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    OpenPayerNPI Medicare & MedicaidCalvin Wong
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    Calvin Wong — Billing Profile & Reimbursement Data

    NPI 1881602902 · Honolulu, HI · Cardiovascular Disease Physician

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    Calvin Wong is a cardiovascular disease physician provider located in Honolulu, Hawaii. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCalvin Wong
    Address1329 Lusitana St
    CityHonolulu
    StateHI
    ZIP96813
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 4, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$496.3K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the datasets: total Medicare revenue is $496.3K and there is no Medicaid billing on file, so all billed activity in the available data is concentrated in Medicare. That makes Medicare the sole observable payer for profiling volume, service mix, and competitive standing for this NPI.

    Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes (99214, 78452, 93306) account for 49.9% of this provider's total Medicare revenue. Those three codes individually generate $116.8K (23.5%), $65.5K (13.2%), and $65.4K (13.2%) respectively, indicating reliance on a narrow set of office E/M and cardiac imaging procedures for roughly half of Medicare dollars.

    The code mix indicates an outpatient cardiology practice with significant noninvasive imaging and nuclear stress testing capacity. High‑revenue E/M code 99214 (1.2K claims, $116.8K revenue) sits alongside imaging codes 93306 (409 claims, $65.4K) and nuclear stress testing 78452 (183 claims, $65.5K), consistent with a practice that pairs clinic visits with on‑site diagnostic imaging and stress studies.

    Nuclear cardiology throughput appears material: 78452 generated $65.5K (13.2% of Medicare revenue) and is ranked at the 90th percentile (described as typical, unremarkable volume), while supply/drug lines that support nuclear stress testing — A9500 (362 claims, $34.4K) and J2785 (732 claims, $31.5K) — contribute $34.4K (6.9%) and $31.5K (6.3%) respectively. The presence of both the radiopharmaceutical A9500 and the pharmacologic stress agent J2785 in substantial claim counts supports a steady nuclear stress testing program rather than occasional use.

    Echocardiography is a clear service-line strength with both routine and advanced studies represented: 93306 produced $65.4K (13.2%) at a typical national volume ranking, while stress/continuous echo 93351 (147 claims, $28.4K; 5.7%) and advanced speckle‑tracking 93356 (382 claims, $12.2K; 2.5%) are ranked as notably above typical national volume. This pattern suggests the practice provides not only baseline transthoracic echo but also higher‑complexity and exercise/monitoring echo services.

    Vascular diagnostics are another substantive area: lower‑extremity duplex 93925 (181 claims, $38.6K; 7.8%) and related vascular duplex codes 93880 ($23.5K, 4.7%) and 93978 ($22.8K, 4.6%) appear in the top earners, with 93925 and 93978 ranked at the 95th and 96th percentiles respectively (93978 described as notably above typical). Together these codes indicate substantial noninvasive arterial/venous testing capacity.

    Office visit and E/M mix skews toward higher‑complexity established visits: 99214 is the largest single revenue driver at $116.8K (23.5%) and is an extreme outlier nationally (far above typical national volume), while higher‑level visit 99215 accounts for $13.6K (2.7%) at a typical volume. The extreme outlier status of 99214 suggests heavy clinic throughput or a strong focus on established patient management in the Medicare population.

    The provider has long tenure in the registry (NPI enumerated 2006-08-04, ~20 years ago), and competitive standing is mixed: overall Medicare revenue is modest at $496.3K in absolute terms, yet for specific codes the provider ranks well above peers (examples include 99214 as an extreme outlier and several echo and vascular codes described as notably above typical). Because there is no Medicaid billing on file, there is no in‑state Medicaid footprint to compare; assessment of competitive position should therefore focus on Medicare imaging and diagnostic dominance rather than cross‑payer market share.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,240$90$116.8K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…180$360$65.5K
    93306The 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…410$160$65.4K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…180$210$38.6K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose360$100$34.4K
    J2785Injection, regadenoson, 0.1 mg730$40$31.5K
    93351In this procedure, the provider performs continuous transthoracic echocardiography both at rest and after exercise and reviews images evaluating and assessing global and ventricular performance and…150$190$28.4K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…180$130$23.5K
    93978The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…180$130$22.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…100$140$13.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    933061160190$90$22.8K
    93978520130$130$19K
    9392563040$180$16.6K
    99214131,440100$80$15.2K
    J2785110210$40$13.2K
    A9500110100$80$12.6K
    992158738040$120$11.2K
    9388074050$110$9.2K
    992137461,46070$60$8.4K
    93356210140$30$8K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dipanjan BanerjeeHICardiovascular Disease Physician$78.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Queens Medical CenterHIGeneral Acute Care Hospital$0$200M
    Straub Clinic & HospitalHIGeneral Acute Care Hospital$0$45.6M
    State Of Hawaii Dept. Of Health Adult Mental Health DivisionHICommunity/Behavioral Health Agency$0$29.3M
    Positive Behavior Supports CorporationHICommunity/Behavioral Health Agency$0$26.4M
    Easter Seals HawaiiHIDevelopmentally Disabled Services Day Training Agency$0$16.8M
    The Emergency Group, Inc.HIEmergency Medicine Physician$0$15M
    Hawaii Dental Group, Inc.HIGeneral Practice Dentistry$0$12.4M
    The Queen's Medical CenterHIGeneral Acute Care Hospital$0$10.3M
    Hawaii Home Care IncHINursing Care Agency$0$9.3M
    Evergreen Adult Day CareHIAdult Day Care Clinic/Center$0$8.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Calvin Wong — 6 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii