Managed care
Magdy Mettias MD INC
Magdy Mettias MD INC was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoMAGDY METTIAS MD INC
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1568627909assigned 07/24/2008
33bProvider typePoint of Service
28Total paid$1.24M
24GClaims37,555
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Point of Service providers in Hawaii
Rank by total paid#2 of 5
Median peer was paid$674K
This provider vs. median1.8×
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 | 4,370 | $128K | |
| 2019 | 4,685 | $168K | |
| 2020 | 4,056 | $124K | |
| 2021 | 6,133 | $198K | |
| 2022 | 6,222 | $225K | |
| 2023 | 6,921 | $229K | |
| 2024incomplete | 5,168 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 70% | 20,284 | 13,813 | $868K |
| 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 | 22% | 4,693 | 3,875 | $278K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 407 | 398 | $39K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 133 | 121 | $11K |
| 99397 | <1% | 315 | 267 | $9K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 691 | 572 | $7K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 239 | 219 | $7K |
| 93922 | <1% | 93 | 86 | $4K | |
| 90688 | <1% | 454 | 400 | $4K | |
| 90686 | <1% | 394 | 382 | $4K | |
| 93015 | <1% | 62 | 55 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 31 | 31 | $2K |
16 more codes
| 93000 | <1% | 121 | $2K | |
| 94010 | <1% | 34 | $542.65 | |
| G0008 | Administration of influenza virus vaccine | <1% | 291 | $371.78 |
| 90658 | <1% | 23 | $333.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $114.79 |
| S9999 | Sales tax | <1% | 1,019 | $36.06 |
| 3078F | <1% | 1,861 | $1.45 | |
| 3074F | <1% | 1,820 | $1.42 | |
| 1170F | <1% | 1,106 | $0.74 | |
| 1125F | <1% | 287 | $0.33 | |
| 3044F | <1% | 546 | $0.27 | |
| 1160F | <1% | 1,233 | $0.26 | |
| 1159F | <1% | 343 | $0.04 | |
| 1126F | <1% | 611 | $0.03 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 287 | $0.00 |
| 1111F | 0% | 165 | $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 officialMETTIAS, MAGDY (OWNER/PRESIDENT)