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.

The Queen's Medical Center (NPI 1801298708)

Field	Value
Entity Type	Organization
Organization	The Queen's Medical Center
Address	91-2141 Fort Weaver Rd
City	Ewa Beach
State	HI
ZIP	96706
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 23, 2014

Payer Source	Total Paid
Medicaid	$42.7M
Medicare	$0

Key Findings

THE QUEEN'S MEDICAL CENTER in EWA BEACH is effectively a single‑payer Medicaid hospital in the dataset: there is no Medicare billing on file and total Medicaid revenue is $42.7M. This concentration means analyses of revenue risk or payer contracting should focus on Medicaid dynamics rather than Medicare exposure.

Revenue is highly concentrated in emergency department evaluation-and-management codes: the precomputed top three Medicaid codes (99283, 99284, 99285) together account for 77.8% of the provider’s total Medicaid revenue. Individually those codes report $17.1M (99283, 40.7%), $10.4M (99284, 24.7%), and $5.2M (99285, 12.4%), signaling that ED services are the primary revenue driver.

The code mix implies an operations profile centered on acute emergency care supported by on-site diagnostics and interventions. High volumes of ED E/M codes (99283–99285 and additional ED codes such as 99282 and 99281) alongside imaging codes like 74177 ($2.5M, 6.0%) and 74176 ($914.3K, 2.2%) indicate the facility manages symptomatic, potentially complex presentations and performs CT imaging in-house.

Competitive standing for the principal ED codes is modestly strong but not dominant statewide: 99283 ranks #10 of 45 providers in-state (80th percentile, typical, unremarkable volume), 99284 ranks #14 of 47 (72th percentile, typical, unremarkable volume), and 99285 ranks #15 of 39 (63th percentile, typical, unremarkable volume). These placements suggest the provider is a routine, mid-to-upper-tier participant for ED services rather than a market leader.

Several ancillary diagnostics and therapy codes show meaningful but smaller revenue contributions and generally typical in-state volumes, supporting the acute-care profile. Examples include 74177 CT abdomen/pelvis with contrast ($2.5M, 6.0%, rank #11 of 36, 71th percentile typical, unremarkable volume), 93306 echocardiography ($189K, rank #17 of 59, 72th percentile typical, unremarkable volume), and 77067 screening mammography ($169.1K, rank #16 of 33, 53th percentile typical, unremarkable volume).

A few procedure/test codes appear at relatively high state percentiles while still characterized as typical in the data; for example, 0002A and 0001A each rank #5 in large provider sets (94th and 95th percentiles respectively, both noted as typical, unremarkable volume). Similarly, influenza multiplex testing 87502 has substantial claim count (7.5K claims, $112.9K revenue) and ranks #5 of 32 providers (87th percentile, typical, unremarkable volume), indicating high service throughput for certain lab and preventive services.

Operational tenure is moderate: the provider’s NPI was enumerated on 2014-09-23 (~12 years ago), indicating roughly a decade of presence under this enumeration. That tenure, combined with the concentrated ED revenue base, suggests an established acute-care operation with sustained Medicaid demand.

Medicaid: Complete Services Breakdown

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

194 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	22,310	$770	$17.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,880	$700	$10.4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	6,800	$770	$5.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,790	$720	$3.4M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,010	$840	$2.5M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,310	$700	$914.3K
99281	The provider sees a patient for the lowest level emergency department visit.	870	$770	$665.2K
99218	N/A	2,600	$100	$267.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	2,920	$90	$262.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,420	$130	$189K

Showing 1–10 of 194

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

The Queen's Medical Center — 0 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. Hawaii median

194 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10	50	8,590	$340	$5.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14	50	3,740	$290	$3.8M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15	40	3,820	$330	$3.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	10	30	2,660	$330	$1.5M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11	40	1,050	$510	$1.3M
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	3	10	5,150	$230	$868.6K
J3490	Unclassified drugs	29	50	160	$200	$740.3K
99281	The provider sees a patient for the lowest level emergency department visit.	11	20	950	$220	$651.2K
99218	N/A	2	10	6,440	$90	$560.2K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	10	20	1,060	$60	$547.3K

Showing 1–10 of 194

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Queen's Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Queen Emma Clinics	HI	Clinic/Center	$0	$2M
Garth Tormoen	NV	Radiation Oncology Physician	$321K	$0
Michael Bornemann	HI	Specialist	$51.6K	$161.3K
Jeffrey Loh	CA	Pain Medicine (Anesthesiology) Physician	$201.3K	$0
Reid Hoshide	HI	Neurological Surgery Physician	$196.8K	$0
Christian Spies	CA	Interventional Cardiology Physician	$193.9K	$0
Michiko Bruno	HI	Neurology Physician	$159.5K	$0
Derek Mito	HI	Family Medicine Physician	$17.9K	$137.9K

Nearby Providers

Other providers in the same ZIP code as The Queen's Medical Center, 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
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
Venture Medical 21 Inc	HI	Clinic/Center	$0	$787.8K

The Queen's Medical Center — Billing Profile & Reimbursement Data

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The Queen's Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References