Physician
Wesley J. Sugai, M.D., INC.
Wesley J. Sugai, M.D., INC. was paid $132K by Medicaid between Jan 2018 and Dec 2019, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoWESLEY J. SUGAI, M.D., INC.
KEALAKEKUA, HI 96750
KEALAKEKUA, HI 96750
33aNPI1407893241assigned 06/01/2006
33bProvider typePediatrics Physician
28Total paid$132K
24GClaims10,592
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#14 of 76
Median peer was paid$21K
This provider vs. median6.3×
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 | 5,278 | $48K | |
| 2019 | 5,314 | $85K |
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 | 33% | 4,585 | 3,984 | $43K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 25% | 963 | 960 | $33K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 818 | 817 | $24K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 810 | 796 | $23K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 343 | 343 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 515 | 511 | $826.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | 68 | $370.72 |
| 96127 | <1% | 166 | 166 | $17.64 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 223 | 221 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 90 | 90 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 102 | 102 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 112 | 112 | $0.00 |
2 more codes
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 officialSUGAI, PATRICIA (CORPORATE SECRETARY/ACCOUNTANT)