Clinic
Primary Care Physician Enterprise LLC
Primary Care Physician Enterprise LLC was paid $77K by Medicaid between Feb 2021 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPRIMARY CARE PHYSICIAN ENTERPRISE LLC
EWA BEACH, HI 96706
EWA BEACH, HI 96706
33aNPI1164054763assigned 02/11/2020
33bProvider typeClinic/Center
28Total paid$77K
24GClaims14,748
24DCodes billed29
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Hawaii
Rank by total paid#18 of 41
Median peer was paid$75K
This provider vs. median1.0×
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 | 828 | $12K | |
| 2022 | 1,726 | $18K | |
| 2023 | 3,475 | $20K | |
| 2024incomplete | 8,719 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 55% | 1,429 | 1,305 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 1,194 | 1,074 | $22K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 709 | 664 | $5K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.2% | 125 | 122 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 43 | 39 | $768.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 48 | 46 | $713.14 |
| 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 | <1% | 32 | 26 | $432.39 |
| 90686 | <1% | 134 | 130 | $398.17 | |
| 90461 | <1% | 187 | 179 | $279.16 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | 26 | $204.14 |
| 90656 | <1% | 49 | 49 | $39.15 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 469 | 426 | $0.00 |
17 more codes
| 3074F | 0% | 1,250 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 2,214 | $0.00 |
| 3044F | 0% | 370 | $0.00 | |
| 3079F | 0% | 369 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 1,700 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 590 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 322 | $0.00 |
| 90677 | 0% | 13 | $0.00 | |
| 1111F | 0% | 18 | $0.00 | |
| S9999 | Sales tax | 0% | 1,223 | $0.00 |
| 3078F | 0% | 976 | $0.00 | |
| 4274F | 0% | 173 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 408 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 138 | $0.00 |
| 1160F | 0% | 376 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 147 | $0.00 |
| 3077F | 0% | 14 | $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 officialLIMM, WHITNEY (CHAIR)