Managed care
Pediatric Medical Group, LLC
Pediatric Medical Group, LLC was paid $165K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL GROUP, LLC
HONOLULU, HI 96817
HONOLULU, HI 96817
33aNPI1457446585assigned 10/04/2006
33bProvider typePreferred Provider Organization
28Total paid$165K
24GClaims12,490
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Hawaii
Rank by total paid#2 of 5
Median peer was paid$157K
This provider vs. median1.1×
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 | 1,671 | $21K | |
| 2019 | 2,233 | $30K | |
| 2020 | 1,833 | $14K | |
| 2021 | 1,813 | $17K | |
| 2022 | 2,013 | $24K | |
| 2023 | 1,725 | $36K | |
| 2024incomplete | 1,202 | $24K |
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 | 87% | 5,304 | 4,786 | $143K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 1,701 | 1,565 | $11K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.4% | 116 | 107 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 136 | 133 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 53 | 51 | $2K |
| 99072 | <1% | 296 | 275 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | 13 | $713.80 |
| 97802 | <1% | 2,046 | 1,917 | $148.52 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 40 | 29 | $45.13 |
| 90688 | <1% | 173 | 164 | $17.84 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 2,035 | 1,906 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 345 | 332 | $0.00 |
8 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 officialJACANG, AMELIA (PEDIATRICIAN)