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.

Pacific Rim Cardiovascular Inc (NPI 1891013199)

Pacific Rim Cardiovascular Inc is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Kahului, Hawaii. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Pacific Rim Cardiovascular Inc
Address	385 Hukilike St.
City	Kahului
State	HI
ZIP	96732
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	May 11, 2010

Payer Source	Total Paid
Medicaid	$768.9K
Medicare	$0

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
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	2,560	$110	$284K
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…	4,080	$50	$191.9K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	2,080	$40	$85.2K
93925	The 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…	670	$100	$68.5K
93880	Duplex 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…	680	$90	$57.4K
93978	The 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…	700	$80	$53.3K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	160	$80	$12.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	1,040	$10	$11.4K
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…	70	$50	$3.4K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	110	$10	$1.3K

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

Pacific Rim Cardiovascular Inc — 2 of 10 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
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…	95	690	650	$90	$235.4K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	2	10	2,260	$60	$132.4K
93978	The 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…	3	10	790	$90	$76.3K
93925	The 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…	5	10	170	$110	$53.6K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	1	20	270	$90	$46.1K
93880	Duplex 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…	3	10	20	$100	$25.5K
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…	85	170	70	$90	$23.3K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	1	20	120	$40	$17.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	21	90	180	$10	$14.5K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	5	20	70	$60	$12K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Americare Hawaii, Incorporated	HI	In Home Supportive Care Agency	$0	$4.7M
Aloha House, Inc.	HI	Mental Health Counselor	$0	$4.5M
Hale Mahaolu	HI	Home Delivered Meals	$0	$3.7M
Americare Hawaii, LLC	HI	Home Health Agency	$0	$3.2M
Maui Cardiology, Ltd.	HI	Cardiovascular Disease Physician	$0	$2.3M
Gammie Homecare, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$1.4M
Pediatric Therapies Hawaii	HI	Pediatric Physical Therapist	$0	$1.4M
Aloha Dermatology And Laser Center LLC	HI	Dermatology Physician	$0	$1.3M
Anamcara Care Hawaii Inc	HI	In Home Supportive Care Agency	$0	$1.3M

Pacific Rim Cardiovascular Inc — Billing Profile & Reimbursement Data

Sign up for Pacific Rim Cardiovascular Inc — Billing Profile & Reimbursement Data policy alerts

Pacific Rim Cardiovascular Inc — Billing Profile & Reimbursement Data

Sign up for Pacific Rim Cardiovascular Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References