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.

Michael Russo (NPI 1477523785)

Field	Value
Entity Type	Individual
Organization	Michael Russo
Address	250 Ward Ave Ste 170
City	Honolulu
State	HI
ZIP	96814
Taxonomy	Neurology Physician
NPI Enumerated	January 26, 2006

Payer Source	Total Paid
Medicare	$332.4K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is concentrated in high-complexity neurology office visits and diagnostic neurophysiology: total Medicare revenue is $332.4K and the top three Medicare codes — 99215, 95819, and 99205 — together account for 85.3% of that total. The code mix (high-volume 99215 and 99205 E/M visits alongside multiple EEG codes and neuropsychological testing) is consistent with an outpatient neurology practice that combines complex office-based evaluation with in‑house diagnostic testing.

99215 drives the largest single share of Medicare revenue at $141.9K (42.7% of the provider’s Medicare revenue) and this provider ranks #235 of 145531 nationally for that code (100th percentile; extreme outlier). That national ranking indicates unusually high volume of high-complexity established-patient E/M care relative to peers, positioning the provider as a major outlier in office-based neurology E/M services.

95819 is the second-largest revenue contributor at $114.4K (34.4% of Medicare revenue) and the provider ranks #40 of 2575 nationally for this code (98th percentile; extreme outlier). The prominence and rank of 95819 (EEG performed awake and asleep) shows a strong specialization in electroencephalography and suggests substantial diagnostic EEG throughput compared with other neurologists.

99205 contributes $27.2K (8.2% of Medicare revenue) and the provider ranks #620 of 66257 nationally for that code (99th percentile; extreme outlier), indicating high-volume, high-complexity new patient visits. Together with the 99215 volume, the mix implies the practice sees a substantial number of both new and established complex neurology patients rather than focusing solely on low-acuity follow-up care.

A secondary set of services includes neuropsychological testing (96132, 96138) and home sleep testing (G0399): 96132 accounts for $19K (5.7% of Medicare revenue) and ranks #220 of 3173 (93th percentile; typical, unremarkable volume), while G0399 represents $10.3K (3.1% of Medicare revenue) and ranks #108 of 1147 (90th percentile; typical, unremarkable volume). These codes indicate ancillary testing capabilities that complement the high-volume E/M and EEG work, suggesting vertically integrated diagnostic offerings rather than referral-only relationships.

This provider has no Medicaid billing on file (none) while Medicare accounts for the entirety of reported public-payer revenue ($332.4K), making the practice effectively single-payer in the available public claims data. Analysts should therefore treat Medicaid activity as absent rather than low — any Medicaid-facing strategy or risk assessment will need external data beyond these records.

Competitive standing across codes is mixed: for core neurology E/M and EEG codes (99215, 95819, 99205) the provider is a clear high-volume outlier nationally, while for several support/testing codes (e.g., 96132, 95816, G0399) the provider’s ranks fall into high-but-typical or mid-percentile ranges (for example, 95816 ranks #1488 of 3834, 60th percentile; typical, unremarkable volume). The pattern indicates market leadership in patient-facing E/M and diagnostic EEG volume, with more typical participation in ancillary testing.

Tenure in the Medicare program is long-established: the provider’s NPI was enumerated 2006-01-26 (~20 years ago), which supports interpretation of these volume patterns as the product of sustained clinical operations rather than a short-term billing spike. Longevity combined with repeated extreme-outlier rankings for core codes suggests an ongoing practice model focused on high-complexity outpatient neurology and diagnostic services.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,040	$140	$141.9K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	300	$380	$114.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	170	$160	$27.2K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	190	$100	$19K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	50	$320	$14.6K
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	130	$80	$10.3K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	150	$30	$4.6K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	20	$20	$360

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Michael Russo — 6 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95819	1	10	30	$330	$34.1K
99215	2	380	40	$120	$11.2K
95816	4	10	40	$140	$5.6K
G0399	1	10	70	$70	$5.4K
99205	1	200	20	$160	$5.1K
96132	1	10	30	$100	$4.9K
96138	1	10	30	$30	$2K
G2212	20	20	40	$20	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael B. Russo, Md, Inc	HI	Specialist	$0	$175.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	HI	Pharmacy	$0	$25.3M
Mastercare Inc	HI	Nursing Care Agency	$0	$10.8M
Attention Plus Private Nursing, Inc.	HI	Nursing Care Agency	$0	$7.7M
Heaven's Helpers, Inc.	HI	In Home Supportive Care Agency	$0	$4.5M
Heaven's Helpers, Inc.	HI	Nursing Care Agency	$0	$4M
Honolulu Imaging Center, LLC	HI	Diagnostic Radiology Physician	$2.6M	$1.1M
Eugene W M Ng Md LLC	HI	Ophthalmology Physician	$0	$3.7M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.6M
B Homecare L.L.C.	HI	In Home Supportive Care Agency	$0	$3.5M
Hawaii Diagnostic Radiology Services LLC	HI	Diagnostic Radiology Physician	$0	$3.2M

Michael Russo — Billing Profile & Reimbursement Data

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Michael Russo — 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