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.

John Wade (NPI 1326087487)

Field	Value
Entity Type	Individual
Organization	John Wade
Address	688 Kinoole St Ste 103
City	Hilo
State	HI
ZIP	96720
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$795K
Medicaid	$0

Key Findings

This profile is a Diagnostic Radiology physician practice heavily focused on breast imaging and related ultrasound services: the top three Medicare revenue codes are 77067 (2.1K claims, $265.4K revenue; 36.3% of Medicare revenue), 77063 (2.1K claims, $109.8K revenue; 15.0%), and 77080 (1.3K claims, $49.3K revenue; 6.8%). Those codes represent screening and tomosynthesis mammography plus DXA bone density studies, indicating the operation is primarily an outpatient imaging center concentrating on high-volume mammography and bone health screening rather than inpatient or general hospital radiology. The precomputed top-3 share is 58.1% of this provider's total Medicare revenue, underlining the clinical and revenue focus on these specific service lines.

Revenue is highly concentrated in a small set of breast-imaging and DXA services: the precomputed figure shows the top three codes account for 58.1% of total Medicare revenue. With Total Medicare revenue: $795K and no Medicaid billing on file, a large portion of the practice’s income depends on mammography/tomosynthesis and DXA volumes, creating sensitivity to changes in screening utilization or mammography reimbursement policy. This concentration suggests the business is efficient at delivering a narrow set of high-volume imaging services but may face revenue volatility if referral or coverage patterns shift.

Payer mix is effectively single-payer Medicare: Total Medicare revenue: $795K while Medicaid revenue: none (no Medicaid billing on file). The absence of Medicaid billing implies limited or no participation in the Medicaid market, which reduces exposure to that payer’s lower reimbursements but also means missed volume from Medicaid populations and less diversification across public payers. For payers and network planners, this provider is a Medicare-dependent imaging resource in HILO, HI rather than a Medicaid-accessible provider.

Competitive standing for core services is unusually strong at the national level: 77067 ranks #233 of 15198 providers nationally (98th percentile; described as an extreme outlier), 77063 ranks #214 of 14277 (99th percentile; extreme outlier), and 77080 ranks #175 of 17308 (99th percentile; extreme outlier). These ranks indicate the provider is a major national outlier in volume for screening mammography, tomosynthesis, and DXA compared with peers, supporting the interpretation of a high-volume specialty imaging center. For payers, this means the provider is likely a dominant local access point for these specific services despite operating in a relatively small market like HILO.

Several secondary imaging lines also show above-typical national activity, reinforcing a broader outpatient imaging capability: 76536 (369 claims, $29.9K; 99th percentile; extreme outlier) and G0279 (388 claims, $15.1K; 98th percentile; notably above typical) point to substantial ultrasound and digital tomosynthesis adjunct services. Vascular and aortic ultrasound (76706 at rank #67 of 3507, 98th percentile; notably above typical) likewise appears as a focused service offering. These elevated percentiles across multiple codes suggest operational scale and equipment/staffing breadth beyond a single mammography modality.

Other modality volumes are more modest or typical for national peers, indicating a focused rather than broad cross-sectional practice footprint: CT abdomen/pelvis with contrast 74177 (164 claims, $15.3K; 67th percentile) and MRI breast 77049 (51 claims, $13.9K; 83rd percentile) are in typical-to-moderate ranges. There are also several vascular duplex and ultrasound codes (93971, 93970, 93880) with routine volumes, which suggests the practice supplements its breast-imaging core with common outpatient vascular and abdominal ultrasound services rather than high-volume CT/MRI throughput.

Long-tenure NPI and local stability: the provider’s NPI was enumerated 2006-06-05 (~20 years ago), indicating an established presence in HILO, HI. That longevity, combined with the very high mammography and DXA volumes, supports a view of stable referral relationships and entrenched local demand for screening services. For network and capacity planning, this profile points to a reliable, experienced outpatient imaging provider in the region.

Commercial and operational risk/opportunity summary: heavy dependence on a few high-revenue Medicare imaging codes (top 3 = 58.1%) creates both operational strength in breast imaging and vulnerability to policy or referral shifts that affect screening volume or tomosynthesis uptake. The complete lack of Medicaid billing presents an opportunity to expand payer mix by contracting with Medicaid or to intentionally remain Medicare-focused; strategic decisions will determine whether the provider mitigates concentration risks by diversifying services or payers.

Medicare: Complete Services Breakdown

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

71 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	2,120	$130	$265.4K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	2,110	$50	$109.8K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	1,330	$40	$49.3K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	370	$80	$29.9K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	240	$110	$27.1K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	230	$100	$22.8K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	240	$90	$20.6K
93971	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…	280	$70	$20.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	180	$110	$19.1K
77065	The provider performs X–ray imaging on one breast in a patient with a known lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential…	190	$90	$16.8K

Showing 1–10 of 71

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 71 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

John Wade — 13 of 25 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

71 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	1	50	230	$80	$29.9K
77063	1	50	250	$40	$14.4K
93880	17	40	50	$110	$9.2K
76641	3	10	40	$90	$9K
74177	20	90	90	$80	$8.1K
77080	1	40	130	$30	$5.8K
19083	2	10	20	$260	$5.4K
70450	12	90	120	$30	$5K
93970	4	60	30	$90	$4.7K
74176	14	80	50	$70	$4.6K

Showing 1–10 of 71

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sonoran Radiology Ltd	AZ	Vascular & Interventional Radiology Physician	$0	$33.4M
Southwest Diagnostic Imaging LLC	AZ	Diagnostic Radiology Physician	$0	$23.8M
Hawaii Radiologic Associates, Ltd.	HI	Diagnostic Radiology Physician	$0	$3.5M
Eric Kovalsky	AZ	Diagnostic Radiology Physician	$1.5M	$0
Joseph Judge	IL	Diagnostic Radiology Physician	$395.1K	$998.5K
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Benjamin Benson	AZ	Diagnostic Radiology Physician	$1.3M	$0
Jared Criddle	AZ	Diagnostic Radiology Physician	$1.2M	$0
John Millstine	CA	Diagnostic Radiology Physician	$1.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$51.2M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.3M
Metropacific Group, Corp	HI	Developmentally Disabled Services Day Training Agency	$0	$13.3M
Triple Ace Venture Capital, Corp.	HI	In Home Supportive Care Agency	$0	$10.5M
Whchc - Hawaii Island Community Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$8.1M
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$7.1M
Hilo Urgent Care Center, LLC	HI	Urgent Care Clinic/Center	$0	$6.5M
Alpha Care Hawaii LLC	HI	In Home Supportive Care Agency	$0	$5.9M
Mastercare Inc	HI	In Home Supportive Care Agency	$0	$5.4M
Americare Hawaii Incorporated	HI	In Home Supportive Care Agency	$0	$3.7M

John Wade — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References