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.

Hawaii Emergency Physicians Associated Inc (NPI 1801843198)

Field	Value
Entity Type	Organization
Organization	Hawaii Emergency Physicians Associated Inc
Address	407 Uluniu St
City	Kailua
State	HI
ZIP	96734
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$20.2M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only billing entity: there is no Medicare revenue on file and lifetime Medicaid revenue is listed as $20.2M, so Medicaid is the dominant and only recorded public payer in this data set. Analysts should treat the profile as a single-payer Medicaid footprint rather than a dual-payer practice when modeling payer mix or contracting leverage.

Revenue is highly concentrated in three emergency department E/M codes: 99284 ($8.5M, 116.5K claims, 42.2% of Medicaid revenue), 99285 ($7.1M, 85.6K claims, 35.2% of Medicaid revenue), and 99283 ($4.1M, 79.5K claims, 20.1% of Medicaid revenue). Those top three codes together account for 97.5% of this provider’s Medicaid revenue, indicating an extreme focus on ED evaluation-and-management services as the primary revenue drivers.

The code mix and volumes point to an emergency-medicine operation handling predominantly moderate- to high-acuity ED visits: 99284 and 99285 are both extreme outliers in-state (each ranks #1 and is in the 100th percentile), which implies the practice bills far above typical state volumes for mid- and high-complexity emergency visits. Critical care (99291) appears but is a small share of revenue (2.4K claims, $263.5K, 1.3% of Medicaid revenue) and ranks #6 of 34 providers (85th percentile), consistent with occasional higher-acuity cases rather than an ICU-centric service line.

State-level competitive standing is dominant for core ED codes: the provider ranks #1 of 47 for 99284, #1 of 39 for 99285, and #1 of 45 for 99283, all at the 100th percentile and described as extreme outliers. In plain terms, this group is a leading statewide Medicaid provider for ED E/M services and operates at volumes far above typical peers in Hawai‘i.

Ancillary procedure patterns are consistent with an ED throughput model: 93010 (ECG interpretation) shows 46.7K claims and $233.4K revenue, ranking #2 in-state (97th percentile), indicating routine use of ECGs alongside ED E/M visits. Lower-volume imaging codes such as 71045 (112 claims, $560) and low-ticket E/M levels 99281–99282 (28 and 156 claims respectively) suggest the practice sees comparatively fewer very low-acuity encounters and limited standalone radiology revenue.

There are notable administrative or non-payable line-item patterns: S9999 (Sales tax) appears with 262K claims and $0 revenue (ranks #1 of 243, extreme outlier) and 99053 (overnight services) shows 16K claims and $0 revenue (ranks #1 of 6, notably above typical). These high-count, $0-paid codes likely reflect facility- or billing-system reporting practices rather than material revenue streams, and they materially affect claim-level visibility.

The provider has an established market presence given its tenure: NPI enumerated 2006-05-30 (~20 years ago), which combined with very high ED claim volumes for core codes (e.g., 116.5K claims for 99284) signals a long-standing, high-throughput emergency practice in the state. For strategic analysis, this tenure plus dominant Medicaid volumes suggests entrenched operational capacity in Hawai‘i’s emergency-care market.

From a risk and operational perspective, the provider’s reliance on a narrow set of ED E/M codes (97.5% of Medicaid revenue in the top three codes) concentrates its financial exposure to changes in Medicaid E/M reimbursement rules, coding audits, or shifts in patient acuity. While the current statewide dominance for these codes supports negotiating leverage within Medicaid networks, it also means policy or payer-initiated revaluation of ED E/M payments could have outsized impact on the provider’s revenue base.

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	116,510	$70	$8.5M
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.	85,610	$80	$7.1M
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.	79,480	$50	$4.1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	2,440	$110	$263.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	46,680	$10	$233.4K
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.	160	$40	$6.7K
99281	The provider sees a patient for the lowest level emergency department visit.	30	$50	$1.4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	110	$10	$560
99053	The provider renders overnight services at a 24 hour facility.	16,020	$0	$0
S9999	Sales tax	261,980	$0	$0

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

Hawaii Emergency Physicians Associated Inc — 4 of 8 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

10 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.	1	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.	1	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.	1	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.	25	30	2,660	$330	$1.5M
99281	The provider sees a patient for the lowest level emergency department visit.	16	20	950	$220	$651.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	6	30	200	$290	$329.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	2	40	1,140	$10	$37.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	45	50	1,920	$1	$27.6K
99053	The provider renders overnight services at a 24 hour facility.	1	10	1,000	$1	$9.7K
S9999	Sales tax	1	240	200	$1	$820

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hawaii Emergency Physicians Associated Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Navitsky	AK	Emergency Medicine Physician	$61.8K	$0
Codee Champney	HI	Emergency Medicine Physician	$53.8K	$0
David Gerber	HI	Emergency Medicine Physician	$50K	$0
William Longhurst	AK	Emergency Medicine Physician	$47.5K	$0
Lisa Jacobson	HI	Emergency Medicine Physician	$47.1K	$0
Kendrick Lee	HI	Emergency Medicine Physician	$45.3K	$0
Gregory Harders	AK	Emergency Medicine Physician	$43.5K	$0
Jason Woo	HI	Emergency Medicine Physician	$31K	$0
Oliver Fujima	HI	Emergency Medicine Physician	$29.9K	$0
Alexandra Ditullio	HI	Emergency Medicine Physician	$21.6K	$0

Nearby Providers

Other providers in the same ZIP code as Hawaii Emergency Physicians Associated Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Castle Medical Center	HI	General Acute Care Hospital	$0	$37.6M
Howard Y Kim Dds Inc	HI	Pediatric Dentistry	$0	$3.3M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Pacific Island Medical, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Hawaii Dermatology Centers, Inc	HI	Specialist	$0	$1.4M
Medical Clinic, Inc.	HI	Multi-Specialty Clinic/Center	$0	$1.3M
Kupunaride Corporation	HI	Non-emergency Medical Transport (VAN)	$0	$943.9K
Stuart Lerner, M.d. LLC	HI	Family Medicine Physician	$0	$920.4K
Windward Heart Center LLC	HI	Cardiovascular Disease Physician	$0	$885K
Hawaii Endodontics LLC	HI	Endodontics	$0	$719.3K

Hawaii Emergency Physicians Associated Inc — Billing Profile & Reimbursement Data

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Hawaii Emergency Physicians Associated Inc — 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