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.

Devy Setyono (NPI 1962815878)

Field	Value
Entity Type	Individual
Organization	Devy Setyono
Address	888 S King St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Rheumatology Physician
NPI Enumerated	June 9, 2014

Payer Source	Total Paid
Medicare	$712.5K
Medicaid	$0

Key Findings

This provider has $712.5K in lifetime Medicare revenue and no Medicaid billing on file, making their public‑payer activity effectively single‑payer Medicare. The absence of any Medicaid claims on file suggests the practice does not participate meaningfully in state Medicaid programs or does not bill Medicaid through the tax ID/NPI combination represented here.

Revenue is highly concentrated in three injectable biologic codes: J0897, J3111, and J1602. Those three codes account for 81.7% of this provider's total Medicare revenue, with J0897 contributing $334.8K (47.2% of Medicare revenue), J3111 contributing $168K (23.7%), and J1602 contributing $77K (10.9%).

The code mix points to a specialty rheumatology practice that delivers high-volume biologic injections and supports bone‑health services. Heavy use of J0897 (denosumab), J3111 (romosozumab), and J1602 (golimumab) combined with DXA imaging codes 77080 and 77085 indicates the practice performs in‑office biologic administration and osteoporosis evaluation alongside routine rheumatology office visits.

On competitive standing for denosumab, the provider is a national high‑volume outlier: J0897 ranks #335 of 10057 nationally (97th percentile) and is explicitly described as "notably above typical national volume." That rank and descriptive label indicate the provider is a major national contributor for this specific drug code relative to peers.

By contrast, the provider's activity in romosozumab and IV golimumab is modest to intermediate: J3111 ranks #306 of 970 providers (68th percentile) and is described as typical and unremarkable, while J1602 ranks #841 of 1041 providers (19th percentile) and is also described as typical and unremarkable. These ranks imply strong specialization in denosumab but only routine participation in other biologic agents.

Visit‑level E/M patterns show both substantial established‑patient management and above‑typical complex new patient visits: 99214 appears 540 times for $46.4K (noted at the 91th percentile and described as typical), and 99205 appears 100 times for $15.3K (95th percentile and described as notably above typical national volume). This mix suggests the clinician manages ongoing chronic disease care while also accepting a relatively high share of complex new referrals.

The practice also delivers on‑site medication administration and procedure support, though these services represent a smaller share of revenue. Chemotherapy/infusion administration codes such as 96401 (222 claims, $10K), 96413 (83 claims, $7.5K), and 96365 (66 claims, $3K) appear on the profile, and joint procedure codes such as 20610/20611 and imaging codes 77080 (149 claims, $5.4K) and 77085 (100 claims, $5K) reflect ancillary service capability that complements biologic care.

The provider's NPI was enumerated on 2014-06-09 (~12 years ago), indicating an established billing history. Coupled with a highly concentrated revenue base in a few biologic injection codes, the tenure and code mix point to a sustained, focused practice model specializing in injectable biologic therapy and osteoporosis management.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	18,600	$20	$334.8K
J3111	Injection, romosozumab-aqqg, 1 mg	21,000	$10	$168K
J1602	Injection, golimumab, 1 mg, for intravenous use	7,000	$10	$77K
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…	540	$90	$46.4K
99205	The provider sees a new 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 provider…	100	$150	$15.3K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	220	$50	$10K
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…	140	$60	$9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	80	$90	$7.5K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	110	$50	$5.4K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	150	$40	$5.4K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Devy Setyono — 4 of 25 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

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3111	3	10	33,920	$10	$262.5K
J0897	2	20	2,530	$20	$121.5K
J1602	2	10	7,580	$10	$62.2K
99214	106	1,440	100	$80	$15.2K
96413	5	10	100	$110	$13.8K
20611	12	20	50	$80	$11.2K
96401	1	10	220	$40	$10K
99213	441	1,460	70	$60	$8.4K
96365	5	10	70	$60	$8K
77085	3	10	120	$50	$6.5K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kapiolani Medical Center For Women & Children	HI	Children's Hospital	$0	$102.4M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
Straub Clinic & Hospital	HI	Multi-Specialty Clinic/Center	$0	$8.2M
Kapiolani Medical Center For Women & Children	HI	Multi-Specialty Clinic/Center	$0	$3.3M
Gregory Emkey	PA	Rheumatology Physician	$1.4M	$0
Straub Clinic & Hospital	HI	Community/Retail Pharmacy	$0	$984.9K
Valerie Galante	PA	Adult Health Nurse Practitioner	$611.4K	$0
Manas Jain	WA	Urology Physician	$489.2K	$0
Arnold Kop	HI	Internal Medicine Physician	$392.9K	$0
Boyuan Cao	HI	Internal Medicine Physician	$81.1K	$288.1K

Nearby Providers

Other providers in the same ZIP code as Devy Setyono, 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
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M
Kaiser Foundation Health Plan Inc	HI	Health Maintenance Organization	$0	$7.4M

Devy Setyono — 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