Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › HI › Hilo › NPI 1578660957
Physician

Hirata, Randall

Hirata, Randall was paid $100K by Medicaid between Jan 2018 and Jun 2019, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoHIRATA, RANDALL
HILO, HI 96720
33aNPI1578660957assigned 09/20/2006
28Total paid$100K
24GClaims2,526
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Hawaii

Rank by total paid#8 of 26
Median peer was paid$39K
This provider vs. median2.6×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,816$74K
2019710$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 34% 561 454 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 24% 321 315 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23% 594 543 $23K
59025 Fetal non-stress test 9.6% 295 111 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.8% 191 163 $6K
76801 2.0% 25 25 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 71 57 $915.27
80305 <1% 40 40 $533.76
S9999 Sales tax <1% 428 269 $0.06

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.