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.

Straub Clinic & Hospital (NPI 1720031701)

Field	Value
Entity Type	Organization
Organization	Straub Clinic & Hospital
Address	888 S King St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$45.6M
Medicare	$0

Key Findings

STRAUB CLINIC & HOSPITAL reports no Medicare billing on file and $45.6M in lifetime Medicaid revenue, making its publicly visible payer mix effectively single-payer Medicaid at scale. This absence of Medicare activity should be treated as a defining characteristic when modeling payer contracts or population coverage for the facility.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 63.6% of the provider's total Medicaid revenue, driven by emergency department evaluation-and-management codes 99285 ($10.5M, 24.3%), 99283 ($9.2M, 21.3%), and 99284 ($7.8M, 18.0%). That concentration indicates the hospital’s revenue base is heavily dependent on acute ED care rather than diversified outpatient professional billing.

Despite the ED-driven revenue concentration, STRAUB’s state competitive standing on those top ED codes is solid but not dominant: 99285 ranks #7 of 39 providers in-state (84th percentile; typical, unremarkable volume for this code), 99283 ranks #12 of 45 (75th percentile; typical, unremarkable volume for this code), and 99284 ranks #15 of 47 (70th percentile; typical, unremarkable volume for this code). These ranks suggest it is a meaningful regional ED provider but not the clear market leader for high-acuity ED visits.

The hospital also shows operational breadth beyond the ED. Hospital observation G0378 yields $3.5M (8.1% of Medicaid revenue) and ranks #8 of 13 providers in-state (42th percentile; typical, unremarkable volume for this code), while outpatient clinic visits G0463 produce 50.5K claims and $303.2K (0.7% of Medicaid revenue) and rank #1 of 12 providers in-state (100th percentile; notably above typical state volume for this code). The combination of observation hours and very high-volume, low-dollar clinic encounters points to heavy throughput and capacity for short-stay and ambulatory management.

STRAUB is an outsized outlier in ambulatory rehabilitation services: 97110 (therapeutic exercise) reports 21.6K claims and $669.5K (1.6% of Medicaid revenue) and ranks #1 of 110 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while 97140 (manual therapy) has 14.2K claims and $326.7K (0.8%) and ranks #2 of 88 providers in-state (99th percentile; extreme outlier, far above typical state volume for this code). These labels indicate a substantial physical-therapy footprint that is materially larger than peers and likely represents an important service line and referral draw.

Endoscopy and advanced imaging also contribute meaningfully to Medicaid revenue and suggest substantive procedural capabilities. Esophagogastroduodenoscopy 43239 accounts for $650K (1.5%) and ranks #2 of 31 providers in-state (97th percentile; notably above typical state volume for this code), CT abdomen/pelvis with contrast 74177 contributes $1.7M (3.9%), and colonoscopy/therapeutic codes such as 45380 and 45385 appear among the top 25—together these data support a strong gastroenterology and imaging service line.

Surgical and implant services are visible in the payer mix: L8699 (prosthetic implant, NOS) generates $2.2M (5.1% of Medicaid revenue) and ranks #2 of 8 providers in-state (86th percentile; typical, unremarkable volume for this code), and several pathology and surgical specimen codes (88305, 45385) appear in the top contributors. This pattern is consistent with a hospital performing inpatient and outpatient surgical procedures that require implants and pathology support.

The provider has a long enrollment history, with NPI enumerated 2006-05-18 (~20 years ago), indicating longevity in the market. That tenure, combined with the revenue mix (ED-dominant plus unusually large PT and clinic volumes), suggests established referral pathways and operational scale in both acute care and high-volume ambulatory services.

Medicaid: Complete Services Breakdown

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

328 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	13,720	$770	$10.5M
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.	19,410	$470	$9.2M
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.	13,430	$580	$7.8M
G0378	Hospital observation service, per hour	3,080	$1,140	$3.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6,490	$370	$2.4M
L8699	Prosthetic implant, not otherwise specified	1,220	$1,800	$2.2M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,020	$560	$1.7M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,860	$410	$768K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	21,600	$30	$669.5K
99281	The provider sees a patient for the lowest level emergency department visit.	2,180	$310	$666.2K

Showing 1–10 of 328

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

Straub Clinic & Hospital — 5 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

328 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.	12	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.	15	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.	7	40	3,820	$330	$3.3M
G0378	Hospital observation service, per hour	8	10	3,250	$480	$2.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	6	30	2,660	$330	$1.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	10	40	1,050	$510	$1.3M
86003	The lab analyst performs the technical lab test to analyze a specimen such as serum for allergen–specific immunoglobulin E (IgE), using a crude allergen extract. The test result is quantitative or…	4	10	4,430	$160	$842.9K
J3490	Unclassified drugs	2	50	160	$200	$740.3K
99281	The provider sees a patient for the lowest level emergency department visit.	5	20	950	$220	$651.2K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	5	10	2,090	$60	$613.6K

Showing 1–10 of 328

Related Providers

Other providers that share a Tax Identification Number (TIN) with Straub Clinic & Hospital, 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	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
Arnold Kop	HI	Internal Medicine Physician	$392.9K	$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 Straub Clinic & Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M
Kaiser Foundation Health Plan Inc	HI	Health Maintenance Organization	$0	$7.4M

Straub Clinic & Hospital — Billing Profile & Reimbursement Data

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Straub Clinic & Hospital — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References