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.

Straub Clinic & Hospital (NPI 1457306508)

Field	Value
Entity Type	Organization
Organization	Straub Clinic & Hospital
Address	888 S King St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$8.2M
Medicare	$0

Key Findings

STRAUB CLINIC & HOSPITAL shows effectively single‑payer Medicaid activity: there is no Medicare billing on file and total Medicaid revenue is $8.2M. For analysts this means Medicare benchmarking is not possible for this entity and Medicaid performance drives the provider’s revenue profile and payer negotiations. The NPI was enumerated 2006-05-24 (~20 years ago), indicating a long-tenured operation in-state.

Revenue is highly concentrated in a small set of outpatient E/M and ED codes: the precomputed top 3 Medicaid codes (99214, 99213, 99285) account for 51.3% of this provider’s total Medicaid revenue. Those individual contributions are 99214 = $1.6M (20.6%), 99213 = $1.3M (17.6%), and 99285 = $985.3K (13.1%), signaling that more than half of Medicaid receipts come from a narrow mix of office and emergency evaluation-and-management services.

The code mix indicates core operational lines: very large volumes of 99214 (44.3K claims) and 99213 (77.9K claims) point to a high-throughput ambulatory and specialty clinic practice managing established patient visits, while substantial volumes of 99285 (12.6K claims), 99283, and 99284 show an active emergency department footprint. Complementary inpatient E/M codes such as 99232 and 99233, plus imaging and diagnostics like 93010, 71045, 70450 and 93306, suggest integrated hospital-based services rather than a small outpatient-only clinic.

Competitive standing in-state is strong and concentrated: 99214 ranks #5 of 690 providers in-state (99th percentile; extreme outlier) and 99213 ranks #4 of 707 (100th percentile; extreme outlier), indicating STRAUB is a dominant statewide provider for office E/M volume. Several other codes are similarly exceptional — 0002A, 0001A, 99202, 0071A, and 0072A each rank #1 in-state (100th percentile; extreme outlier) — reinforcing that the provider is a top-volume outlier for multiple specific services within Hawaii.

Not all high-revenue codes are outliers: 99285 ranks #9 of 39 providers in-state (79th percentile; typical, unremarkable volume) and several ED and inpatient codes (e.g., 99283, 99284, 99232, 99233) fall in mid-to-upper percentiles described as typical or unremarkable. Analysts should treat the provider as both a specialized high-volume ambulatory/E&M center and a routine ED/inpatient participant depending on the code set rather than uniformly extreme across all acute services.

Operational and service-line implications for contracting and utilization management are clear: very large volumes of mid/low-acuity office visits (99213/99214) plus preventive codes 99391 and 99392 (ranked in high percentiles and contributing material revenue) suggest a significant primary care and preventive throughput that could be targeted for value-based arrangements. Behavioral health add-on codes 90833 and 90836 also appear in the top 25, indicating integrated psychotherapy services co-provided with E/M visits.

Payer strategy impact: reliance on Medicaid ($8.2M total and heavy concentration in a few codes) creates sensitivity to state Medicaid policy, rate changes, and utilization controls for the top codes. The absence of Medicare activity means commercial or Medicaid-centric contracting will determine revenue resilience, and payers negotiating with STRAUB should account for its outsized statewide share on several codes when forecasting network capacity.

For clinical quality and utilization review, several codes show unusually high in-state volumes or “notably above typical” activity that merit monitoring: 99203 ranks #5 of 171 (98th percentile; notably above typical), 93010 ranks #3 of 35 (94th percentile; notably above typical), and preventive codes 99391/99392 rank in the 95th percentile. These patterns point to concentrated workflows (high ambulatory visit counts, routine ECGs, and preventative care) where targeted audits or initiatives could yield operational or cost-management insights without implying impropriety.

Medicaid: Complete Services Breakdown

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

110 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…	44,350	$40	$1.6M
99213	The 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…	77,940	$20	$1.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	12,630	$80	$985.3K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	15,210	$50	$684.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10,840	$60	$650.6K
0002A	N/A	8,310	$30	$282.4K
0001A	N/A	8,640	$30	$276.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	6,180	$30	$191.6K
99203	The 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…	3,750	$50	$191.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	37,570	$10	$187.8K

Showing 1–10 of 110

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Straub Clinic & Hospital — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

110 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	18	50	8,590	$340	$5.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	19	50	3,740	$290	$3.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	9	40	3,820	$330	$3.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	26	30	2,660	$330	$1.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	19	40	1,050	$510	$1.3M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	19	30	770	$430	$536.6K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	42	70	370	$150	$457.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	17	30	1,370	$110	$333.9K
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…	16	30	200	$290	$329.1K
99213	The 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…	4	710	650	$90	$274.1K

Showing 1–10 of 110

Related Providers

Other providers that share a Tax Identification Number (TIN) with Straub Clinic & Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kapiolani Medical Center For Women & Children	HI	Children's Hospital	$0	$102.4M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
Kapiolani Medical Center For Women & Children	HI	Multi-Specialty Clinic/Center	$0	$3.3M
Straub Clinic & Hospital	HI	Community/Retail Pharmacy	$0	$984.9K
Devy Setyono	HI	Rheumatology Physician	$712.5K	$0
Manas Jain	WA	Urology Physician	$489.2K	$0
Arnold Kop	HI	Internal Medicine Physician	$392.9K	$0
Boyuan Cao	HI	Internal Medicine Physician	$81.1K	$288.1K
Sian Yik Lim	HI	Rheumatology Physician	$316.7K	$0
Cass Nakasone	HI	Orthopaedic Surgery Physician	$233K	$0

Nearby Providers

Other providers in the same ZIP code as Straub Clinic & Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M
Kaiser Foundation Health Plan Inc	HI	Health Maintenance Organization	$0	$7.4M

Straub Clinic & Hospital — Billing Profile & Reimbursement Data

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Straub Clinic & Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References