Urology Consultant LLC

Urology Consultant LLC was paid $9K by Medicaid between Jan 2018 and Apr 2019, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoUROLOGY CONSULTANT LLC
EWA BEACH, HI 96706

33aNPI1043256092assigned 06/20/2006

33bProvider typeUrology Physician

28Total paid$9K

24GClaims5,533

24DCodes billed11

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Urology Physician providers in Hawaii

Rank by total paid#7 of 11

Median peer was paid$18K

This provider vs. median0.5×

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	4,353	$6K
2019	1,180	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	92%	747	577	$8K
51798		5.3%	132	106	$455.91
81002		2.9%	418	348	$250.92
1111F		<1%	810	579	$3.67
1036F		<1%	727	540	$0.02
G9273	Blood pressure has a systolic value of < 140 and a diastolic value of < 90	0%	575	426	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	382	248	$0.00
1034F		0%	74	59	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	94	82	$0.00
1160F		0%	765	553	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	809	578	$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 officialWEI, DAVID (PRESIDENT)