Clinic
Pediatric Physicians Group
Pediatric Physicians Group was paid $70K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 52% of everything it billed.
33Billing provider infoPEDIATRIC PHYSICIANS GROUP
PEARL CITY, HI 96782
PEARL CITY, HI 96782
33aNPI1003084427assigned 02/19/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$70K
24GClaims18,512
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Hawaii
Rank by total paid#13 of 37
Median peer was paid$33K
This provider vs. median2.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,627 | $8K | |
| 2019 | 2,709 | $8K | |
| 2020 | 1,485 | $3K | |
| 2021 | 1,854 | $324.16 | |
| 2022 | 2,895 | $3K | |
| 2023 | 3,525 | $10K | |
| 2024incomplete | 3,417 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 52% | 1,044 | 1,014 | $36K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 21% | 3,683 | 3,238 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 2,725 | 2,441 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 823 | 807 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 639 | 566 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 229 | 216 | $2K |
| 87428 | 2.4% | 26 | 25 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 329 | 322 | $1K |
| 99072 | 1.1% | 4,876 | 4,296 | $748.74 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 466 | 460 | $281.60 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 111 | 109 | $249.06 |
| 92551 | <1% | 893 | 881 | $134.28 |
20 more codes
| 90688 | <1% | 500 | $64.63 | |
| 99173 | <1% | 900 | $37.57 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $16.58 |
| 90461 | <1% | 15 | $8.00 | |
| 96127 | <1% | 30 | $3.62 | |
| 90656 | 0% | 123 | $0.00 | |
| 90686 | 0% | 284 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 114 | $0.00 |
| 90698 | 0% | 199 | $0.00 | |
| 90677 | 0% | 31 | $0.00 | |
| 90680 | 0% | 52 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90697 | 0% | 13 | $0.00 | |
| 90670 | 0% | 210 | $0.00 | |
| 90685 | 0% | 32 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 62 | $0.00 |
| 90687 | 0% | 37 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| G2252 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | 0% | 14 | $0.00 |
| 90707 | 0% | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTANIGUCHI, LANCE (MEMBER)