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.

Cory Wakano (NPI 1366591257)

Field	Value
Entity Type	Individual
Organization	Cory Wakano
Address	120 Pauahi St
City	Hilo
State	HI
ZIP	96720
Taxonomy	General Practice Dentistry
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$156.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	1,270	$40	$47.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	450	$50	$23.1K
D0272	N/A	760	$30	$19.7K
D1120	Prophylaxis–child	540	$30	$18.3K
D0220	Intraoral - periapical first radiographic image	1,010	$20	$16.2K
D1208	Topical application of fluoride - excluding varnish	960	$20	$14.4K
D0230	Intraoral - periapical each additional radiographic image	710	$10	$8.5K
D0140	Limited oral evaluation – problem focused	130	$40	$4.7K
D0150	Comprehensive oral evaluation – new or established patient	70	$40	$2.7K
D1351	Sealant - per tooth	60	$30	$1.8K

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

Cory Wakano — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0140	Limited oral evaluation – problem focused	85	120	400	$140	$150.2K
D1120	Prophylaxis–child	66	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	52	140	600	$30	$97.1K
D1351	Sealant - per tooth	40	40	880	$30	$59.7K
D0272	N/A	42	90	380	$20	$47.8K
D0220	Intraoral - periapical first radiographic image	55	140	490	$10	$32.1K
D0230	Intraoral - periapical each additional radiographic image	55	120	510	$10	$30.7K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	43	120	240	$40	$30.6K
D1208	Topical application of fluoride - excluding varnish	37	90	710	$10	$26.8K
D0150	Comprehensive oral evaluation – new or established patient	57	90	150	$40	$16.7K

Cory Wakano — Billing Profile & Reimbursement Data

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Cory Wakano — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References