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.

Maui Health System A Kaiser Foundation Hospitals LLC (NPI 1669834016)

Field	Value
Entity Type	Organization
Organization	Maui Health System A Kaiser Foundation Hospitals LLC
Address	221 Mahalani St
City	Wailuku
State	HI
ZIP	96793
Taxonomy	Specialist
NPI Enumerated	March 24, 2016

Payer Source	Total Paid
Medicaid	$497.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0002A	N/A	1,960	$40	$76.4K
0001A	N/A	1,990	$40	$71.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	720	$50	$36.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	1,830	$20	$29.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	680	$40	$28.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	750	$40	$27.9K
0004A	N/A	810	$30	$27.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	960	$30	$26K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	300	$80	$24.9K
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…	730	$30	$21.1K

Showing 1–10 of 37

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

Maui Health System A Kaiser Foundation Hospitals LLC — 0 of 25 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	35	50	8,590	$340	$5.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	41	50	3,740	$290	$3.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	39	40	3,820	$330	$3.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	14	30	200	$290	$329.1K
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…	338	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…	374	690	650	$90	$235.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	28	60	650	$110	$152.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	33	70	520	$50	$125.4K
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,…	82	190	190	$100	$122.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	18	30	780	$40	$93.2K

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with Maui Health System A Kaiser Foundation Hospitals LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maui Health System A Kaiser Foundation Hospitals LLC	HI	General Acute Care Hospital	$0	$60.3M
Maui Health System A Kaiser Foundation Hospitals LLC	HI	Critical Access Hospital	$0	$3.8M
Horng Bruce Lin	CA	Vascular & Interventional Radiology Physician	$1.7M	$0
John Hennessee	OK	Psychiatry Physician	$415.1K	$5.3K
Aman Ali	PA	Gastroenterology Physician	$248.1K	$0
Reid Hoshide	HI	Neurological Surgery Physician	$196.8K	$0
Kellen Jex	MS	Gastroenterology Physician	$146.3K	$26K
Jason Call	HI	Interventional Cardiology Physician	$141.8K	$0
Yachao Zhang	DC	Diagnostic Radiology Physician	$96.8K	$44.1K
Mir Subla	ND	Cardiovascular Disease Physician	$140.8K	$0

Nearby Providers

Other providers in the same ZIP code as Maui Health System A Kaiser Foundation Hospitals LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Clinic Of Maui, Inc.	HI	Community Health Clinic/Center	$0	$21.6M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.6M
Maui Medical Group Inc	HI	Internal Medicine Physician	$0	$9M
Bayada Home Care	HI	Nursing Care Agency	$0	$6M
Community Clinic Of Maui, Inc.	HI	Multi-Specialty Clinic/Center	$0	$4.8M
Maui Memorial Emergency Medical Associates Inc	HI	Emergency Medicine Physician	$0	$3.8M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.7M
Ka Lima O Maui Ltd	HI	Developmentally Disabled Services Day Training Agency	$0	$1.7M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$1.3M
Hawaii Life Flight, LLC	HI	Air Ambulance	$218.1K	$883.5K

Maui Health System A Kaiser Foundation Hospitals LLC — Billing Profile & Reimbursement Data

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Maui Health System A Kaiser Foundation Hospitals 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