Loui, Shelley

Loui, Shelley was paid $10K by Medicaid between Jan 2018 and Oct 2024, across 15 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) — 82% of everything it billed.

33Billing provider infoLOUI, SHELLEY
HONOLULU, HI 96826

33aNPI1124111448assigned 09/30/2006

33bProvider typePediatrics Physician

28Total paid$10K

24GClaims3,173

24DCodes billed15

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Hawaii

Rank by total paid#51 of 76

Median peer was paid$21K

This provider vs. median0.5×

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	459	$708.14
2019	693	$667.12
2020	195	$56.46
2021	409	$0.00
2022	666	$32.66
2023	323	$114.82
2024incomplete	428	$8K

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)	82%	208	203	$8K
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	11%	531	491	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.1%	662	579	$399.41
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	24	24	$120.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.2%	26	26	$114.82
99072		<1%	1,192	1,026	$32.66
94760		<1%	345	318	$16.03
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	39	38	$0.00
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	0%	16	14	$0.00
96160		0%	25	25	$0.00
90460	Immunization administration through 18 years of age via any route, first or only component	0%	16	12	$0.00
99173		0%	14	12	$0.00

3 more codes

92551		0%	14	$0.00
96127		0%	37	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	24	$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.