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.

Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky (NPI 1558424473)

Field	Value
Entity Type	Organization
Organization	Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky
Address	839 S Beretania St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Non-Surgical Family Planning Clinic/Center
NPI Enumerated	December 19, 2006

Payer Source	Total Paid
Medicaid	$545.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	530	$360	$191.5K
S0199	Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to…	350	$410	$140.8K
S0190	Mifepristone, oral, 200 mg	830	$80	$65.8K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	740	$70	$53.1K
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…	330	$40	$14K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	150	$80	$12.1K
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…	300	$40	$11.1K
81025	The lab analyst performs the pregnancy test on a urine specimen using a methodology or kit that the analyst can read visually for a direct readout.	1,840	$10	$9.2K
S0191	Misoprostol, oral, 200 mcg	960	$10	$7.7K
64435	The provider injects an anesthetic agent, steroid, or both in the paracervical or uterine nerve in the area alongside the cervix in females. Report this code for one or more injections of the…	270	$30	$7.1K

Showing 1–10 of 24

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

Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — 2 of 24 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	437	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…	663	690	650	$90	$235.4K
59840	In this procedure, the provider deliberately terminates a pregnancy for elective or therapeutic reasons. He removes the fetus and products of conception by dilating the cervix and then using a…	1	10	530	$360	$191.6K
S0199	Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to…	1	10	350	$410	$140.9K
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,…	101	190	190	$100	$122.8K
76815	The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.	10	20	160	$70	$107.8K
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…	151	170	120	$70	$35.7K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	23	50	450	$1	$34.8K
S0190	Mifepristone, oral, 200 mg	1	10	420	$80	$32.9K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	28	40	170	$40	$28.9K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky	WA	Non-Surgical Family Planning Clinic/Center	$0	$18.7M
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky	IN	Non-Surgical Family Planning Clinic/Center	$0	$3.5M
Luke Mather	ID	Family Medicine Physician	$68.8K	$0
Taylor Dunn	AK	Family Medicine Physician	$67.2K	$0
Joseph Roth	AK	Family Medicine Physician	$49.1K	$0
Kirk Scofield	MN	Sports Medicine (Family Medicine) Physician	$47.8K	$0
Song Baek	IN	Family Nurse Practitioner	$47.1K	$0
Elizabeth Driscoll	VA	Family Nurse Practitioner	$38.1K	$0
Carol Mitchell Springer	AK	Obstetrics & Gynecology Physician	$28.6K	$0
Toni Carles	ID	Family Nurse Practitioner	$11K	$0

Nearby Providers

Other providers in the same ZIP code as Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky, 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

Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — Billing Profile & Reimbursement Data policy alerts

Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — Billing Profile & Reimbursement Data

Sign up for Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References