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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Waterford
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    Robert Waterford — Billing Profile & Reimbursement Data

    NPI 1376559203 · Kahului, HI · Vascular Surgery Physician

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    Robert Waterford is a vascular surgery physician provider located in Kahului, Hawaii. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Waterford
    Address385 Hukilike St
    CityKahului
    StateHI
    ZIP96732
    TaxonomyVascular Surgery Physician
    NPI EnumeratedJuly 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$278.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…550$100$53.5K
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…50$950$51.1K
    93970The 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…350$140$50.6K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…150$210$31.4K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…150$130$20K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…140$120$17.6K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral290$60$16.4K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…130$90$11.5K
    99204The 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…50$140$6.3K
    37766In this procedure, the provider excises and removes varicose veins through 20 or more very small incisions.30$220$5.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3647521050$910$59.9K
    933065860190$90$22.8K
    93978720130$130$19K
    9392583040$180$16.6K
    992141021,440100$80$15.2K
    9921529138040$120$11.2K
    93880104050$110$9.2K
    2958111080$80$6K
    3776611030$220$5.7K
    9920421463030$110$5.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pacific Rim Cardiovascular IncHIThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$0$768.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Americare Hawaii, IncorporatedHIIn Home Supportive Care Agency$0$4.7M
    Aloha House, Inc.HIMental Health Counselor$0$4.5M
    Hale MahaoluHIHome Delivered Meals$0$3.7M
    Americare Hawaii, LLCHIHome Health Agency$0$3.2M
    Maui Cardiology, Ltd.HICardiovascular Disease Physician$0$2.3M
    Gammie Homecare, Inc.HIDurable Medical Equipment & Medical Supplies$0$1.8M
    Pedodontic Associates IncHIPediatric Dentistry$0$1.4M
    Pediatric Therapies HawaiiHIPediatric Physical Therapist$0$1.4M
    Aloha Dermatology And Laser Center LLCHIDermatology Physician$0$1.3M
    Anamcara Care Hawaii IncHIIn Home Supportive Care Agency$0$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Robert Waterford — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii