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    OpenPayerNPI Medicare & MedicaidSonny Wong
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    Sonny Wong — Billing Profile & Reimbursement Data

    NPI 1457369571 · Kailua, HI · Cardiovascular Disease Physician

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    Sonny Wong is a cardiovascular disease physician provider located in Kailua, Hawaii. This profile covers 27 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSonny Wong
    Address25 Maluniu Ave Ste 201
    CityKailua
    StateHI
    ZIP96734
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 4, 2006

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

    Payer SourceTotal Paid
    Medicare$467.2K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: total Medicare revenue is $467.2K and there is no Medicaid billing on file. The absence of Medicaid activity means payer mix is highly concentrated on Medicare patients, which shapes both revenue risk and payer negotiation leverage.

    Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 60.4% of total Medicare revenue. Those top three are 99214 ($119.5K, 25.6%), 93925 ($89.9K, 19.2%), and 93306 ($72.6K, 15.5%), indicating most dollars come from one E/M level plus two high‑value diagnostic imaging procedures.

    The code mix points to an outpatient cardiology practice with a strong noninvasive vascular diagnostic capability. High revenue for 99214 (established E/M visits), 93925 (bilateral lower extremity arterial duplex), and 93306 (2D transthoracic echocardiography) indicates the operation combines routine outpatient evaluation with an on‑site vascular/echo imaging service line.

    On competitive standing, this provider is a national outlier on several vascular and E/M measures. 99214 ranks #5867 of 479,517 providers nationally (99th percentile; extreme outlier) and 93925 ranks #91 of 10,098 providers nationally (99th percentile; extreme outlier), signaling much higher than typical national volumes for those services and suggesting market leadership in those procedures.

    Additional vascular imaging codes reinforce that focus: 93880 ($53.7K, 11.5%) ranks #356 of 21,316 (98th percentile; extreme outlier) and 93978 ($50.1K, 10.7%) ranks #29 of 4,075 (99th percentile; extreme outlier). Together with the top‑3 concentration, these entries indicate a durable vascular diagnostic throughput rather than isolated high billing on a single code.

    Cardiac imaging beyond the top three appears consistent with specialty norms: 93306 ($72.6K) ranks #4482 of 24,624 providers nationally (82th percentile; typical, unremarkable volume), which suggests transthoracic echo volumes are solid but not as disproportionately high as the vascular duplex activity. This mix suggests the practice balances echocardiography with an unusually strong peripheral vascular testing stream.

    The practice shows modest adoption of remote monitoring and device follow‑up services: 99457 ($3.2K, 0.7%), G2066 ($3.4K, 0.7%), and 99454 ($2.2K, 0.5%) all contribute small shares of revenue and sit at low national percentiles. These figures indicate some integration of RPM and device management into the service set, but at a secondary role relative to in‑person E/M and imaging.

    NPI tenure is long‑standing — enumerated 2006-08-04 (~20 years ago) — which supports the interpretation that this is an established practice. Given the high national ranks on vascular duplex and E/M codes despite being based in KAILUA, HI, the provider may function as a local or regional referral hub for vascular diagnostics; however, heavy dependence on a small set of codes (top 3 = 60.4%) also concentrates reimbursement exposure if policies or referral patterns shift.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,290$90$119.5K
    93925The 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…430$210$89.9K
    93306The 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…450$160$72.6K
    93880Duplex 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…410$130$53.7K
    93978The 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…410$120$50.1K
    93922Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral270$50$14.6K
    93923Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…160$90$14.2K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…90$140$12.1K
    99204The 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…90$120$11.2K
    93000The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…390$10$4.2K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93306860190$90$22.8K
    93978120130$130$19K
    99458810220$30$17.1K
    9392513040$180$16.6K
    99214121,440100$80$15.2K
    994571220100$40$9.9K
    994541120100$40$9.7K
    9388014050$110$9.2K
    9392321050$80$7K
    992047063030$110$5.3K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Castle Medical CenterHIGeneral Acute Care Hospital$0$37.6M
    Castle Medical CenterHIRural Health Clinic/Center$0$983.7K
    Windward Heart Center LLCHICardiovascular Disease Physician$0$885K
    Castle Medical CenterHIClinic/Center$0$628.9K
    Denis Mee-leeHIPsychiatry Physician$16K$552K
    Ryan SmithHICardiovascular Disease Physician$494.5K$0
    Giselle Baquero CaranamaHIInterventional Cardiology Physician$349.8K$0
    Maria MarkarianMIInterventional Cardiology Physician$340.5K$0
    Albert IngHICardiovascular Disease Physician$300.3K$0
    Lance KurataHIInternal Medicine Physician$257.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hawaii Emergency Physicians Associated IncHIEmergency Medicine Physician$0$20.2M
    Howard Y Kim Dds IncHIPediatric Dentistry$0$3.3M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.1M
    Pacific Island Medical, Inc.HIDurable Medical Equipment & Medical Supplies$0$2.8M
    Hawaii Dermatology Centers, IncHISpecialist$0$1.4M
    Medical Clinic, Inc.HIMulti-Specialty Clinic/Center$0$1.3M
    Kupunaride CorporationHINon-emergency Medical Transport (VAN)$0$943.9K
    Stuart Lerner, M.d. LLCHIFamily Medicine Physician$0$920.4K
    Hawaii Endodontics LLCHIEndodontics$0$719.3K
    Braun Urgent Care Kailua LLCHIUrgent Care Clinic/Center$0$609.6K

    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
    Sonny Wong — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii