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.

Joshua Pierce (NPI 1972692929)

Field	Value
Entity Type	Individual
Organization	Joshua Pierce
Address	134 Puuhonu Way Apt B
City	Hilo
State	HI
ZIP	96720
Taxonomy	Surgery Physician
NPI Enumerated	October 11, 2006

Payer Source	Total Paid
Medicare	$12.7K
Medicaid	$0

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
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	10	$360	$5.1K
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…	70	$40	$2.8K
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…	20	$110	$2.3K
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…	10	$110	$1.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$1.1K

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. Hawaii Distribution

Joshua Pierce — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99204	574	630	30	$110	$5.3K
49650	1	10	10	$300	$4K
99222	95	210	20	$100	$3.1K
99231	16	90	40	$40	$2.3K
99221	16	30	20	$60	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$51.2M
Kau Hospital	HI	Critical Access Hospital	$0	$4.9M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$2.4M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$1.5M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$1.4M
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$1.1M
Kau Hospital	HI	Rural Health Clinic/Center	$0	$713.8K
Nathaniel Valin	FL	Cardiovascular Disease Physician	$703.2K	$0
Kau Hospital	HI	Rural Health Clinic/Center	$0	$573.1K
Edward Evans	AZ	Interventional Cardiology Physician	$486.8K	$0

Joshua Pierce — Billing Profile & Reimbursement Data

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Joshua Pierce — 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

Frequently Asked Questions

References