Physician
Pukalani Family Practice, LLC
Pukalani Family Practice, LLC was paid $217K by Medicaid between Jun 2021 and Nov 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPUKALANI FAMILY PRACTICE, LLC
MAKAWAO, HI 96768
MAKAWAO, HI 96768
33aNPI1063009207assigned 12/22/2020
33bProvider typeFamily Medicine Physician
28Total paid$217K
24GClaims14,738
24DCodes billed26
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in Hawaii
Rank by total paid#14 of 81
Median peer was paid$24K
This provider vs. median9.0×
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 | 1,431 | $22K | |
| 2022 | 4,725 | $72K | |
| 2023 | 4,809 | $63K | |
| 2024incomplete | 3,773 | $59K |
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 | 56% | 2,243 | 1,744 | $122K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 939 | 777 | $46K |
| 99497 | 13% | 1,101 | 959 | $28K | |
| 99072 | 2.3% | 1,050 | 831 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 93 | 78 | $3K |
| 99406 | 1.1% | 351 | 266 | $2K | |
| 93000 | 1.0% | 379 | 345 | $2K | |
| 99443 | <1% | 41 | 33 | $1K | |
| 96127 | <1% | 1,169 | 1,042 | $1K | |
| 99442 | <1% | 46 | 40 | $1K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 34 | 26 | $990.96 |
| 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% | 242 | 179 | $957.32 |
14 more codes
| 94010 | <1% | 53 | $614.83 | |
| 94760 | <1% | 1,947 | $554.09 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 88 | $355.25 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | $127.45 |
| 1170F | <1% | 95 | $0.05 | |
| 1125F | <1% | 29 | $0.01 | |
| 1160F | <1% | 22 | $0.01 | |
| 1159F | <1% | 22 | $0.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,315 | $0.00 |
| 1036F | 0% | 2,658 | $0.00 | |
| 1123F | 0% | 45 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 670 | $0.00 |
| 1158F | 0% | 76 | $0.00 | |
| 1124F | 0% | 15 | $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 officialGREEN, DAYAJI (OFFICE MANAGER)