Physician
Lam, Carlos
Lam, Carlos was paid $597K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 99% of everything it billed.
33Billing provider infoLAM, CARLOS
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1366481590assigned 06/05/2006
33bProvider typeInternal Medicine Physician
28Total paid$597K
24GClaims12,813
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Hawaii
Rank by total paid#9 of 123
Median peer was paid$27K
This provider vs. median22×
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 | 4,308 | $120K | |
| 2019 | 2,867 | $124K | |
| 2020 | 1,606 | $81K | |
| 2021 | 1,543 | $83K | |
| 2022 | 1,128 | $80K | |
| 2023 | 1,024 | $75K | |
| 2024incomplete | 337 | $33K |
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% | 10,169 | 8,036 | $592K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 110 | 13 | $4K |
| 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 | 12 | $584.63 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 478 | 404 | $0.05 |
| 1111F | <1% | 428 | 364 | $0.04 | |
| 1160F | 0% | 389 | 335 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 48 | 46 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 19 | 18 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 485 | 378 | $0.00 |
| 1036F | 0% | 566 | 469 | $0.00 | |
| 1034F | 0% | 27 | 25 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 79 | 68 | $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.