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.

Frank Lemes (NPI 1710184155)

Field	Value
Entity Type	Individual
Organization	Frank Lemes
Address	1178 Kinoole St
City	Hilo
State	HI
ZIP	96720
Taxonomy	Family Medicine Physician
NPI Enumerated	June 29, 2007

Payer Source	Total Paid
Medicare	$73.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	510	$90	$43.4K
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…	130	$140	$18.7K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	80	$100	$8.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	30	$120	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Frank Lemes — 2 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99310	26	30	40	$120	$30K
99309	5	60	130	$80	$14.7K
99306	2	20	40	$140	$7.6K
99316	1	30	30	$100	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Queens University Medical Group	HI	Multi-Specialty Clinic/Center	$0	$7.4M
Kau Hospital	HI	Critical Access Hospital	$0	$4.9M
Patrick Gonzales	CA	Vascular & Interventional Radiology Physician	$2.7M	$0
Kau Hospital	HI	Rural Health Clinic/Center	$0	$2.4M
Honokaa Hospital & Skilled Nursing	HI	Critical Access Hospital	$0	$1.8M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$1.5M
Vivek Kesari	MD	Nuclear Medicine Physician	$1.4M	$0
Kau Hospital	HI	Rural Health Clinic/Center	$0	$1.4M
Patrick Ryan	CA	Diagnostic Radiology Physician	$722.4K	$0
Kau Hospital	HI	Rural Health Clinic/Center	$0	$713.8K

Frank Lemes — Billing Profile & Reimbursement Data

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Frank Lemes — 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