Clinic
Castle Physician Network
Castle Physician Network was paid $352K by Medicaid between Dec 2021 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoCASTLE PHYSICIAN NETWORK
KAILUA, HI 96734
KAILUA, HI 96734
33aNPI1043974538assigned 10/29/2021
33bProvider typeUrgent Care Clinic/Center
28Total paid$352K
24GClaims7,261
24DCodes billed12
24AFirst – last monthDec 2021 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Hawaii
Rank by total paid#8 of 26
Median peer was paid$103K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2021 | 460 | $20K | |
| 2022 | 2,785 | $145K | |
| 2023 | 1,891 | $91K | |
| 2024incomplete | 2,125 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 1,486 | 1,240 | $101K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 1,487 | 1,354 | $81K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 19% | 1,804 | 1,613 | $66K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.0% | 289 | 259 | $25K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 377 | 347 | $24K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 6.5% | 1,353 | 1,277 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 5.8% | 253 | 210 | $20K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 2.2% | 66 | 64 | $8K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 92 | 86 | $3K |
| 99442 | <1% | 22 | 20 | $1K | |
| 81003 | <1% | 13 | 12 | $21.45 | |
| 99000 | 0% | 19 | 16 | $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 officialJOHNSON, NICKOLAS (CHIEF FINANCIAL OFFICER)