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.

Melvin Palalay (NPI 1508833971)

Field	Value
Entity Type	Individual
Organization	Melvin Palalay
Address	1329 Lusitana St Ste 307
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	March 3, 2006

Payer Source	Total Paid
Medicare	$328.4K
Medicaid	$0

Key Findings

This provider’s payer mix is effectively single‑payer: Total Medicare revenue is $328.4K while there is no Medicaid billing on file, so the practice’s publicly reported activity is concentrated in Medicare beneficiaries and lacks any Medicaid volume. That concentration will shape patient mix, reimbursement exposure, and payer negotiation leverage.

Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top-3 Medicare codes account for 67.7% of total Medicare revenue, driven by 99214 ($140.3K, 43.1%), J0897 ($67.6K, 20.8%), and 99232 ($12.2K, 3.7%). This means a large share of billings comes from routine office E/M visits and a single injectable therapy code.

The code mix and taxonomy (Hematology & Oncology Physician) point to an outpatient oncology practice model that combines high-volume office visits with in-office injectable treatments and supportive care: 99214 is the single largest revenue driver and J0897 (denosumab) is the next largest, while chemotherapy administration codes such as 96413 ($10.2K, 3.1%) and infusion codes (96365, 96367) are present but account for smaller shares. The presence of therapeutic phlebotomy (99195, $3.1K) and numerous oncology-related labs supports ongoing monitoring and infusion‑support services.

For 99214 this provider ranks as a national outlier: ranks #4027 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), indicating unusually high Medicare office visit volume compared with peers and suggesting the clinician maintains a large established-patient panel or high visit frequency. That dominant standing on a primary E/M code differentiates the provider from most national peers.

J0897 and chemotherapy-related codes show more typical national volumes: J0897 ranks #3933 of 10057 providers nationally (61th percentile; typical, unremarkable volume for this code) and 96413 ranks #4757 of 7514 providers nationally (36th percentile; typical, unremarkable volume for this code). In plain terms, denosumab use and chemotherapy administration are meaningful revenue streams but not unusually large relative to national oncology peers.

Ancillary and lab services are a consistent part of the practice: high-claim counts and elevated national ranks for specimen and panel codes (85025: 1.2K claims, $9.4K revenue, ranks #1935 of 32833 providers nationally; 80048: 1K claims, $8.3K revenue, ranks #431 of 14725 providers nationally; 80076: 1K claims, $8.1K revenue, ranks #196 of 3400 providers nationally) plus 36415 blood draws (1.2K claims, $5.8K revenue, ranks #2312 of 86467 providers nationally). These patterns indicate robust in‑office testing and phlebotomy capacity to support oncology care and treatment monitoring.

The provider also bills for inpatient/observation E/M visits, indicating some hospital-based activity: 99232 ($12.2K, 3.7%), 99223 ($5K, 1.5%) and 99233 ($3.3K, 1.0%) are on the bill roster, with 99232 ranking #48901 of 177383 providers nationally (72th percentile; typical, unremarkable volume for this code). This mix suggests the clinician balances outpatient clinic work with a measurable, though not dominant, level of inpatient involvement.

The provider has a long‑standing NPI (enumerated 2006-03-03, ~20 years ago), which together with the concentrated Medicare revenue and established E/M volume (notably 99214 as an extreme outlier) supports the interpretation of an established oncology practice in Honolulu, HI. The lack of Medicaid billing on file means any analysis of public payer exposure or access patterns should treat this profile as Medicare‑centric unless supplemental state or commercial data indicate otherwise.

Medicare: Complete Services Breakdown

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

36 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…	1,450	$100	$140.3K
J0897	Injection, denosumab, 1 mg	3,560	$20	$67.6K
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…	190	$60	$12.2K
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…	210	$50	$10.8K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	90	$110	$10.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	1,180	$10	$9.4K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	1,030	$10	$8.3K
80076	The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.	1,020	$10	$8.1K
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…	60	$140	$7.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	1,150	$10	$5.8K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Melvin Palalay — 1 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. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
84443	3	10	100	$20	$134.2K
J0897	7	20	2,530	$20	$121.5K
36415	5	30	50	$10	$56.2K
80048	4	10	940	$10	$45.9K
85025	5	30	50	$10	$40.5K
84439	3	10	110	$10	$37K
82728	5	10	160	$10	$22.5K
99233	242	320	110	$90	$16.1K
99214	9	1,440	100	$80	$15.2K
96413	4	10	100	$110	$13.8K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hawaii Cancer Care Inc	HI	Specialist	$0	$1.3M
David Tamura	HI	Hematology & Oncology Physician	$373.7K	$0
Arnold Yee	HI	Hematology & Oncology Physician	$319.5K	$0
Kaye Kawahara	HI	Hematology & Oncology Physician	$153.4K	$0
Jon Fukumoto	HI	Hematology (Internal Medicine) Physician	$135.9K	$0
Jared Acoba	HI	Hematology & Oncology Physician	$98.8K	$0
Kenneth Sumida	HI	Hematology & Oncology Physician	$98.4K	$0
Ryon Nakasone	HI	Hematology & Oncology Physician	$96.8K	$0
William Loui	HI	Hematology & Oncology Physician	$87.5K	$0

Nearby Providers

Other providers in the same ZIP code as Melvin Palalay, 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

Melvin Palalay — 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