Clinic
Anthony C Hernandez M D INC
Anthony C Hernandez M D INC was paid $166K by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoANTHONY C HERNANDEZ M D INC
HONOLULU, HI 96819
HONOLULU, HI 96819
33aNPI1477682227assigned 03/05/2007
33bProvider typeClinic/Center
28Total paid$166K
24GClaims17,253
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Hawaii
Rank by total paid#10 of 41
Median peer was paid$75K
This provider vs. median2.2×
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 | 2,414 | $21K | |
| 2019 | 2,890 | $26K | |
| 2020 | 1,944 | $22K | |
| 2021 | 2,549 | $27K | |
| 2022 | 2,488 | $30K | |
| 2023 | 2,111 | $21K | |
| 2024incomplete | 2,857 | $19K |
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 | 71% | 4,675 | 3,815 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 3,769 | 2,909 | $47K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 343 | 310 | $722.78 |
| S9999 | Sales tax | <1% | 1,162 | 795 | $107.78 |
| G0008 | Administration of influenza virus vaccine | <1% | 80 | 66 | $47.90 |
| 90688 | <1% | 16 | 14 | $17.84 | |
| 1101F | 0% | 374 | 335 | $0.00 | |
| 3008F | 0% | 1,944 | 1,621 | $0.00 | |
| 1170F | 0% | 388 | 347 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 293 | 262 | $0.00 |
| 1157F | 0% | 366 | 320 | $0.00 | |
| 1036F | 0% | 436 | 384 | $0.00 |
15 more codes
| 1125F | 0% | 374 | $0.00 | |
| 99406 | 0% | 75 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 30 | $0.00 |
| 3074F | 0% | 124 | $0.00 | |
| 3075F | 0% | 371 | $0.00 | |
| 1126F | 0% | 339 | $0.00 | |
| 3079F | 0% | 153 | $0.00 | |
| 3080F | 0% | 131 | $0.00 | |
| 1100F | 0% | 321 | $0.00 | |
| 1159F | 0% | 367 | $0.00 | |
| 1158F | 0% | 130 | $0.00 | |
| 1160F | 0% | 366 | $0.00 | |
| 3078F | 0% | 376 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 134 | $0.00 |
| 3077F | 0% | 116 | $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 officialHERNANDEZ, ANTHONY (PRESIDENT)