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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Yusuke Hashimoto (NPI 1902477565)

Field	Value
Entity Type	Individual
Organization	Yusuke Hashimoto
Address	580 W 8th St Fl I5
City	Jacksonville
State	FL
ZIP	32209
Taxonomy	Gastroenterology Physician
NPI Enumerated	July 6, 2021

Payer Source	Total Paid
Medicare	$6.9K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the available data: lifetime Medicare revenue is $6.9K and there is no Medicaid billing on file. The absolute Medicare revenue level is small, indicating a low-volume Medicare practice rather than a major regional billing presence.

Revenue is highly concentrated in a few procedure codes: the top 3 Medicare codes by revenue account for 77.4% of this provider's total Medicare revenue. Specifically, 45385 represents $3K (42.9%), 99222 represents $1.3K (19.5%), and 43237 represents $1K (15.0%) of Medicare revenue, showing reliance on a small set of services.

The code mix indicates a procedural gastroenterology practice with a focus on endoscopic interventions and inpatient evaluation. High-revenue items include colonoscopic polypectomy (45385) and endoscopic ultrasound (43237), while 99222 shows the provider also bills initial inpatient/observation E/M encounters, suggesting a mix of procedure-driven ambulatory and hospital-based activity.

Competitive standing across these codes is modest nationally: 45385 ranks #15005 of 16310 (6th percentile) and is labeled "typical, unremarkable volume," 99222 ranks #102092 of 117621 (9th percentile) labeled "typical, unremarkable volume," and 43237 ranks #547 of 585 (0th percentile) also labeled "typical, unremarkable volume." These ranks suggest the provider is not a dominant national performer on these procedures and operates at volumes typical for individual practitioners.

Lower-revenue outpatient and diagnostic codes are present but secondary to procedures: 43239 (biopsy) accounted for $852 (12.4%) and 99213 (established office E/M) accounted for $704 (10.2%) of Medicare revenue. This mix reinforces that endoscopic procedures drive revenue while routine office visits and biopsies make up a meaningful but smaller share.

There are no statistical outliers flagged among the top codes; each top code is described as "typical, unremarkable volume," indicating no notable deviations from peer billing patterns in the supplied metrics. The absence of outlier labels suggests the provider’s billing intensity aligns with common practice patterns for gastroenterology.

The provider’s NPI was enumerated on 2021-07-06 (~5 years ago), indicating relatively recent entry into the NPI registry. Given the short tenure and low total Medicare revenue, the current footprint appears small and could reflect an early-stage practice, part-time clinical activity, or limited Medicare patient panel rather than an established high-volume specialty group.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	10	$210	$3K
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…	10	$100	$1.3K
43237	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…	10	$90	$1K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	10	$70	$850
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	10	$60	$700

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Yusuke Hashimoto — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	3	1,140	60	$300	$31K
43239	3	1,260	80	$130	$16.8K
99213	15	30,010	80	$60	$12K
99222	7	8,970	30	$100	$6K
43237	1	40	20	$170	$4.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Clinical Practice Association Inc	FL	Surgery Physician	$0	$79.3M
University Of Florida Jacksonville Physicians, Inc.	FL	Internal Medicine Physician	$0	$41.4M
Larry Wilf	FL	Nuclear Radiology Physician	$1.2M	$0
Fernando Kafie	FL	Vascular Surgery Physician	$723.1K	$0
Mansoor Mughal	FL	Ophthalmology Physician	$432.4K	$41.5K
Felice Esposito	PA	Diagnostic Radiology Physician	$153.2K	$212.3K
Tyler Campbell	RI	Diagnostic Radiology Physician	$252K	$100.4K
Aditya Saini	FL	Clinical Cardiac Electrophysiology Physician	$332.5K	$0
Charles Potter	GA	Neonatal-Perinatal Medicine Physician	$0	$275.9K
Pantelis Hadjizacharia	CO	Vascular Surgery Physician	$200.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shands Jacksonville Medical Center Inc	FL	General Acute Care Hospital	$0	$75.1M
Carlene Gentles	FL	Diagnostic Radiology Physician	$1.3M	$0
Lindsay Chandler	FL	Foot & Ankle Surgery Podiatrist	$344.4K	$0
Amanda Kent	FL	Diagnostic Radiology Physician	$203K	$0
Ambar Patel	FL	Cardiovascular Disease Physician	$174.8K	$0
Dalys Haymes	FL	Diagnostic Radiology Physician	$166.1K	$0
Martin Zenni	FL	Interventional Cardiology Physician	$117.2K	$0
Robert Kim	FL	Clinical Cardiac Electrophysiology Physician	$114.1K	$0
Ira Harmon	FL	Specialist	$98.8K	$0
Mark Gould	FL	Orthopaedic Foot and Ankle Surgery Physician	$94.1K	$0

Yusuke Hashimoto — Billing Profile & Reimbursement Data

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Yusuke Hashimoto — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References