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.

Alexander Buls (NPI 1619128469)

Field	Value
Entity Type	Individual
Organization	Alexander Buls
Address	321 N Kuakini St Ste 306
City	Honolulu
State	HI
ZIP	96817
Taxonomy	Anesthesiology Physician
NPI Enumerated	October 9, 2008

Payer Source	Total Paid
Medicare	$3.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01844	The provider performs anesthesia services for a patient undergoing a vascular shunt procedure, or shunt revision of any type, such as for dialysis.	20	$120	$1.9K
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	10	$70	$970
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$40	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Alexander Buls — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00811	54	60	30	$100	$3.8K
01844	6	10	20	$180	$2.6K
36620	23	30	20	$30	$630

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Travis Dang	HI	Anesthesiology Physician	$95.7K	$0
Craig Chun	HI	Anesthesiology Physician	$33.8K	$44K
Carly Wachi	HI	Anesthesiology Physician	$36.1K	$0
Lester Chua	CT	Student in an Organized Health Care Education/Training Program	$5.8K	$23.2K
Jana Yakushiji	HI	Student in an Organized Health Care Education/Training Program	$27K	$0
Hee Jung Park	HI	Anesthesiology Physician	$24.5K	$0
Colin Higuchi	HI	Anesthesiology Physician	$20.9K	$0
Jon Narimasu	HI	Critical Care Medicine (Anesthesiology) Physician	$15.6K	$0
Karen Erickson	HI	Certified Registered Nurse Anesthetist	$15.1K	$0
Derek Matsushige	HI	Anesthesiology Physician	$14.2K	$0

Alexander Buls — Billing Profile & Reimbursement Data

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Alexander Buls — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References