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.

Kahealani Rivera (NPI 1841491818)

Field	Value
Entity Type	Individual
Organization	Kahealani Rivera
Address	The Queen's Medical Center
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 29, 2007

Payer Source	Total Paid
Medicare	$90.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,060	$70	$77K
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…	110	$40	$4.5K
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…	40	$100	$4.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$2.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$110	$1.7K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	80	$10	$490
93018	The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings…	10	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Kahealani Rivera — 1 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	44	60	190	$90	$22.8K
99214	21	1,440	100	$80	$15.2K
99232	242	390	70	$60	$8.6K
99204	234	630	30	$110	$5.3K
99222	150	210	20	$100	$3.1K
93010	91	210	70	$10	$720
93018	36	40	40	$10	$490

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kahealani Rivera, 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	$42.7M
Queens North Hawaii Community Hospital	HI	General Acute Care Hospital	$0	$13M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Queens University Medical Group	HI	Multi-Specialty Clinic/Center	$0	$7.4M
Patrick Gonzales	CA	Vascular & Interventional Radiology Physician	$2.7M	$0
Queen Emma Clinics	HI	Clinic/Center	$0	$2M
Vivek Kesari	MD	Nuclear Medicine Physician	$1.4M	$0
Windward Heart Center LLC	HI	Cardiovascular Disease Physician	$0	$885K
Patrick Ryan	CA	Diagnostic Radiology Physician	$722.4K	$0

Kahealani Rivera — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References