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.

Complete Dermatology (NPI 1467794842)

Field	Value
Entity Type	Organization
Organization	Complete Dermatology
Address	100 Kahelu Ave
City	Mililani
State	HI
ZIP	96789
Taxonomy	Dermatology Physician
NPI Enumerated	March 22, 2013

Payer Source	Total Paid
Medicaid	$379K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	9,380	$30	$253.2K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	1,170	$40	$42.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,150	$30	$36.8K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	790	$30	$25.2K
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…	520	$40	$19.6K
11100	N/A	30	$40	$950
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	20	$60	$830
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	10	$10	$160
S9999	Sales tax	40	$1	$40

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

Complete Dermatology — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	16	30	1,750	$70	$378K
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…	43	710	650	$90	$274.1K
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…	382	690	650	$90	$235.4K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	4	20	180	$60	$40.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	9	70	80	$60	$20.6K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	14	20	180	$20	$17.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	9	10	230	$40	$13K
11100	N/A	7	10	60	$40	$4.4K
S9999	Sales tax	182	240	200	$1	$820

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Lum	HI	Anatomic Pathology & Clinical Pathology Physician	$842.1K	$0
Theresa Flament	HI	MOHS-Micrographic Surgery Physician	$303.9K	$0
Alex Carcamo	HI	Procedural Dermatology Physician	$152.5K	$0
Joshua Eikenberg	VA	Dermatology Physician	$149.6K	$0
Eric Yukumoto	HI	Physician Assistant	$98.2K	$0
Justin Maio	HI	Medical Physician Assistant	$75.3K	$0

Nearby Providers

Other providers in the same ZIP code as Complete Dermatology, 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	$10.3M
Aloha Habilitation Services, Inc.	HI	Developmentally Disabled Services Day Training Agency	$0	$8M
Jnm Medical LLC	HI	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Hope Inc	HI	Exclusive Provider Organization	$0	$1.3M
Longs Drug Stores California LLC	HI	Community/Retail Pharmacy	$356.2K	$26.8K
Fields Psychiatric Consultants LLC	HI	Community/Behavioral Health Agency	$0	$298.7K
Yonie Herrera	HI	Mental Health Counselor	$0	$231.1K
Carlos Omphroy	HI	Ophthalmology Physician	$185.5K	$0
Suzanna Grima	HI	Dermatology Physician	$172K	$0
Longs Drug Stores California LLC	HI	Pharmacy	$155.2K	$3.3K

Complete Dermatology — Billing Profile & Reimbursement Data

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Complete Dermatology — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References