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.

Douglas Valenta (NPI 1851553879)

Field	Value
Entity Type	Individual
Organization	Douglas Valenta
Address	1888 Kalakaua Ave Apt 2904
City	Honolulu
State	HI
ZIP	96815
Taxonomy	Vascular Neurology Physician
NPI Enumerated	June 30, 2008

Payer Source	Total Paid
Medicare	$22.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0426	Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth	90	$100	$9.1K
G0425	Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	50	$70	$3.7K
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…	30	$110	$3.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$150	$2.8K
99447	A consulting physician or other qualified healthcare professional performs an 11– to 20–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…	40	$30	$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…	20	$60	$920
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$720
99449	A consulting physician or other qualified healthcare professional performs a 31–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…	10	$50	$640
99442	N/A	10	$50	$600

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Douglas Valenta — 1 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	377	390	70	$60	$8.6K
99223	248	340	30	$130	$6.9K
G0426	1	10	50	$100	$5.2K
G0425	1	10	50	$70	$3.7K
99222	60	210	20	$100	$3.1K
99442	87	90	20	$60	$2.7K
99231	68	90	40	$40	$2.3K
99447	1	10	40	$20	$990
99449	1	10	10	$50	$650

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dayton Osteopathic Hospital	OH	General Acute Care Hospital	$0	$111.3M
Bristol Hospital Incorporated	CT	General Acute Care Hospital	$0	$68.1M
Maui Health System A Kaiser Foundation Hospitals LLC	HI	General Acute Care Hospital	$0	$60.3M
Summit Healthcare Association	AZ	Rural Acute Care Hospital	$0	$50.7M
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
New York Queens Medicine And Surgery, P.C.	NY	Pediatrics Physician	$0	$40.8M
Alliance Physicians Inc	OH	Family Medicine Physician	$0	$38.9M
Prospect Ct Medical Foundation, Inc.	CT	Family Medicine Physician	$0	$34M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Summit Healthcare Medical Associates	AZ	Family Medicine Physician	$0	$15.5M

Nearby Providers

Other providers in the same ZIP code as Douglas Valenta, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waikiki Health	HI	Federally Qualified Health Center (FQHC)	$0	$22.3M
Wihc, LLC	HI	Clinical Medical Laboratory	$72.5K	$8.6M
Radford Y. Goto, Dmd, LLC	HI	Dental Clinic/Center	$0	$1.5M
Hale Maka Ike LLC	HI	Optometrist	$0	$920.6K
Kellen Kashiwa	HI	Optometrist	$784.8K	$0
Phillip Duran	HI	Optometrist	$1.6K	$628.6K
Peter Hurlbut-miller	HI	Retina Specialist (Ophthalmology) Physician	$509.4K	$0
Errol Hamarat	HI	Psychologist	$0	$489.9K
Rebecca Beardsley	HI	Counseling Psychologist	$0	$375.8K
Center For Sight - West Oahu LLC	HI	Ophthalmology Physician	$0	$365.6K

Douglas Valenta — 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

Nearby Providers

Frequently Asked Questions

References