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.

Vance L Fletcher Md LLC (NPI 1740324201)

Field	Value
Entity Type	Organization
Organization	Vance L Fletcher Md LLC
Address	91-2139 Fort Weaver Rd
City	Ewa Beach
State	HI
ZIP	96706
Taxonomy	Adult Medicine Physician
NPI Enumerated	February 17, 2007

Payer Source	Total Paid
Medicaid	$210K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 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…	2,210	$60	$132.5K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	530	$80	$41K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	350	$30	$11.6K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	80	$110	$8.6K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	390	$20	$7.8K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	60	$40	$2K
93040	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…	180	$10	$1.9K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	20	$70	$1.2K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	20	$70	$1.1K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	80	$10	$720

Showing 1–10 of 15

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

Vance L Fletcher Md LLC — 1 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	165	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.	16	20	30	$140	$40.2K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	4	20	120	$40	$17.3K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	146	230	140	$20	$16.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	18	50	180	$20	$14.6K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	10	20	70	$60	$12K
99395	The provider performs an established well–patient visit for a patient who is between the ages of 18 and 39.	25	30	30	$110	$11.1K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	2	10	90	$80	$7.7K
99401	At an encounter separate from a preventive medicine visit, the provider offers counseling related to subjects appropriate for the patient’s age, family history, and areas of concern. The subjects…	20	20	310	$20	$6.8K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	1	10	150	$20	$3.1K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Vance L Fletcher Md LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Clinical Laboratories Of Hawaii LLP	HI	Clinical Medical Laboratory	$5M	$45.8M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$42.7M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.7M
Case Management Professionals, Inc	HI	Case Management Agency	$0	$4.2M
Pan Pacific Pathologists, LLC	HI	Anatomic Pathology & Clinical Pathology Physician	$0	$4M
3g's Direct Care Services Provider LLC	HI	In Home Supportive Care Agency	$0	$3.2M
Yongsok Do, D.m.d., L.L.C	HI	Pediatric Dentistry	$0	$2.1M
Usrc Ewa Beach, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$928.8K
James H.e. Ireland Md, LLC	HI	Nephrology Physician	$0	$892.7K
Rainbow Shower Inpatient Services LLC	HI	Internal Medicine Physician	$0	$788.6K

Vance L Fletcher Md LLC — Billing Profile & Reimbursement Data

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Vance L Fletcher Md LLC — 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