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.

Above And Beyond Case Management (NPI 1801494737)

Field	Value
Entity Type	Organization
Organization	Above And Beyond Case Management
Address	821 Hoomalimali St
City	Pearl City
State	HI
ZIP	96782
Taxonomy	Case Management Registered Nurse
NPI Enumerated	October 13, 2020

Payer Source	Total Paid
Medicaid	$475.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2022	Case management, per month	1,640	$290	$475.1K

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

Above And Beyond Case Management — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2022	Case management, per month	12	20	1,640	$280	$990.2K

Nearby Providers

Other providers in the same ZIP code as Above And Beyond Case Management, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David C. Ching,d.m.d.,llc	HI	Pediatric Dentistry	$0	$5.1M
Apria Healthcare LLC	HI	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Pacific Endoscopy Center, LLC	HI	Ambulatory Surgical Clinic/Center	$610.3K	$2M
Jason R. Ching Dds LLC	HI	Dentist	$0	$2.4M
Jojie Reyes	HI	Case Management Registered Nurse	$0	$824.1K
Travis Nishioka	HI	General Practice Dentistry	$0	$467.1K
Longs Drug Stores California LLC	HI	Community/Retail Pharmacy	$426K	$32.2K
Pearl Family Dental Care, Inc	HI	General Practice Dentistry	$0	$421.7K
Longs Drug Stores California, L.L.C.	HI	Pharmacy	$278.5K	$30.2K
Us Med Urgent Care	HI	Urgent Care Clinic/Center	$0	$256.1K

Above And Beyond Case Management — Billing Profile & Reimbursement Data

Sign up for Above And Beyond Case Management — Billing Profile & Reimbursement Data policy alerts

Above And Beyond Case Management — Billing Profile & Reimbursement Data

Sign up for Above And Beyond Case Management — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References