Physician
Paul A. Kaiwi, JR. MD INC
Paul A. Kaiwi, JR. MD INC was paid $392K by Medicaid between Jan 2018 and Nov 2020, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 90% of everything it billed.
33Billing provider infoPAUL A. KAIWI, JR. MD INC
KAHULUI, HI 96732
KAHULUI, HI 96732
33aNPI1356511810assigned 03/11/2008
33bProvider typeGeneral Practice Physician
28Total paid$392K
24GClaims24,486
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2020
Compared with peers
Next to other General Practice Physician providers in Hawaii
Rank by total paid#4 of 18
Median peer was paid$25K
This provider vs. median16×
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 | 8,777 | $162K | |
| 2019 | 8,909 | $144K | |
| 2020 | 6,800 | $86K |
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 | 90% | 8,603 | 7,640 | $354K |
| 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 | 5.6% | 494 | 450 | $22K |
| 99442 | 3.1% | 560 | 501 | $12K | |
| 99406 | <1% | 352 | 310 | $3K | |
| 96127 | <1% | 173 | 167 | $601.01 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | 14 | $131.97 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | <1% | 14 | 14 | $78.58 |
| H0049 | Alcohol and/or drug screening | <1% | 1,235 | 1,051 | $36.31 |
| 3008F | 0% | 693 | 638 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 917 | 816 | $0.00 |
| 3075F | 0% | 474 | 451 | $0.00 | |
| 1170F | 0% | 97 | 48 | $0.00 |
35 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 756 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 157 | $0.00 |
| 3074F | 0% | 1,093 | $0.00 | |
| 3079F | 0% | 814 | $0.00 | |
| 1125F | 0% | 263 | $0.00 | |
| 1123F | 0% | 85 | $0.00 | |
| 1101F | 0% | 122 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 541 | $0.00 |
| 1036F | 0% | 924 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 55 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 144 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 352 | $0.00 |
| 3080F | 0% | 93 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 40 | $0.00 |
| 3048F | 0% | 28 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 17 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 166 | $0.00 |
| 1005F | 0% | 13 | $0.00 | |
| 3044F | 0% | 12 | $0.00 | |
| 1159F | 0% | 605 | $0.00 | |
| 3078F | 0% | 833 | $0.00 | |
| 1158F | 0% | 74 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 518 | $0.00 |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | 0% | 370 | $0.00 |
| 3077F | 0% | 112 | $0.00 | |
| 1160F | 0% | 598 | $0.00 | |
| G9276 | Documentation that patient is a current tobacco user | 0% | 77 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 285 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 17 | $0.00 |
| 3725F | 0% | 999 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 218 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 55 | $0.00 |
| 3288F | 0% | 141 | $0.00 | |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 248 | $0.00 |
| 1100F | 0% | 32 | $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 officialKAIWI, SHAWN (DIRECTOR)