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.

Emma B Avilla, Md, Inc (NPI 1730277716)

Field	Value
Entity Type	Organization
Organization	Emma B Avilla, Md, Inc
Address	1728 Dillingham Blvd
City	Honolulu
State	HI
ZIP	96819
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicaid	$390K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,250	$70	$220.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	920	$80	$75.4K
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…	990	$50	$44.5K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	420	$80	$32.1K
99203	The provider sees a new 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 provider…	280	$60	$15.4K
99386	The provider performs a well–patient visit for a patient who is between the ages of 40 and 64.	10	$100	$1.3K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	90	$10	$430
S9999	Sales tax	30	$0	$0

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

Emma B Avilla, Md, Inc — 1 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	299	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…	118	690	650	$90	$235.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	2	20	30	$140	$40.2K
99203	The provider sees a new 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 provider…	59	170	120	$70	$35.7K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	30	40	260	$50	$29.1K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	2	30	30	$110	$11.1K
99386	The provider performs a well–patient visit for a patient who is between the ages of 40 and 64.	2	10	20	$250	$4.7K
S9999	Sales tax	201	240	200	$1	$820

Nearby Providers

Other providers in the same ZIP code as Emma B Avilla, Md, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	HI	General Acute Care Hospital	$0	$76.5M
Hawaii Permanente Medical Group Inc	HI	Health Maintenance Organization	$0	$75.8M
Procare Pharmacy, L.L.C.	HI	Specialty Pharmacy	$0	$41.8M
Value Drug Ltd	HI	Pharmacy	$0	$21.7M
Care Hawaii, Inc.	HI	Community/Behavioral Health Agency	$0	$11.8M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$10M
Hawaii Life Flight, LLC	HI	Air Ambulance	$636.1K	$8.5M
City And County Of Honolulu	HI	Land Ambulance	$3.3M	$5.3M
Keiki Dental Specialists	HI	Pediatric Dentistry	$0	$5.7M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$2M

Emma B Avilla, Md, Inc — Billing Profile & Reimbursement Data

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Emma B Avilla, Md, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References