Matsumura, Dwight

Matsumura, Dwight was paid $8K by Medicaid between Jan 2018 and Nov 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoMATSUMURA, DWIGHT
KAILUA, HI 96734

33aNPI1497701114assigned 05/25/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$8K

24GClaims1,331

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Hawaii

Rank by total paid#10 of 10

Median peer was paid$76K

This provider vs. median0.1×

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	1,043	$6K
2019	288	$2K

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	41%	405	351	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	40%	247	197	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	181	165	$2K
S9999	Sales tax	<1%	83	65	$0.15
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	12	12	$0.00
96127		0%	248	203	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	129	104	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	26	26	$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.