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.

Giselle Baquero Caranama (NPI 1437383213)

Field	Value
Entity Type	Individual
Organization	Giselle Baquero Caranama
Address	321 N Kuakini St Ste 709
City	Honolulu
State	HI
ZIP	96817
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	May 8, 2009

Payer Source	Total Paid
Medicare	$349.8K
Medicaid	$0

Key Findings

This provider’s Medicare portfolio is modest in scale with Total Medicare revenue of $349.8K and no Medicaid billing on file, making their practice effectively single‑payer (Medicare) in the available data. The absence of Medicaid claims suggests limited engagement with that payer population or that services to Medicaid patients are billed under a different NPI/organizational tax ID not present in this record.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 53.9% of the provider’s Medicare revenue, driven by 99214 ($71K), 93306 ($69.5K), and 99215 ($47.8K). That level of concentration indicates the practice derives most of its Medicare income from a small set of outpatient evaluation/management and echocardiography services.

The code mix aligns with an ambulatory interventional cardiology practice that emphasizes office E/M visits and diagnostic imaging: high volumes and revenue for 99214, 99215 (established patient E/M visits) and 93306 (2D transthoracic echocardiography) point to a clinic-oriented workflow supplemented by noninvasive vascular diagnostics such as 93925 ($30.3K) and 93880 ($23.8K). These patterns are consistent with a clinician providing longitudinal cardiology care and in-office diagnostic testing rather than a high-volume procedural catheterization lab.

Competitive standing is uneven across service lines: the provider ranks in the 95th percentile for 99214 and the 97th percentile for 99215, both labeled notably above typical national volume, which indicates above-typical outpatient E/M activity relative to peers. By contrast, interventional procedure codes commonly associated with higher-intensity cath lab work (for example, 92928 and 92978) show very low contribution to revenue and are described as typical, unremarkable volume for those codes, suggesting limited procedural throughput.

Several diagnostic/monitoring codes show strong relative activity: 93356 (speckle tracking) appears at $9.7K and is characterized as notably above typical national volume (96th percentile), and ECG-related codes 93000 and 93010 together reflect steady low-dollar-volume monitoring activity with high claim counts (515 and 303 claims respectively) and are described as typical, unremarkable volumes. This indicates a steady stream of noninvasive cardiac imaging and testing supporting outpatient management.

There is a meaningful noninvasive vascular diagnostic component to the practice: 93925 ($30.3K), 93880 ($23.8K), and 93978 ($16.1K) together represent a substantial portion of revenue outside the top three codes and are each described as typical, unremarkable volume for those codes. The presence of multiple duplex and physiologic vascular codes suggests the provider offers comprehensive peripheral vascular testing in addition to cardiac services.

Operational longevity is established: the NPI was enumerated on 2009-05-08 (~17 years ago), indicating a long-tenured billing relationship with Medicare that may reflect an established referral base and sustained outpatient activity over time. That tenure, combined with high percentile E/M activity, supports the interpretation of a stable ambulatory cardiology practice.

From a payer-mix and risk perspective, dependence on Medicare ($349.8K) with no Medicaid revenue on file concentrates reimbursement exposure to a single payer stream and to a small number of codes (top 3 = 53.9%). Analysts should note both the upside of above-typical outpatient E/M volumes and the concentration risk when considering network contracting, utilization management, or capacity planning for similar cardiology service lines.

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	720	$100	$71K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	570	$120	$69.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	350	$140	$47.8K
93925	The 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…	140	$210	$30.3K
93880	Duplex 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…	160	$150	$23.8K
93978	The 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…	130	$130	$16.1K
99204	The 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…	170	$100	$15.9K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	200	$60	$12.5K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	90	$130	$12.1K
93356	The provider performs speckle tracking of myocardial mechanics to assess myocardial strain in addition to standard echocardiography.	300	$30	$9.7K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Giselle Baquero Caranama — 5 of 23 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

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	3	60	190	$90	$22.8K
93978	8	20	130	$130	$19K
93925	9	30	40	$180	$16.6K
99214	55	1,440	100	$80	$15.2K
99215	20	380	40	$120	$11.2K
93880	8	40	50	$110	$9.2K
99232	150	390	70	$60	$8.6K
92928	7	10	20	$390	$8.2K
93356	3	10	140	$30	$8K
93458	8	20	40	$180	$7K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Giselle Baquero Caranama, 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
Castle Medical Center	HI	General Acute Care Hospital	$0	$37.6M
Kau Hospital	HI	Critical Access Hospital	$0	$4.9M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$2.4M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$1.5M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$1.4M
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$1.1M
Castle Medical Center	HI	Rural Health Clinic/Center	$0	$983.7K
Kau Hospital	HI	Rural Health Clinic/Center	$0	$713.8K
Nathaniel Valin	FL	Cardiovascular Disease Physician	$703.2K	$0

Nearby Providers

Other providers in the same ZIP code as Giselle Baquero Caranama, 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

Giselle Baquero Caranama — Billing Profile & Reimbursement Data

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Giselle Baquero Caranama — 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