Physician
Carmen Baybayan, MD LLC
Carmen Baybayan, MD LLC was paid $26K by Medicaid between Jan 2018 and Jun 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider infoCARMEN BAYBAYAN, MD LLC
AIEA, HI 96701
AIEA, HI 96701
33aNPI1295929438assigned 08/30/2007
33bProvider typeGeneral Practice Physician
28Total paid$26K
24GClaims2,458
24DCodes billed11
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other General Practice Physician providers in Hawaii
Rank by total paid#9 of 18
Median peer was paid$25K
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 | |
|---|---|---|---|
| 2018 | 855 | $6K | |
| 2019 | 630 | $4K | |
| 2020 | 151 | $2K | |
| 2021 | 349 | $3K | |
| 2022 | 209 | $5K | |
| 2023 | 175 | $4K | |
| 2024incomplete | 89 | $623.03 |
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 | 99% | 924 | 874 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 14 | $254.17 |
| 90688 | <1% | 14 | 13 | $56.17 | |
| 96127 | <1% | 15 | 15 | $47.69 | |
| 3078F | 0% | 118 | 114 | $0.00 | |
| 3074F | 0% | 254 | 242 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 198 | 193 | $0.00 |
| 3008F | 0% | 635 | 602 | $0.00 | |
| 4010F | 0% | 204 | 193 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 67 | 65 | $0.00 |
| 3061F | 0% | 14 | 13 | $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 officialBAYBAYAN, CARMEN (PRESIDENT)