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.

John Lederer (NPI 1740253327)

Field	Value
Entity Type	Individual
Organization	John Lederer
Address	2226 Liliha St Ste B2
City	Honolulu
State	HI
ZIP	96817
Taxonomy	Radiation Oncology Physician
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicare	$470K
Medicaid	$0

Key Findings

This provider is a radiation oncology practitioner with a focused external-beam practice: the revenue mix and top codes indicate high-volume IMRT and conventional radiation therapy delivery. The three highest-revenue Medicare codes are 77301, G6015, and 77427, which together account for 49.8% of the provider's Medicare revenue and reflect intensive use of IMRT planning/delivery and routine radiation treatments (77301: 113 claims, $87.5K; G6015: 281 claims, $87.4K; 77427: 377 claims, $56.9K).

Revenue concentration is notable: the top three Medicare codes contribute 49.8% of the provider's $470K in Medicare revenue, indicating that a relatively small set of radiation-delivery and planning services drive nearly half of billed Medicare dollars. This concentration suggests the practice derives most of its Medicare income from technically complex treatment sessions rather than a broad mix of low-revenue evaluation-and-management services.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $470K while Medicaid billing is reported as none, so the provider has no recorded Medicaid revenue on file. For strategic or access comparisons, treat this profile as Medicare-dominated with no in-state Medicaid activity to benchmark against.

Competitive standing on certain technical codes is strong: 77301 ranks #155 of 3815 providers nationally (96th percentile; notably above typical national volume for this code) and 77338 ranks #93 of 3807 (98th percentile; notably above typical national volume for this code), indicating above-typical national throughput for IMRT planning and MLC/IMRT-related services. Similarly, 77295 ranks #66 of 3008 (98th percentile; notably above typical national volume for this code), which underscores elevated utilization of 3D reconstruction and volumetric dose calculations relative to peers.

Other service lines show more typical or modest participation. G6015 (281 claims) ranks #976 of 1429 providers nationally (32th percentile; typical, unremarkable volume for this code) and 77427 ranks #445 of 4720 (91th percentile; typical, unremarkable volume for this code), so while these delivery codes generate substantial dollars, the provider’s relative position versus national peers varies by code and is not uniformly dominant.

There are also lower-volume but specialized services consistent with a comprehensive radiation program: stereotactic body radiation therapy (77373) appears with 19 claims and $17.3K revenue but ranks #422 of 454 providers nationally (6th percentile; typical, unremarkable volume for this code), and brachytherapy/implantation codes such as 55875 and 77778 appear at small counts (11 and 16 claims respectively), indicating occasional use of implant-based interventions rather than it being a core volume driver.

Operational intensity is supported by high counts of planning and image-guidance codes: 77290 (86 claims, $15.8K) and 77295 (85 claims, $16.8K) appear among the top revenue items, and imaging/positioning adjuncts like G6002 (242 claims) and A4648 (101 claims) are present, which together suggest the practice performs comprehensive planning, imaging-guidance, and marker-placement workflows as part of its radiation delivery.

The provider has been continuously enumerated for a long tenure: NPI registered on 2006-02-13 (~20 years ago), which provides a multi-year footprint for trend comparisons and suggests established local presence in Honolulu, HI. Given the long tenure and the concentration in Medicare, analysts should compare year-over-year Medicare case-mix and utilization of high-intensity planning/delivery codes to assess stability or shifts in service mix over time.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	110	$770	$87.5K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	280	$310	$87.4K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	380	$150	$56.9K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	160	$200	$30.2K
77014	N/A	440	$50	$22.7K
G6012	Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev	110	$200	$22.4K
77373	This code represents the technical component of a procedure in which the provider performs stereotactic body radiation therapy. The therapy uses a three–dimensional coordinate system to locate small…	20	$910	$17.3K
77295	Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…	90	$200	$16.8K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	90	$180	$15.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	80	$170	$13.5K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

John Lederer — 7 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. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	8	10	560	$320	$165K
G6012	6	10	220	$210	$40.2K
77373	3	10	30	$910	$27.3K
77301	1	10	30	$660	$25.6K
77427	1	20	100	$150	$21.6K
77014	10	20	350	$50	$21.1K
99214	1,433	1,440	100	$80	$15.2K
55875	3	10	10	$1,010	$14.1K
G6002	9	10	480	$30	$14.1K
77336	8	10	180	$70	$12.4K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cancer Center Of Hawaii, LLC	HI	Radiation Oncology Clinic/Center	$0	$1.1M
Richard Lee	HI	Radiation Oncology Physician	$561K	$0
Christina Speirs	HI	Radiation Oncology Physician	$486.9K	$0
Michael Roach	HI	Radiation Oncology Physician	$385.5K	$0
Laeton Pang	HI	Radiation Oncology Physician	$367.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$42.8M
Kalihi Palama Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$38.9M
Careresource Hawaii	HI	Home Health Agency	$0	$12.8M
Lanakila Pacific	HI	Home Delivered Meals	$0	$11.7M
Usrc Aloha LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.1M
Kuakini Medical Center	HI	General Acute Care Hospital	$0	$10.9M
Usrc Honolulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M
Ku Aloha Ola Mau	HI	Counselor	$220.5K	$5.8M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M

John Lederer — Billing Profile & Reimbursement Data

Sign up for John Lederer — Billing Profile & Reimbursement Data policy alerts

John Lederer — Billing Profile & Reimbursement Data

Sign up for John Lederer — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References