Physician
Roy M Koga M D INC
Roy M Koga M D INC was paid $31K by Medicaid between Jan 2018 and Aug 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoROY M KOGA M D INC
HILO, HI 96720
HILO, HI 96720
33aNPI1336318674assigned 02/20/2008
33bProvider typeGeneral Practice Physician
28Total paid$31K
24GClaims1,779
24DCodes billed3
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other General Practice Physician providers in Hawaii
Rank by total paid#8 of 18
Median peer was paid$25K
This provider vs. median1.2×
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 | 291 | $5K | |
| 2019 | 348 | $7K | |
| 2020 | 206 | $4K | |
| 2021 | 312 | $5K | |
| 2022 | 253 | $4K | |
| 2023 | 250 | $4K | |
| 2024incomplete | 119 | $2K |
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 | 100% | 1,644 | 1,450 | $31K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 95 | 89 | $0.00 |
| 1036F | 0% | 40 | 36 | $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 officialKOGA, ROY (OWNER)