Donald E Nicol MD INC

Donald E Nicol MD INC was paid $240K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.

33Billing provider infoDONALD E NICOL MD INC
HONOLULU, HI 96821

33aNPI1265771828assigned 02/01/2013

33bProvider typePreferred Provider Organization

28Total paid$240K

24GClaims4,912

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Preferred Provider Organization providers in Hawaii

Rank by total paid#1 of 5

Median peer was paid$157K

This provider vs. median1.5×

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	805	$33K
2019	723	$28K
2020	601	$23K
2021	647	$26K
2022	693	$41K
2023	649	$41K
2024incomplete	794	$47K

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	99%	4,743	3,083	$238K
90658		<1%	63	58	$893.95
G0008	Administration of influenza virus vaccine	<1%	85	74	$777.42
90686		<1%	21	19	$190.30

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 officialNICOL, DONALD (PRESIDENT)