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    OpenPayerNPI Medicare & MedicaidMark Senft
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    Mark Senft — Billing Profile & Reimbursement Data

    NPI 1447350087 · Kailua Kona, HI · Foot Surgery Podiatrist

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    Mark Senft is a foot surgery podiatrist provider located in Kailua Kona, Hawaii. This profile covers 10 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMark Senft
    Address75-5591 Palani Rd
    CityKailua Kona
    StateHI
    ZIP96740
    TaxonomyFoot Surgery Podiatrist
    NPI EnumeratedSeptember 24, 2006

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

    Payer SourceTotal Paid
    Medicare$52.2K
    Medicaid$42.5K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…520$70$34.5K
    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…70$90$6.6K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…70$80$5.1K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.20$110$2.5K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.30$50$1.5K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…120$10$1.3K
    20551The provider injects a drug into the origin or insertion site of a tendon to relieve pain, inflammation, and swelling from a diseased or damaged tendon.10$40$530
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.10$20$280
    J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg110$1$110
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg40$1$40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148451,440100$80$15.2K
    99213741,46070$60$8.4K
    9920310945030$70$3.6K
    1175021020$120$2.5K
    2055121040$40$1.5K
    1100011020$50$1.1K
    963721816040$10$780
    7362051020$10$650
    J33017590100$1$140
    J342031070$1$120

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,340$30$40K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.100$20$2.1K
    S9999Sales tax1,290$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Hawaii median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…255710650$90$274.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1020120$10$4.3K
    S9999Sales tax43240200$1$820

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Hawaii Community Health Center, Inc.HIFederally Qualified Health Center (FQHC)$0$46.8M
    S&g Labs Hawaii LLCHIClinical Medical Laboratory$292.7K$15.1M
    Full LifeHIDevelopmentally Disabled Services Day Training Agency$0$11M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9M
    Mf Med IncHIPain Medicine (Anesthesiology) Physician$0$4.3M
    Jennifer LogigianHIDentist$0$1.8M
    Transformation Health NetworkHIUrgent Care Clinic/Center$0$1.7M
    Access Capabilities, IncHICommunity/Behavioral Health Agency$0$1.3M
    Alii Health CenterHIMulti-Specialty Clinic/Center$0$799.9K
    Edwin HerdHIPediatrics Physician$0$640.5K

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Mark Senft — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii
    Medicaid Revenue by Year vs. Hawaii Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Mark Senft — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii