Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRussell Harada
    Ask Trek AI about this page

    Russell Harada — Billing Profile & Reimbursement Data

    NPI 1730143884 · Aiea, HI · Specialist

    Customize your policy alerts

    Sign up for Russell Harada — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Russell Harada is a specialist provider located in Aiea, Hawaii. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRussell Harada
    Address98-1079 Moanalua Rd
    CityAiea
    StateHI
    ZIP96701
    TaxonomySpecialist
    NPI EnumeratedApril 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$545.6K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available claims data: lifetime Medicare revenue is $545.6K and there is no Medicaid billing on file, so Medicare comprises essentially the entire recorded payer mix for this NPI. The NPI was enumerated 2006-04-14 (~20 years ago), indicating a long-tenured individual practice or professional enrollment.

    Revenue is highly concentrated in a small set of interventional dialysis/access codes: the precomputed top‑3 Medicare codes account for 77.2% of total Medicare revenue, driven by 36903 ($318.6K revenue, 58.4% of total, 83 claims at $3839 avg paid/claim), 36902 ($76.4K revenue, 14.0% of total, 81 claims at $943 avg paid/claim) and 93990 ($26.1K revenue, 4.8% of total, 235 claims at $111 avg paid/claim). This concentration indicates the practice’s revenue hinges on a narrow set of high‑value dialysis access interventions and duplex surveillance.

    The CPT/HCPCS mix is characteristic of an interventional vascular/vascular access practice focused on dialysis circuits: high‑revenue codes include stent placement and angioplasty for dialysis access (36903, 36902, 36908), thrombectomy/thrombolysis (36905, 36906), surgical AV access creation/revision (36830, 36831, 36832) and duplex surveillance (93990 and other 93xxx series). Together these codes point to a service line that performs both endovascular interventions and noninvasive imaging for hemodialysis vascular access management.

    Competitive standing is uneven across procedures: for the highest‑revenue procedure 36903 this provider ranks #13 of 289 nationally (95th percentile; notably above typical national volume for this code), and for surveillance ultrasound 93990 the provider ranks #39 of 1490 (97th percentile; notably above typical national volume), indicating a nationally high volume for those specific services. By contrast, 36902 ranks #383 of 1666 providers (77th percentile; typical, unremarkable volume), so while the provider is a major national performer on stent placement and graft ultrasound, other angioplasty codes are closer to peer norms.

    The provider reports an unusually high volume of low‑level office outpatient encounters: 99212 appears 477 times for $21.9K in revenue (4.0% of Medicare revenue) and is flagged as an extreme outlier (rank #1213 of 99011 providers nationally, 99th percentile). This suggests frequent brief evaluation/management visits that likely accompany the procedural workflow (pre‑ or post‑procedure follow‑up) rather than a general primary care panel.

    Ancillary items support an interventional procedural practice: monitored anesthesia time 99152 appears with 159 claims and $7K revenue (1.3% of Medicare revenue) and is in the 91st percentile nationally (typical, unremarkable volume), while add‑on and device codes such as 77001, 36589 and 36558 are present at low revenue shares. The presence of these codes aligns with routine procedural sedation, vascular access manipulation, and catheter work consistent with dialysis access interventions.

    Given long tenure (NPI enumerated 2006-04-14 ~20 years) but a modest total Medicare revenue of $545.6K, the profile is consistent with a specialized, procedure‑focused clinician whose income stream is concentrated in targeted high‑value dialysis access interventions rather than broad primary‑care or mixed‑payer outpatient volume. The lack of Medicaid claims reinforces that this is not a dual‑payer ambulatory floor but a Medicare‑centered interventional service mix.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36903The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…80$3,840$318.6K
    36902The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…80$940$76.4K
    93990The provider assesses the flow of blood through a hemodialysis graft using duplex ultrasound scanning. He performs this procedure to evaluate the condition of the graft.240$110$26.1K
    99212The 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,…480$50$21.9K
    36908During a primary procedure on a patient's dialysis circuit, the provider finds an obstructed central segment, which he dilates and then places a stent through a catheter and into the vessel lumen…20$1,270$19.1K
    36906Under fluoroscopic guidance (live X–rays which can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…30$390$10.6K
    36830In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis…20$500$8.5K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…50$160$8.3K
    36905Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…20$340$7.9K
    36831In this procedure, the provider surgically opens the autogenous or nonautogenous arteriovenous fistula and removes the clot from the connection between the artery and the vein. He does not revise the…20$470$7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3690311080$3,840$318.7K
    3690811020$1,270$19.1K
    939781420130$130$19K
    3690211020$580$17.9K
    93925173040$180$16.6K
    9399021040$100$11.2K
    9397941060$80$11K
    3690611030$390$10.6K
    3682121020$510$9.2K
    93880194050$110$9.2K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Horng Bruce LinCAVascular & Interventional Radiology Physician$1.7M$0
    Amr El-serganyHIVascular Surgery Physician$1.5M$0
    Dean LurieMDSurgery Physician$325.4K$0
    Delaram TaghipourHIPhlebology Physician$205.6K$0
    Nathan TomitaHISurgery Physician$194.4K$0
    Russell N Harada Md IncHISpecialist$0$98.9K
    Cole NishikawaHIVascular Surgery Physician$86.1K$0
    Nathan ItogaHIVascular Surgery Physician$57.8K$0
    Michael ShinMNEmergency Medicine Physician$46.6K$0
    Ajay BhattHIEmergency Medicine Physician$44.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diagnostic Laboratory Services, IncHIClinical Medical Laboratory$10.5M$46M
    Pali Momi Medical CenterHIGeneral Acute Care Hospital$0$49.3M
    Dlmc, Inc.HIHome Health Agency$0$39.5M
    Usrc Pearlridge, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.7M
    International Life Support IncHIAmbulance$1.2M$8.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.8M
    Pharmacare International, Inc.HICommunity/Retail Pharmacy$125.1K$4.7M
    Emergency Medicine Physicians Of Honolulu Pali Momi, LLCHIEmergency Medicine Physician$0$4.2M
    Absolute Care Management ServicesHIPoint of Service$0$3.2M
    Derek B Tom Dds LLCHIPediatric Dentistry$0$2.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Russell Harada — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii