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.

Christina Speirs (NPI 1386934495)

Field	Value
Entity Type	Individual
Organization	Christina Speirs
Address	2226 Liliha St
City	Honolulu
State	HI
ZIP	96817
Taxonomy	Radiation Oncology Physician
NPI Enumerated	April 10, 2011

Payer Source	Total Paid
Medicare	$486.9K
Medicaid	$0

Key Findings

This provider generates $486.9K in lifetime Medicare revenue and has no Medicaid billing on file, making their public payer activity effectively single–payer and Medicare‑centric. Analysts should treat this profile as reflective of Medicare payment patterns rather than a mixed Medicaid/Medicare operation.

Revenue concentration is high: the top 3 Medicare codes account for 55.9% of this provider's total Medicare revenue, driven primarily by G6015 (36.7%), G6012 (9.8%), and 77014 (9.5%). This indicates a small number of treatment and imaging codes are the primary revenue drivers for the practice.

The code mix points to a procedure‑heavy radiation oncology practice focused on external beam and intensity‑modulated treatments: G6015 (intensity modulated treatment delivery) is the single largest contributor, and supporting planning and simulation codes such as 77301, 77295, and 77290 also appear throughout the top codes. E/M codes (for example 99204 and 99213) represent only modest shares of revenue, suggesting limited office‑based evaluation activity relative to treatment delivery.

On national competitive standing the provider is a modest participant for the highest‑revenue therapy codes: G6015 ranks #693 of 1429 providers nationally (52th percentile; typical, unremarkable volume for this code), G6012 ranks #352 of 868 (59th percentile; typical, unremarkable volume for this code), while 77014 is relatively higher at #955 of 4303 (78th percentile; typical, unremarkable volume for this code). Overall these ranks indicate service volumes that are generally in line with peers rather than dominant market share.

There are clear above‑typical signals for advanced planning and dose‑calculation services: 77295 ranks #97 of 3008 providers nationally (97th percentile; notably above typical national volume for this code) and 77293 ranks #136 of 1141 (87th percentile; typical, unremarkable volume for this code). These elevated percentiles suggest heavier use of 3D volumetric dose calculation and 4D simulation workflows compared with most peers.

Conversely, several contemporary localization/tracking codes show low relative use: G6017 (intra‑fraction localization and tracking) ranks #312 of 344 providers nationally (9th percentile; typical, unremarkable volume for this code) and G6013 ranks #488 of 581 (16th percentile; typical, unremarkable volume for this code). This pattern implies the practice relies more on conventional delivery and planning methods than on the highest‑frequency use of intra‑fraction tracking among national peers.

Procedure versus E/M mix is strongly weighted toward technical radiation services. The top treatment delivery and planning codes together form the bulk of revenue while office visit codes like 99204 ($9K, 1.8% of Medicare revenue) and 99213 ($6K, 1.2% of Medicare revenue) contribute only small shares, reinforcing that the operation is principally a treatment center rather than an office‑visit driven practice.

The provider has an established billing history with NPI enumeration dated 2011-04-10 (~15 years ago), indicating a mature presence in the market; however, lifetime Medicare revenue of $486.9K and the percentile profile across codes suggest a modest regional operator rather than a high‑volume national center of excellence.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	570	$320	$178.9K
G6012	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	230	$210	$47.6K
77014	N/A	870	$50	$46.1K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	50	$830	$42.1K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	170	$160	$27.1K
77295	Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…	80	$210	$15.4K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	480	$30	$14.3K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	260	$50	$14.1K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	190	$70	$13.7K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	60	$200	$11.8K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Christina Speirs — 2 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	4	10	560	$320	$165K
G6012	3	10	220	$210	$40.2K
77301	3	10	30	$660	$25.6K
77427	6	20	100	$150	$21.6K
77014	4	20	350	$50	$21.1K
99214	1,269	1,440	100	$80	$15.2K
G6002	5	10	480	$30	$14.1K
77336	4	10	180	$70	$12.4K
G6013	4	10	50	$210	$12.4K
77338	4	10	30	$210	$10K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cancer Center Of Hawaii, LLC	HI	Radiation Oncology Clinic/Center	$0	$1.1M
Richard Lee	HI	Radiation Oncology Physician	$561K	$0
John Lederer	HI	Radiation Oncology Physician	$470K	$0
Michael Roach	HI	Radiation Oncology Physician	$385.5K	$0
Laeton Pang	HI	Radiation Oncology Physician	$367.7K	$0

Nearby Providers

Other providers in the same ZIP code as Christina Speirs, 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	$42.8M
Kalihi Palama Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$38.9M
Careresource Hawaii	HI	Home Health Agency	$0	$12.8M
Lanakila Pacific	HI	Home Delivered Meals	$0	$11.7M
Usrc Aloha LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.1M
Kuakini Medical Center	HI	General Acute Care Hospital	$0	$10.9M
Usrc Honolulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M
Ku Aloha Ola Mau	HI	Counselor	$220.5K	$5.8M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M

Christina Speirs — 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