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.

Westley Mori (NPI 1487181285)

Field	Value
Entity Type	Individual
Organization	Westley Mori
Address	1329 Lusitana St Ste 501
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Dermatology Physician
NPI Enumerated	May 11, 2017

Payer Source	Total Paid
Medicare	$398.8K
Medicaid	$0

Key Findings

Provider WESTLEY MORI reports $398.8K in lifetime Medicare revenue and has no Medicaid billing on file, making the recorded activity effectively single‑payer Medicare in scope for analysis. The NPI was enumerated 2017-05-11 (~9 years ago), so the observed Medicare activity spans roughly that post‑enumeration period and should be interpreted in that tenure context.

A high concentration of Medicare revenue is driven by Mohs surgery: the top three Medicare codes (17311, 17313, 17312) together account for 64.6% of this provider’s total Medicare revenue. Individually those codes generated $165.9K (17311), $50.2K (17313), and $41.3K (17312) respectively, indicating surgical skin‑cancer excision is the dominant service line.

The CPT mix supports an in‑office surgical dermatology practice with integrated reconstruction and pathology. Mohs codes (17311/17313/17312) are the primary revenue drivers, while repair codes such as 13132 ($21.7K, 5.5%) and larger flap/graft codes like 14061 ($11.9K, 3.0%) and 14301 ($10.2K, 2.6%) reflect reconstructive closures; concurrent pathology codes 88331 and 88342 further indicate intraoperative and post‑operative pathology services.

National competitiveness for Mohs is modest to mid‑range rather than dominant: 17311 ranks #1073 of 2969 (64th percentile; typical, unremarkable volume), 17313 ranks #593 of 2300 (74th percentile; typical, unremarkable volume), and 17312 ranks #1462 of 2770 (47th percentile; typical, unremarkable volume). These percentiles suggest the provider performs Mohs at rates consistent with many peers rather than at top national volumes.

Service‑line nuance: the practice shows an above‑typical footprint for certain diagnostic and intraoperative pathology services — 88331 ranks #271 of 4659 (94th percentile; typical, unremarkable volume) and 88342 contributes additional lab interpretation revenue. High relative pathology ranks combined with Mohs activity are consistent with same‑day surgical pathology workflows used in skin cancer management.

Patient evaluation pattern is distinctive: 99203 (new patient office visits) is an outlier, ranking #2567 of 161519 (98th percentile; extreme outlier, far above typical national volume) and accounting for $19.9K (5.0%) of Medicare revenue. This unusually high new‑patient visit volume relative to national peers may indicate strong referral inflow or a high intake of new Medicare patients for surgical evaluation.

Biopsy and diagnostic procedures are also a meaningful part of the case mix: 11106 generated $5.5K (1.4%) and ranks #67 of 282 (77th percentile; typical, unremarkable volume), while shave and tangential biopsy codes 11102/11103 appear as lower‑revenue but regularly used services. Together these patterns align with a surgical dermatology model that performs diagnostic sampling, definitive excision, intraoperative pathology, and subsequent reconstruction.

From a payer‑strategy and access perspective, the absence of any Medicaid billing on file means this provider’s documented revenue base is concentrated entirely in Medicare ($398.8K) and may limit visibility into Medicaid patient access or state‑level competitive standing; in‑state comparisons for Medicaid are not available because the provider has no Medicaid claims on record. For payers and network managers, that single‑payer footprint should inform contracting, reimbursement benchmarking, and referral expectations within Hawaii’s market.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	330	$510	$165.9K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	100	$500	$50.2K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	120	$350	$41.3K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	110	$210	$21.7K
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…	240	$80	$19.9K
88331	Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…	150	$90	$12.9K
14061	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.	10	$850	$11.9K
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…	170	$70	$11.8K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	10	$930	$10.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	170	$50	$7.8K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Westley Mori — 5 of 22 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

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	10	180	$500	$78.9K
17312	4	10	110	$350	$35.7K
17313	1	10	60	$490	$27.2K
99214	1,398	1,440	100	$80	$15.2K
13132	1	10	60	$230	$13.1K
13121	6	10	50	$260	$12.4K
14061	1	10	10	$800	$10.4K
14301	1	10	10	$930	$10.2K
12032	14	20	30	$230	$8.7K
99213	394	1,460	70	$60	$8.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Tria Orthopaedic Center LLC	MN	Orthopaedic Surgery Physician	$0	$7.3M
Mehdi Najafi	MA	Ophthalmology Physician	$1.8M	$0
Marni Feldmann	MN	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Peter Kent	MN	Rheumatology Physician	$1.6M	$0
Yang Liu	MN	Hematology & Oncology Physician	$1.4M	$0
Elizabeth Miller	MN	Rheumatology Physician	$1.3M	$0
Bethel Averbeck	MN	Internal Medicine Physician	$1.2M	$0
Paul Drayna	MN	Retina Specialist (Ophthalmology) Physician	$1M	$0

Nearby Providers

Other providers in the same ZIP code as Westley Mori, 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
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
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

Westley Mori — 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