Ohana Pacific Medical LLC

Ohana Pacific Medical LLC was paid $56K by Medicaid between Feb 2020 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.

33Billing provider infoOHANA PACIFIC MEDICAL LLC
HONOLULU, HI 96825

33aNPI1427514645assigned 02/12/2019

33bProvider typeFamily Medicine Physician

28Total paid$56K

24GClaims4,853

24DCodes billed18

24AFirst – last monthFeb 2020 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Hawaii

Rank by total paid#30 of 81

Median peer was paid$24K

This provider vs. median2.3×

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
2020	1,693	$15K
2021	1,321	$11K
2022	382	$3K
2023	212	$5K
2024incomplete	1,245	$22K

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	45%	922	535	$26K
99454		14%	784	678	$8K
99458		13%	854	750	$8K
99457		11%	858	754	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	4.9%	125	65	$3K
99490	Ccm add 20min	2.8%	314	264	$2K
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	2.5%	153	150	$1K
99439		1.5%	160	123	$863.79
99487	Ccm add 20min	1.4%	89	77	$789.27
99489	Ccm add 20min	<1%	86	76	$404.56
99491	Ccm add 20min	<1%	35	29	$307.92
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	23	22	$291.14

6 more codes

99213	Doctor's office visit, returning patient (routine)	<1%	17	$248.60
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	20	$219.26
J3415	Injection, pyridoxine hcl, 100 mg	<1%	101	$165.21
J0132	Injection, acetylcysteine, 100 mg	<1%	105	$23.50
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	42	$16.71
99070		0%	165	$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 officialITO, STEVEN (OWNER)