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.

Island Orthopaedics, LLC (NPI 1801186549)

Field	Value
Entity Type	Organization
Organization	Island Orthopaedics, LLC
Address	3382 Waialae Ave
City	Honolulu
State	HI
ZIP	96816
Taxonomy	Sports Medicine (Orthopaedic Surgery) Physician
NPI Enumerated	April 14, 2011

Payer Source	Total Paid
Medicaid	$389.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	3,020	$40	$126.7K
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…	1,620	$60	$102.1K
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…	1,420	$60	$87.8K
99204	The 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…	650	$100	$65K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	150	$30	$4.7K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	60	$40	$2.5K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	20	$40	$590

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

Island Orthopaedics, LLC — 0 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

7 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…	141	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…	204	690	650	$90	$235.4K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	5	10	40	$90	$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…	16	170	120	$70	$35.7K
99204	The 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…	21	170	70	$90	$23.3K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	4	20	40	$70	$10.6K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	3	10	50	$30	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Morton	HI	Orthopaedic Surgery Physician	$166.6K	$0
Jason Kaneshige	HI	Orthopaedic Trauma Physician	$122.3K	$0
Aimee Perreira	HI	Orthopaedic Hand Surgery Physician	$80.7K	$0
Lorrin Lee	HI	Orthopaedic Surgery Physician	$56.1K	$0
Alexander Garber	HI	Sports Medicine (Orthopaedic Surgery) Physician	$53.8K	$0
Michael Chen	WA	Orthopaedic Surgery Physician	$27.7K	$0
Edward Chan	HI	Surgery of the Hand (Surgery) Physician	$27.3K	$0

Nearby Providers

Other providers in the same ZIP code as Island Orthopaedics, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medical Services System Hawaii Dept Of Health	HI	Land Ambulance	$3.1M	$32.4M
The Arc In Hawaii	HI	Voluntary or Charitable Agency	$0	$12.7M
State Of Hawaii Department Of Education	HI	Local Education Agency (LEA)	$0	$10.1M
Special Education Center Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$9.4M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc Kapahulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Allen K. Hirai Dds LLC	HI	Pediatric Dentistry	$0	$1.7M
Kahala Childrens Medical Group LLC	HI	Pediatrics Physician	$0	$1.4M
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$978.7K

Island Orthopaedics, LLC — Billing Profile & Reimbursement Data

Sign up for Island Orthopaedics, LLC — Billing Profile & Reimbursement Data policy alerts

Island Orthopaedics, LLC — Billing Profile & Reimbursement Data

Sign up for Island Orthopaedics, LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References