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.

Mark Anthony Valdez (NPI 1417252362)

Field	Value
Entity Type	Individual
Organization	Mark Anthony Valdez
Address	888 S King St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	January 24, 2011

Payer Source	Total Paid
Medicare	$50.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	240	$170	$39.2K
99292	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	70	$90	$6.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$100	$3.6K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	20	$60	$1K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	20	$30	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Mark Anthony Valdez — 1 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	234	320	110	$90	$16.1K
99291	6	280	40	$170	$10.4K
99292	11	40	30	$80	$5.1K
36556	14	20	20	$60	$1.2K
36620	14	30	20	$30	$630

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aloha Critical Care Associates LLP	HI	Critical Care Medicine (Internal Medicine) Physician	$0	$806.8K
Artur Krupa	HI	Critical Care Medicine (Internal Medicine) Physician	$105.2K	$0
Marc Kruger	HI	Critical Care Medicine (Internal Medicine) Physician	$67.7K	$0
Jonathan Paladino	HI	Critical Care Medicine (Internal Medicine) Physician	$63.6K	$0
Poh Leng	HI	Critical Care Medicine (Internal Medicine) Physician	$47.8K	$0
Cristian Madar	HI	Critical Care Medicine (Internal Medicine) Physician	$47.1K	$0
Graham Cormack	HI	Internal Medicine Physician	$46.9K	$0
Yash Trivedi	HI	Critical Care Medicine (Internal Medicine) Physician	$44.6K	$0
Emilio Ganitano	HI	Internal Medicine Physician	$41.2K	$0
Makoto Uchiyama	OR	Critical Care Medicine (Internal Medicine) Physician	$40.9K	$0

Mark Anthony Valdez — 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

Frequently Asked Questions

References