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.

Karen Stanlaw (NPI 1326074360)

Field	Value
Entity Type	Individual
Organization	Karen Stanlaw
Address	86-260 Farrington Hwy
City	Waianae
State	HI
ZIP	96792
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicare	$9.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	110	$50	$4.8K
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…	60	$50	$3.1K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	50	$30	$1.3K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$40	$530

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Karen Stanlaw — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11042	14	30	110	$70	$14K
99213	774	1,460	70	$60	$8.4K
97597	5	20	30	$60	$3.3K
99231	86	90	40	$40	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waianae District Comprehensive Health And Hospital Board, Inc	HI	Family Medicine Physician	$0	$125.3M
Froedtert South, Inc.	WI	General Acute Care Hospital	$0	$33M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$18.5M
Door County Memorial Hospital	WI	Critical Access Hospital	$0	$7.5M
Froedtert South, Inc.	WI	Family Medicine Physician	$0	$5.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$2.2M
Mark Mitchell	FL	Emergency Medicine Physician	$1.9M	$38.2K
Door County Memorial Hospital	WI	Dental Clinic/Center	$0	$1.5M
Amr El-sergany	HI	Vascular Surgery Physician	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.9M
Kokua Villa, Inc.	HI	Developmental Disabilities Clinic/Center	$0	$3.9M
Usrc Waianae, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M
Alternative Structures International	HI	Developmentally Disabled Services Day Training Agency	$0	$3.2M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$1.4M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$893.6K
Dm Wellness LLC	HI	Community/Behavioral Health Agency	$0	$746.3K
Moana Gaspar	HI	Mental Health Counselor	$0	$745.9K
Waianae Valley Physical Therapy, Inc.	HI	Physical Therapist	$0	$737.6K
Jamie Liu	HI	Dentist	$0	$559K

Karen Stanlaw — Billing Profile & Reimbursement Data

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Karen Stanlaw — 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