Physician
Paniolo Pediatric and Family Medicine INC
Paniolo Pediatric and Family Medicine INC was paid $1.44M by Medicaid between Jun 2018 and Dec 2024, across 55 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoPANIOLO PEDIATRIC AND FAMILY MEDICINE INC
KAMUELA, HI 96743
KAMUELA, HI 96743
33aNPI1053812990assigned 02/26/2018
33bProvider typeFamily Medicine Physician
28Total paid$1.44M
24GClaims79,163
24DCodes billed55
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Hawaii
Rank by total paid#1 of 81
Median peer was paid$24K
This provider vs. median60×
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 | 4,283 | $39K | |
| 2019 | 11,149 | $156K | |
| 2020 | 10,279 | $168K | |
| 2021 | 9,933 | $194K | |
| 2022 | 13,323 | $265K | |
| 2023 | 14,375 | $273K | |
| 2024incomplete | 15,821 | $343K |
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 | 28% | 17,120 | 16,071 | $407K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 20% | 4,484 | 4,061 | $292K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 4,086 | 3,962 | $233K |
| 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 | 13% | 4,447 | 4,084 | $187K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 2,858 | 2,768 | $141K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 5.1% | 1,907 | 1,879 | $74K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 970 | 948 | $36K |
| 87428 | 1.4% | 329 | 323 | $21K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 9,374 | 9,015 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 510 | 503 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 508 | 502 | $5K |
| 90677 | <1% | 619 | 596 | $4K |
43 more codes
| 92551 | <1% | 3,116 | $3K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 336 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 46 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 239 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 99381 | <1% | 12 | $1K | |
| 99173 | <1% | 6,408 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $669.18 |
| 90686 | <1% | 2,708 | $377.31 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 502 | $305.53 |
| 97802 | <1% | 524 | $292.95 | |
| 99177 | <1% | 29 | $292.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,300 | $254.75 |
| 90670 | <1% | 2,512 | $199.88 | |
| 96127 | <1% | 59 | $161.65 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $66.12 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,113 | $7.20 |
| 90680 | 0% | 1,633 | $0.00 | |
| 90698 | 0% | 914 | $0.00 | |
| 90656 | 0% | 233 | $0.00 | |
| 90651 | 0% | 240 | $0.00 | |
| 90697 | 0% | 530 | $0.00 | |
| 90619 | 0% | 15 | $0.00 | |
| 90744 | 0% | 351 | $0.00 | |
| 90696 | 0% | 26 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 90381 | 0% | 15 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 59 | $0.00 |
| 90688 | 0% | 116 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 15 | $0.00 |
| 90633 | 0% | 1,041 | $0.00 | |
| S9999 | Sales tax | 0% | 7,153 | $0.00 |
| 90710 | 0% | 26 | $0.00 | |
| 90648 | 0% | 189 | $0.00 | |
| 90685 | 0% | 47 | $0.00 | |
| 90700 | 0% | 55 | $0.00 | |
| 1160F | 0% | 92 | $0.00 | |
| 1159F | 0% | 125 | $0.00 | |
| 90687 | 0% | 14 | $0.00 | |
| 90461 | 0% | 17 | $0.00 | |
| 90707 | 0% | 12 | $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 officialFERGUSON, BRETT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Paniolo Pediatrics LLC | Kamuela, HI | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.