Stephen T Foley MD LLC

Stephen T Foley MD LLC was paid $383K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 76815, Ultrasound, pregnant uterus, real time with image documentation, limited — 43% of everything it billed.

33Billing provider infoSTEPHEN T FOLEY MD LLC
HONOLULU, HI 96813

33aNPI1386087187assigned 04/10/2013

33bProvider typeMedical Specialty Clinic/Center

28Total paid$383K

24GClaims6,520

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Medical Specialty Clinic/Center providers in Hawaii

Rank by total paid#5 of 19

Median peer was paid$65K

This provider vs. median5.9×

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	891	$31K
2019	969	$36K
2020	981	$40K
2021	920	$52K
2022	742	$64K
2023	922	$71K
2024incomplete	1,095	$87K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	43%	2,127	1,036	$166K
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	36%	1,622	1,323	$139K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	1,112	917	$41K
76830	Ultrasound, transvaginal	6.4%	363	287	$25K
59025	Fetal non-stress test	1.5%	133	37	$6K
81025		<1%	410	344	$3K
81003		<1%	542	485	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	12	12	$1K
87210		<1%	199	188	$978.87

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 officialFOLEY, STEPHEN (PRESIDENT)