Windward Orthopaedic Group INC

Windward Orthopaedic Group INC was paid $65K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.

33Billing provider infoWINDWARD ORTHOPAEDIC GROUP INC
KAILUA, HI 96734

33aNPI1245209162assigned 03/14/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$65K

24GClaims1,664

24DCodes billed6

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Hawaii

Rank by total paid#5 of 15

Median peer was paid$8K

This provider vs. median8.3×

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	393	$11K
2019	173	$7K
2020	202	$4K
2021	315	$11K
2022	263	$12K
2023	202	$12K
2024incomplete	116	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	75%	1,139	1,011	$49K
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	21%	412	352	$14K
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	1.9%	15	13	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.3%	12	12	$822.12
73562		<1%	17	12	$348.69
99072		<1%	69	64	$221.89

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 officialPRIMACIO, JENNIFER (BUSINESS MANAGER)