Physician
Herd, Edwin
Herd, Edwin was paid $638K by Medicaid between Oct 2018 and Apr 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoHERD, EDWIN
KAILUA-KONA, HI 96740
KAILUA-KONA, HI 96740
33aNPI1215985320assigned 05/04/2006
33bProvider typePediatrics Physician
28Total paid$638K
24GClaims14,463
24DCodes billed18
24AFirst – last monthOct 2018 – Apr 2024
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#3 of 76
Median peer was paid$21K
This provider vs. median31×
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 | 243 | $14K | |
| 2019 | 2,189 | $111K | |
| 2020 | 2,667 | $99K | |
| 2021 | 3,154 | $108K | |
| 2022 | 2,762 | $134K | |
| 2023 | 2,668 | $130K | |
| 2024incomplete | 780 | $42K |
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 | 26% | 1,845 | 1,754 | $167K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 2,333 | 2,153 | $148K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 858 | 765 | $97K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 722 | 718 | $78K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 624 | 617 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 357 | 351 | $40K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.2% | 503 | 491 | $21K |
| 92551 | <1% | 1,670 | 1,648 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 193 | 186 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 106 | 98 | $3K |
| 99173 | <1% | 1,798 | 1,777 | $1K | |
| 96127 | <1% | 580 | 571 | $867.97 |
6 more codes
| 99442 | <1% | 12 | $459.58 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 22 | $295.97 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $266.77 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,221 | $53.92 |
| 90686 | <1% | 136 | $39.16 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 466 | $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.