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.

Benjamin Falit (NPI 1437474046)

Field	Value
Entity Type	Individual
Organization	Benjamin Falit
Address	227 Mahalani St
City	Wailuku
State	HI
ZIP	96793
Taxonomy	Radiation Oncology Physician
NPI Enumerated	April 7, 2010

Payer Source	Total Paid
Medicare	$471.8K
Medicaid	$0

Key Findings

This provider reports $471.8K in lifetime Medicare revenue and has no Medicaid billing on file (none below), making its payment mix effectively single‑payer with Medicare accounting for the entire reported revenue base. The absence of any Medicaid claims suggests limited or no participation in state Medicaid programs based on available data, which is relevant for network access and contracting analyses.

Revenue is highly concentrated in a small number of service lines: the precomputed top 3 Medicare codes by revenue account for 67.9% of this provider's total Medicare revenue. In particular, G6015 alone represents $214.1K (45.4% of Medicare revenue), while 77014 and 77301 contribute $70.4K (14.9%) and $35.8K (7.6%) respectively, indicating a dependence on a few high‑revenue radiation delivery and planning services.

The code mix and descriptions indicate a practice focused on advanced external beam radiotherapy and IMRT workflows. G6015 (Intensity modulated treatment delivery) is the dominant single code, and 77301 (IMRT planning) appears among the top three, while supporting codes such as G6013, G6012, and 77427 reflect multiple treatment delivery modalities and routine radiation therapy delivery. This combination of delivery codes and planning/physics codes (see below) is consistent with a clinical operation centered on image‑guided, intensity‑modulated radiation therapy rather than purely consultative office visits.

Operational detail shows a pattern of many lower‑value sessions plus fewer high‑value planning encounters: G6015 has 641 claims at $334 avg paid/claim ($214.1K revenue), whereas 77301 has just 23 claims but a $1557 avg paid/claim ($35.8K revenue). That split — high session volume for delivery codes and lower-frequency, higher‑paid planning codes — is typical for groups providing course‑based radiotherapy where per‑session delivery accrues substantial cumulative revenue.

The provider bills a suite of medical physics and device/MLC planning services that support complex treatments: 77336 appears with 201 claims and $15.7K revenue (3.3% of Medicare revenue), 77338 with 29 claims and $11.7K revenue (2.5%), and 77334 with 81 claims and $8.9K revenue (1.9%). These line items indicate ongoing physics consultation and multi‑leaf collimator/MLC device work consistent with sustained IMRT program infrastructure and quality assurance activity.

Competitive standing across top Medicare codes is modest rather than dominant. G6015 ranks #618 of 1429 providers (57th percentile; typical, unremarkable volume for this code), 77014 ranks #1511 of 4303 (65th percentile; typical, unremarkable volume for this code), and 77301 ranks #2821 of 3815 (24th percentile; typical, unremarkable volume for this code), so the provider is a mid‑tier national participant for its primary delivery code and does not appear as a top national outlier.

There are a few codes with comparatively low national percentiles that imply limited use of certain simulation or simple planning services: 77290 ranks #3298 of 3650 (7th percentile; typical, unremarkable volume for this code) and 77280 ranks #3098 of 3348 (5th percentile; typical, unremarkable volume for this code). These placements suggest the provider’s practice emphasizes the higher‑complexity IMRT delivery and physics services over higher volumes of basic simulation encounters in the Medicare population.

Provider tenure is long enough to establish a stable Medicare billing history: the NPI was enumerated on 2010-04-07 (~16 years ago). That duration supports interpreting the observed revenue mix as reflective of an established radiation oncology practice rather than a transient or newly opened operation.

Medicare: Complete Services Breakdown

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

20 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	640	$330	$214.1K
77014	N/A	650	$110	$70.4K
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…	20	$1,560	$35.8K
G6013	Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev	150	$220	$33.2K
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…	190	$150	$29.4K
G6012	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	80	$220	$18.4K
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…	200	$80	$15.7K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	30	$410	$11.7K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	80	$110	$8.9K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	110	$60	$6.6K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Benjamin Falit — 1 of 20 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

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	2	10	560	$320	$165K
G6012	7	10	220	$210	$40.2K
77301	10	10	30	$660	$25.6K
77427	5	20	100	$150	$21.6K
77014	7	20	350	$50	$21.1K
99214	1,433	1,440	100	$80	$15.2K
77336	3	10	180	$70	$12.4K
G6013	1	10	50	$210	$12.4K
99215	298	380	40	$120	$11.2K
77338	10	10	30	$210	$10K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Wright	MA	Radiation Oncology Physician	$267.5K	$0
Himanshu Singh	NH	Radiation Oncology Physician	$215.8K	$0
Jeffrey Lemons	NH	Radiation Oncology Physician	$201.6K	$0
Bryan Rowe	NH	Radiation Oncology Physician	$200.6K	$0
Kristofer Roberts	MN	Radiation Oncology Physician	$183.9K	$0
Brian Knab	NH	Radiation Oncology Physician	$181.3K	$0
Andrea Mckee	MA	Radiation Oncology Physician	$180.6K	$0
Matthew Katz	NH	Radiation Oncology Physician	$176.8K	$0
Jeffrey Brower	NH	Radiation Oncology Physician	$176.7K	$0
Stephen Harris	NH	Radiation Oncology Physician	$161.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maui Health System A Kaiser Foundation Hospitals LLC	HI	General Acute Care Hospital	$0	$60.3M
Community Clinic Of Maui, Inc.	HI	Community Health Clinic/Center	$0	$21.6M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.6M
Maui Medical Group Inc	HI	Internal Medicine Physician	$0	$9M
Bayada Home Care	HI	Nursing Care Agency	$0	$6M
Community Clinic Of Maui, Inc.	HI	Multi-Specialty Clinic/Center	$0	$4.8M
Maui Memorial Emergency Medical Associates Inc	HI	Emergency Medicine Physician	$0	$3.8M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.7M
Ka Lima O Maui Ltd	HI	Developmentally Disabled Services Day Training Agency	$0	$1.7M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$1.3M

Benjamin Falit — 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