Clinic
John M. Nagamine, M.D. INC
John M. Nagamine, M.D. INC was paid $328K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.
33Billing provider infoJOHN M. NAGAMINE, M.D. INC
KAILUA, HI 96734
KAILUA, HI 96734
33aNPI1578919353assigned 05/10/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$328K
24GClaims37,632
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Hawaii
Rank by total paid#4 of 37
Median peer was paid$33K
This provider vs. median9.9×
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 | 4,944 | $65K | |
| 2019 | 6,067 | $71K | |
| 2020 | 4,238 | $40K | |
| 2021 | 3,101 | $13K | |
| 2022 | 5,717 | $20K | |
| 2023 | 7,303 | $45K | |
| 2024incomplete | 6,262 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 2,248 | 1,918 | $68K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 2,317 | 2,087 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 3,183 | 2,905 | $43K |
| 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 | 13% | 1,838 | 1,687 | $42K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 8.8% | 889 | 787 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 1,773 | 1,653 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 814 | 737 | $10K |
| 87428 | 2.7% | 143 | 135 | $9K | |
| 99460 | 2.6% | 139 | 125 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 1,060 | 1,008 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.4% | 3,078 | 2,702 | $8K |
| 99072 | 2.3% | 5,262 | 4,456 | $8K |
30 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 139 | $7K |
| 0071A | <1% | 50 | $2K | |
| 0072A | <1% | 30 | $1K | |
| 0154A | <1% | 24 | $905.68 | |
| 90461 | <1% | 855 | $511.43 | |
| 90671 | <1% | 358 | $253.56 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $182.92 |
| 92551 | <1% | 1,914 | $133.87 | |
| 90680 | <1% | 679 | $107.63 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,419 | $66.34 |
| 90686 | <1% | 1,396 | $64.68 | |
| 99173 | <1% | 2,101 | $42.88 | |
| 90688 | <1% | 251 | $38.35 | |
| 90656 | <1% | 235 | $22.20 | |
| 96127 | <1% | 54 | $14.46 | |
| 90633 | <1% | 293 | $8.03 | |
| 90744 | <1% | 252 | $1.09 | |
| 90698 | <1% | 823 | $0.16 | |
| 90670 | <1% | 804 | $0.16 | |
| 90685 | <1% | 479 | $0.12 | |
| 90697 | 0% | 114 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 1,084 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,116 | $0.00 |
| 96161 | 0% | 39 | $0.00 | |
| 90651 | 0% | 56 | $0.00 | |
| 91315 | 0% | 23 | $0.00 | |
| 91307 | 0% | 131 | $0.00 | |
| 90707 | 0% | 100 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 91300 | 0% | 19 | $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 officialNAGAMINE, JOHN (OWNER)