Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

James Panetta, DO, PLLC

James Panetta, DO, PLLC was paid $43K by Medicaid between Jan 2018 and Oct 2020, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 97% of everything it billed.

33Billing provider infoJAMES PANETTA, DO, PLLC
KAILUA, HI 96734
33aNPI1073811758assigned 03/04/2011
28Total paid$43K
24GClaims3,538
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers

Next to other Gastroenterology Physician providers in Hawaii

Rank by total paid#6 of 12
Median peer was paid$21K
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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
20181,315$12K
20191,464$19K
2020759$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 97% 655 595 $41K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 3.0% 18 13 $1K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications <1% 1,166 993 $0.73
1036F <1% 783 688 $0.02
3017F <1% 382 328 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 15 12 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 398 351 $0.00
G9612 Photodocumentation of two or more cecal landmarks to establish a complete examination 0% 121 105 $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 officialPANETTA, JAMES (MANAGING MEMBER)