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.

Arnold Kop (NPI 1629178157)

Field	Value
Entity Type	Individual
Organization	Arnold Kop
Address	3288 Moanalua Rd
City	Honolulu
State	HI
ZIP	96819
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 24, 2006

Payer Source	Total Paid
Medicare	$392.9K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in absolute dollars but concentrated: lifetime Medicare revenue is $392.9K and there is no Medicaid billing on file, so ARNOLD KOP is effectively a single‑payer (Medicare) billing profile rather than a dual‑payer practice. The NPI was enumerated 2006-09-24 (~20 years ago), indicating long tenure in the Medicare program.

Revenue is heavily driven by remote physiologic monitoring (RPM): the top three codes are 99458 (2.8K claims, $89.6K revenue), 99457 (2K claims, $81.8K revenue), and 99454 (1.6K claims, $68.8K revenue). These codes together account for 61.1% of this provider’s total Medicare revenue, signaling an operational focus on device‑enabled, recurring monthly monitoring and associated interactive care management.

The provider ranks at or near the top of national peers for RPM volume: 99458 ranks #56 of 3715 providers (99th percentile; notably above typical national volume), 99457 ranks #106 of 6044 (98th percentile; notably above typical national volume), and 99454 ranks #118 of 5663 (98th percentile; notably above typical national volume). This pattern is consistent with a practice that is a major national participant in RPM billing rather than a marginal user.

Beyond RPM, the code mix includes chronic care management and care coordination time‑based codes: 99490 (805 claims, $41.1K revenue) and 99439 (779 claims, $30.4K revenue). Those codes are reported at typical or unremarkable national volumes (99490: 91th percentile; 99439: 96th percentile) which suggests RPM is the differentiator while CCM participation is present but not an extreme outlier.

The provider also bills a mix of office/outpatient E/M and facility‑based visits and diagnostics that diversify the service line: 99214 accounted for $29.8K (298 claims), nursing facility codes such as 99309 and 99306 contributed $8.4K and $5.7K respectively, and autonomic/vascular testing codes like 95924 and 93923 contributed $6.5K and $5.5K. This indicates the practice provides both ambulatory management and some facility/diagnostic services in addition to its RPM program.

High RPM claim volumes (2.8K claims for 99458, 2K for 99457, 1.6K for 99454) point to an operational model built around recurring monthly interactions, device deployment, and remote monitoring workflows rather than episodic face‑to‑face visits alone. The corresponding average paid/claim levels ($32, $40, $43 respectively) and the top‑percentile national ranks imply scale in RPM delivery rather than isolated use of these codes.

Concentration risk and business implications: with the top three RPM codes making up 61.1% of Medicare revenue, the practice’s financial performance is closely tied to sustained RPM enrollment and reimbursement policies for those services. Any payer policy changes or decreases in RPM utilization could disproportionately affect revenue, while continued acceptance of RPM reimbursement represents a clear growth lever for this provider.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	2,800	$30	$89.6K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	2,050	$40	$81.8K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	1,600	$40	$68.8K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	810	$50	$41.1K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	780	$40	$30.4K
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…	300	$100	$29.8K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	100	$90	$8.4K
95924	In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic…	50	$130	$6.5K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	40	$150	$5.7K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	50	$110	$5.5K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Arnold Kop — 8 of 19 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

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	33	30	40	$120	$30K
99307	11	10	80	$30	$18.2K
99458	1	10	220	$30	$17.1K
99214	285	1,440	100	$80	$15.2K
99309	37	60	130	$80	$14.7K
99308	20	40	90	$50	$13.4K
99490	1	20	190	$50	$11.6K
99457	1	20	100	$40	$9.9K
99454	1	20	100	$40	$9.7K
99439	1	10	140	$40	$9.7K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kapiolani Medical Center For Women & Children	HI	Children's Hospital	$0	$102.4M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
Straub Clinic & Hospital	HI	Multi-Specialty Clinic/Center	$0	$8.2M
Kapiolani Medical Center For Women & Children	HI	Multi-Specialty Clinic/Center	$0	$3.3M
Straub Clinic & Hospital	HI	Community/Retail Pharmacy	$0	$984.9K
Devy Setyono	HI	Rheumatology Physician	$712.5K	$0
Manas Jain	WA	Urology Physician	$489.2K	$0
Boyuan Cao	HI	Internal Medicine Physician	$81.1K	$288.1K
Sian Yik Lim	HI	Rheumatology Physician	$316.7K	$0
Cass Nakasone	HI	Orthopaedic Surgery Physician	$233K	$0

Nearby Providers

Other providers in the same ZIP code as Arnold Kop, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	HI	General Acute Care Hospital	$0	$76.5M
Hawaii Permanente Medical Group Inc	HI	Health Maintenance Organization	$0	$75.8M
Procare Pharmacy, L.L.C.	HI	Specialty Pharmacy	$0	$41.8M
Value Drug Ltd	HI	Pharmacy	$0	$21.7M
Care Hawaii, Inc.	HI	Community/Behavioral Health Agency	$0	$11.8M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$10M
Hawaii Life Flight, LLC	HI	Air Ambulance	$636.1K	$8.5M
City And County Of Honolulu	HI	Land Ambulance	$3.3M	$5.3M
Keiki Dental Specialists	HI	Pediatric Dentistry	$0	$5.7M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$2M

Arnold Kop — 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