Clinic
Hilo Urgent Care Center, LLC
Hilo Urgent Care Center, LLC was paid $6.54M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoHILO URGENT CARE CENTER, LLC
HILO, HI 96720
HILO, HI 96720
33aNPI1487750089assigned 09/15/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$6.54M
24GClaims158,079
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Hawaii
Rank by total paid#3 of 26
Median peer was paid$103K
This provider vs. median63×
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 | 24,430 | $781K | |
| 2019 | 26,411 | $754K | |
| 2020 | 14,634 | $257K | |
| 2021 | 20,080 | $722K | |
| 2022 | 26,510 | $1.36M | |
| 2023 | 25,242 | $1.37M | |
| 2024incomplete | 20,772 | $1.29M |
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 | 35% | 34,432 | 32,283 | $2.30M |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 15% | 11,357 | 10,792 | $996K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 15,480 | 14,648 | $951K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 13% | 57,422 | 53,775 | $867K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 9.4% | 13,534 | 12,870 | $614K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 8,698 | 8,196 | $398K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 4.7% | 9,115 | 8,557 | $308K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,174 | 1,090 | $51K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 201 | 189 | $20K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,866 | 2,067 | $14K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 464 | 435 | $12K |
| 81000 | <1% | 2,472 | 2,305 | $7K |
9 more codes
| 87634 | <1% | 28 | $2K | |
| 86318 | <1% | 243 | $2K | |
| 73610 | <1% | 12 | $336.62 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 19 | $179.11 |
| 81025 | <1% | 12 | $97.83 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 264 | $52.27 |
| 99072 | <1% | 29 | $36.06 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 224 | $2.16 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 33 | $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 officialGUTTELING, EDWARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Gutteling Enterprises, LLC | Hilo, HI | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.