Windward Pediatrics, INC.
Windward Pediatrics, INC. was paid $851K by Medicaid between Jan 2018 and Nov 2022, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoWINDWARD PEDIATRICS, INC.
KANEOHE, HI 96744
KANEOHE, HI 96744
33aNPI1528085222assigned 07/17/2006
33bProvider typeSpecialist
28Total paid$851K
24GClaims17,000
24DCodes billed30
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Specialist providers in Hawaii
Rank by total paid#6 of 75
Median peer was paid$49K
This provider vs. median17×
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 | 5,733 | $283K | |
| 2019 | 4,619 | $246K | |
| 2020 | 2,205 | $92K | |
| 2021 | 2,062 | $76K | |
| 2022 | 2,381 | $154K |
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 | 58% | 6,996 | 5,677 | $492K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 884 | 793 | $99K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 720 | 700 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 631 | 613 | $71K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 299 | 298 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 622 | 567 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 423 | 405 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 633 | 602 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 207 | 206 | $6K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 529 | 473 | $5K |
| 99072 | <1% | 348 | 315 | $3K | |
| 86580 | <1% | 148 | 137 | $747.52 |
18 more codes
| 92552 | <1% | 1,366 | $651.04 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 23 | $61.96 |
| 81002 | <1% | 52 | $35.50 | |
| 90461 | <1% | 16 | $33.08 | |
| 99173 | <1% | 1,385 | $4.56 | |
| 90698 | 0% | 277 | $0.00 | |
| 90744 | 0% | 81 | $0.00 | |
| 90651 | 0% | 121 | $0.00 | |
| 90716 | 0% | 109 | $0.00 | |
| 90680 | 0% | 154 | $0.00 | |
| 90700 | 0% | 70 | $0.00 | |
| 90633 | 0% | 59 | $0.00 | |
| 90707 | 0% | 121 | $0.00 | |
| 90670 | 0% | 435 | $0.00 | |
| 90658 | 0% | 252 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90734 | 0% | 13 | $0.00 | |
| 90713 | 0% | 12 | $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 officialYIM, GREGORY (PHYSICIAN)