Physician
Kapolei Pediatrics LLC
Kapolei Pediatrics LLC was paid $410.03 by Medicaid between Sep 2021 and Aug 2024, across 2 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 78% of everything it billed.
33Billing provider infoKAPOLEI PEDIATRICS LLC
KAPOLEI, HI 96707
KAPOLEI, HI 96707
33aNPI1104946763assigned 03/29/2007
33bProvider typePediatrics Physician
28Total paid$410.03
24GClaims76
24DCodes billed2
24AFirst – last monthSep 2021 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#70 of 76
Median peer was paid$21K
This provider vs. median0.0×
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 | 16 | $18.03 | |
| 2022 | 13 | $54.42 | |
| 2023 | 17 | $17.58 | |
| 2024incomplete | 30 | $320.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 78% | 13 | 13 | $320.00 |
| 99072 | 22% | 63 | 55 | $90.03 |
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 officialNINOMIYA, JASON (PROPRIETOR)