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    OpenPayerNPI Medicare & MedicaidPaul Howard
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    Paul Howard — Billing Profile & Reimbursement Data

    NPI 1750336244 · Kamuela, HI · Otolaryngology Physician

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    Paul Howard is a otolaryngology physician provider located in Kamuela, Hawaii. This profile covers 12 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Howard
    Address64-1035 Mamalahoa Hwy
    CityKamuela
    StateHI
    ZIP96743
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 23, 2006

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

    Payer SourceTotal Paid
    Medicare$31.9K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…170$90$15K
    99203The 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…80$70$5.4K
    99204The provider sees a new 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 provider…20$100$2.4K
    92546The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…30$90$2.3K
    92540The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.30$80$2K
    99213The 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…30$50$1.4K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…40$30$940
    92548The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…30$40$900
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$600
    92537A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…10$30$400

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144941,440100$80$15.2K
    992131,1651,46070$60$8.4K
    9920437663030$110$5.3K
    925572130110$30$3.7K
    992037945030$70$3.6K
    9254621030$110$3.3K
    9254041030$90$2.7K
    69210183030$30$1.6K
    92567172060$10$1.4K
    9253741030$30$1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bothwell Regional Health CenterMOGeneral Acute Care Hospital$0$19.8M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Bothwell Regional Health CenterMOGeneral Practice Physician$0$4.9M
    Bassem ChaarILHematology & Oncology Physician$1.2M$120.5K
    Anand ReddyTXNephrology Physician$487.6K$0
    Asif AnsariTXNephrology Physician$445.4K$0
    Jason ZagrodzkyTXClinical Cardiac Electrophysiology Physician$431.3K$0
    Reymond MeadaaLASpecialist$430.5K$0
    Mindy VespermanMONurse Practitioner$375.1K$0
    Corwin ThomasLACardiovascular Disease Physician$360.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Queens North Hawaii Community HospitalHIGeneral Acute Care Hospital$0$13M
    Hawaii Life Flight, LLCHIAir Ambulance$379.2K$2M
    Five Mountains Hawaii, IncHIRural Health Clinic/Center$0$1.6M
    Liberty Dialysis-north Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Paniolo Pediatric And Family Medicine IncHIPediatrics Physician$0$1.4M
    Vein Clinics Of Hawaii LLCHIVascular Surgery Physician$0$673.3K
    Queen's North Hawaii Community HospitalHIGeneral Practice Physician$0$642K
    Queen's North Hawaii Community HospitalHIObstetrics & Gynecology Physician$0$622.5K
    John MascaroHIMarriage & Family Therapist$0$523.3K
    Steven ChelminiakHIClinical Social Worker$0$498.8K

    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
    Paul Howard — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii