Physician
Hugo Higa, MD, LLC
Hugo Higa, MD, LLC was paid $15K by Medicaid between Jan 2018 and Sep 2023, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 73% of everything it billed.
33Billing provider infoHUGO HIGA, MD, LLC
AIEA, HI 96701
AIEA, HI 96701
33aNPI1154473270assigned 01/17/2007
33bProvider typeOphthalmology Physician
28Total paid$15K
24GClaims983
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2023
Compared with peers
Next to other Ophthalmology Physician providers in Hawaii
Rank by total paid#27 of 40
Median peer was paid$50K
This provider vs. median0.3×
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 | 561 | $528.01 | |
| 2019 | 138 | $4K | |
| 2020 | 12 | $433.60 | |
| 2021 | 165 | $7K | |
| 2022 | 31 | $1K | |
| 2023 | 76 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 73% | 325 | 278 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 26% | 97 | 89 | $4K |
| 92015 | Determination of refractive state | <1% | 12 | 12 | $142.66 |
| 1036F | 0% | 123 | 111 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 141 | 123 | $0.00 |
| 4040F | 0% | 110 | 97 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 143 | 122 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 32 | 25 | $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 officialHIGA, HUGO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Surgery Center of the Pacific, LLC | Honolulu, HI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.