Matsumoto, Keith

Matsumoto, Keith was paid $238.64 by Medicaid between Oct 2018 and Oct 2020, across 3 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.

33Billing provider infoMATSUMOTO, KEITH
HONOLULU, HI 96826

33aNPI1366858953assigned 07/03/2014

33bProvider typePediatrics Physician

28Total paid$238.64

24GClaims78

24DCodes billed3

24AFirst – last monthOct 2018 – Oct 2020

Compared with peers

Next to other Pediatrics Physician providers in Hawaii

Rank by total paid#72 of 76

Median peer was paid$21K

This provider vs. median0.0×

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	27	$0.00
2019	13	$0.00
2020	38	$238.64

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	100%	48	48	$238.64
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	12	12	$0.00
90686		0%	18	18	$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.