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.

Bert M. Sumikawa, D.d.s., Inc. (NPI 1669538914)

Field	Value
Entity Type	Organization
Organization	Bert M. Sumikawa, D.d.s., Inc.
Address	1026 S King St
City	Honolulu
State	HI
ZIP	96814
Taxonomy	Pediatric Dentistry
NPI Enumerated	December 29, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0120	Periodic oral evaluation - established patient	15,890	$30	$508.5K
D1120	Prophylaxis–child	14,800	$30	$503.3K
D1208	Topical application of fluoride - excluding varnish	15,500	$10	$201.4K
D0220	Intraoral - periapical first radiographic image	14,380	$10	$201.3K
D0272	N/A	8,580	$20	$197.2K
D0274	N/A	4,090	$40	$151.4K
D0230	Intraoral - periapical each additional radiographic image	10,260	$10	$123.2K
D2150	Amalgam - two surfaces, primary or permanent	1,100	$60	$61.6K
D2392	Post 2 surface resin‑based composite	670	$60	$41.3K
D0330	N/A	480	$70	$32.9K

Showing 1–10 of 18

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

Bert M. Sumikawa, D.d.s., Inc. — 3 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	34	30	850	$100	$168.5K
D1120	Prophylaxis–child	8	120	600	$30	$109.9K
D0120	Periodic oral evaluation - established patient	7	140	600	$30	$97.1K
D2392	Post 2 surface resin‑based composite	20	60	370	$80	$78.4K
D1351	Sealant - per tooth	24	40	880	$30	$59.7K
D2150	Amalgam - two surfaces, primary or permanent	8	30	450	$60	$52.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	45	100	610	$20	$51K
D3220	N/A	23	20	310	$70	$50.1K
D0272	N/A	7	90	380	$20	$47.8K
D0330	N/A	24	70	260	$60	$46.2K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Bert M. Sumikawa, D.d.s., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	HI	Pharmacy	$0	$25.3M
Mastercare Inc	HI	Nursing Care Agency	$0	$10.8M
Attention Plus Private Nursing, Inc.	HI	Nursing Care Agency	$0	$7.7M
Heaven's Helpers, Inc.	HI	In Home Supportive Care Agency	$0	$4.5M
Heaven's Helpers, Inc.	HI	Nursing Care Agency	$0	$4M
Honolulu Imaging Center, LLC	HI	Diagnostic Radiology Physician	$2.6M	$1.1M
Eugene W M Ng Md LLC	HI	Ophthalmology Physician	$0	$3.7M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.6M
B Homecare L.L.C.	HI	In Home Supportive Care Agency	$0	$3.5M
Hawaii Diagnostic Radiology Services LLC	HI	Diagnostic Radiology Physician	$0	$3.2M

Bert M. Sumikawa, D.d.s., Inc. — Billing Profile & Reimbursement Data

Sign up for Bert M. Sumikawa, D.d.s., Inc. — Billing Profile & Reimbursement Data policy alerts

Bert M. Sumikawa, D.d.s., Inc. — Billing Profile & Reimbursement Data

Sign up for Bert M. Sumikawa, D.d.s., Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References