Lam, Edward

Lam, Edward was paid $35K by Medicaid between Jan 2018 and Apr 2019, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoLAM, EDWARD
HONOLULU, HI 96813

33aNPI1275878050assigned 12/04/2012

33bProvider typeFamily Medicine Physician

28Total paid$35K

24GClaims1,456

24DCodes billed12

24AFirst – last monthJan 2018 – Apr 2019

Compared with peers

Next to other Family Medicine Physician providers in Hawaii

Rank by total paid#35 of 81

Median peer was paid$24K

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	1,188	$24K
2019	268	$12K

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	67%	584	533	$24K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	10%	43	43	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	6.2%	31	31	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.5%	102	91	$2K
96127		3.6%	357	344	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.8%	83	81	$988.83
90688		2.3%	88	88	$810.80
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1.1%	49	46	$405.80
90472	Immunization administration, each additional vaccine (list separately)	<1%	13	13	$169.56
99397		<1%	33	32	$152.91
G0008	Administration of influenza virus vaccine	<1%	37	37	$18.28
99497		<1%	36	35	$10.00

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.