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.

Us Med Urgent Care, LLC (NPI 1538526462)

Field	Value
Entity Type	Organization
Organization	Us Med Urgent Care, LLC
Address	890 Kamokila Blvd
City	Kapolei
State	HI
ZIP	96707
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	January 22, 2016

Payer Source	Total Paid
Medicaid	$102.5K
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
S9088	Services provided in an urgent care center (list in addition to code for service)	2,890	$20	$46.3K
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…	690	$40	$24.1K
99204	The 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…	270	$70	$17.7K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	330	$40	$12.6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	70	$20	$1.1K
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…	20	$40	$670
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	40	$0	$0
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	310	$0	$0
S9999	Sales tax	390	$0	$0

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

Us Med Urgent Care, LLC — 0 of 6 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
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…	331	690	650	$90	$235.4K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	29	50	980	$30	$111.1K
S9088	Services provided in an urgent care center (list in addition to code for service)	15	40	1,230	$10	$65.9K
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…	138	170	120	$70	$35.7K
99204	The 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…	41	170	70	$90	$23.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	59	90	180	$10	$14.5K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	3	10	230	$1	$1.2K
S9999	Sales tax	94	240	200	$1	$820
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	7	10	70	$1	$10

Related Providers

Other providers that share a Tax Identification Number (TIN) with Us Med Urgent Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Physician Network	HI	Urgent Care Clinic/Center	$0	$353.5K
Us Med Urgent Care	HI	Urgent Care Clinic/Center	$0	$256.1K
Steven Ito	HI	Family Nurse Practitioner	$228.7K	$0
Jason Woo	HI	Emergency Medicine Physician	$31K	$0
Jose Almeida	HI	Emergency Medicine Physician	$30.5K	$0
Keith Stephenson	HI	General Practice Physician	$16.2K	$0
Meagan Nolin	HI	Family Nurse Practitioner	$11.4K	$0

Nearby Providers

Other providers in the same ZIP code as Us Med Urgent Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usrc Kapolei, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Responsive Caregivers Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc West Oahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Family Tree Project, LLP	HI	Community/Behavioral Health Agency	$0	$1.5M
Kidshine Kapolei LLC	HI	Dental Clinic/Center	$0	$1.5M
Dean T. Sueda D.d.s., M.s. Inc	HI	Pediatric Dentistry	$0	$1.4M
Wendell Danforth	HI	Ophthalmology Physician	$974.5K	$0
Workstar Occupational Health Systems Inc	HI	Occupational Medicine Physician	$0	$911.7K

Us Med Urgent Care, LLC — Billing Profile & Reimbursement Data

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Us Med Urgent Care, LLC — 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