Clinic
Gettafix LLC
Gettafix LLC was paid $1.73M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 87502, Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets — 24% of everything it billed.
33Billing provider infoGETTAFIX LLC
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1134486814assigned 04/18/2012
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.73M
24GClaims44,791
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Hawaii
Rank by total paid#5 of 26
Median peer was paid$103K
This provider vs. median17×
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 | 4,536 | $189K | |
| 2019 | 5,029 | $199K | |
| 2020 | 2,283 | $75K | |
| 2021 | 7,666 | $244K | |
| 2022 | 7,666 | $273K | |
| 2023 | 9,133 | $345K | |
| 2024incomplete | 8,478 | $407K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 24% | 5,632 | 5,146 | $424K |
| 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 | 20% | 5,054 | 4,521 | $339K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19% | 3,501 | 3,171 | $332K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 8.5% | 4,213 | 3,801 | $146K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 8.1% | 11,408 | 9,977 | $140K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 6.5% | 3,518 | 3,268 | $112K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 1,434 | 1,346 | $90K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.5% | 702 | 631 | $61K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 1,320 | 1,243 | $49K |
| 87634 | <1% | 188 | 180 | $13K | |
| 99205 | Prolong outpt/office vis | <1% | 106 | 91 | $11K |
| 81025 | <1% | 781 | 717 | $5K |
15 more codes
| 81003 | <1% | 2,201 | $4K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 435 | $4K |
| 94010 | <1% | 13 | $301.64 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 106 | $236.13 |
| 36415 | Collection of venous blood by venipuncture | <1% | 97 | $155.69 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 90 | $140.64 |
| S9999 | Sales tax | <1% | 835 | $8.14 |
| 3077F | <1% | 421 | $0.29 | |
| 3078F | <1% | 127 | $0.11 | |
| 3079F | <1% | 60 | $0.04 | |
| 4000F | 0% | 338 | $0.00 | |
| 1000F | 0% | 346 | $0.00 | |
| 1005F | 0% | 1,144 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 31 | $0.00 |
| 1034F | 0% | 690 | $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 officialGANAPATHY, PUGERA (MANAGER/MEMBER)