$0
Francisco Halili	HI	Internal Medicine Physician	$74.9K	$0
Cedric Strong	HI	Hospitalist Physician	$74.1K	$0
David Swanson	HI	Family Medicine Physician	$64.4K	$0
Timothy Ahu	HI	Internal Medicine Physician	$63.3K	$0

Nearby Providers

Other providers in the same ZIP code as Lorraine Sonoda-fogel, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Queens North Hawaii Community Hospital	HI	General Acute Care Hospital	$0	$13M
Hawaii Life Flight, LLC	HI	Air Ambulance	$379.2K	$2M
Five Mountains Hawaii, Inc	HI	Rural Health Clinic/Center	$0	$1.6M
Liberty Dialysis-north Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Paniolo Pediatric And Family Medicine Inc	HI	Pediatrics Physician	$0	$1.4M
Vein Clinics Of Hawaii LLC	HI	Vascular Surgery Physician	$0	$673.3K
Queen's North Hawaii Community Hospital	HI	General Practice Physician	$0	$642K
Queen's North Hawaii Community Hospital	HI	Obstetrics & Gynecology Physician	$0	$622.5K
John Mascaro	HI	Marriage & Family Therapist	$0	$523.3K
Steven Chelminiak	HI	Clinical Social Worker	$0	$498.8K

Lorraine Sonoda-fogel — Billing Profile & Reimbursement Data

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Lorraine Sonoda-fogel — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References