Supplier
Pacific Island Medical, INC.
Pacific Island Medical, INC. was paid $2.75M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 30% of everything it billed.
33Billing provider infoPACIFIC ISLAND MEDICAL, INC.
KAILUA, HI 96734
KAILUA, HI 96734
33aNPI1316014756assigned 11/29/2006
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$2.75M
24GClaims49,571
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
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 | 5,641 | $359K | |
| 2019 | 6,916 | $419K | |
| 2020 | 6,510 | $388K | |
| 2021 | 7,355 | $418K | |
| 2022 | 7,950 | $402K | |
| 2023 | 7,941 | $387K | |
| 2024incomplete | 7,258 | $377K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 30% | 11,075 | 10,800 | $826K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 14% | 4,467 | 4,387 | $397K |
| A7030 | Full face mask used with positive airway pressure device, each | 12% | 2,417 | 2,348 | $332K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 8.7% | 1,365 | 1,327 | $240K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 7.8% | 4,289 | 4,182 | $213K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 6.1% | 5,437 | 5,233 | $169K |
| A7035 | Headgear used with positive airway pressure device | 5.0% | 4,489 | 4,391 | $136K |
| A7038 | Filter, disposable, used with positive airway pressure device | 2.8% | 6,651 | 6,403 | $78K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | 2.7% | 1,582 | 1,545 | $75K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 2.7% | 711 | 685 | $73K |
| A7037 | Tubing used with positive airway pressure device | 2.5% | 2,323 | 2,286 | $68K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 2.2% | 876 | 861 | $60K |
5 more codes
| A7031 | Face mask interface, replacement for full face mask, each | 1.6% | 780 | $44K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 1,617 | $16K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 971 | $14K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 376 | $6K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 145 | $2K |
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 officialSCHUETTER, THOMAS (VICE-PRESIDENT)