Clinic
Castle Medical Center
Castle Medical Center was paid $983K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoCASTLE MEDICAL CENTER
LAIE, HI 96762
LAIE, HI 96762
33aNPI1578948519assigned 07/20/2015
33bProvider typeRural Health Clinic/Center
28Total paid$983K
24GClaims15,159
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Hawaii
Rank by total paid#5 of 9
Median peer was paid$983K
This provider vs. median1.0×
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 | 1,427 | $23K | |
| 2019 | 1,126 | $23K | |
| 2020 | 983 | $54K | |
| 2021 | 2,538 | $68K | |
| 2022 | 3,154 | $146K | |
| 2023 | 3,573 | $282K | |
| 2024incomplete | 2,358 | $386K |
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 | 38% | 3,826 | 3,163 | $378K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 29% | 2,523 | 1,641 | $281K |
| 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 | 23% | 1,255 | 1,052 | $229K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 2.2% | 587 | 504 | $22K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 134 | 121 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 128 | 111 | $18K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 42 | 41 | $10K |
| 90698 | <1% | 50 | 41 | $8K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 36 | 35 | $5K |
| 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% | 12 | 12 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | 13 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 91 | 74 | $1K |
22 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 586 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 478 | $806.48 |
| 90686 | <1% | 116 | $737.37 | |
| 1159F | <1% | 2,317 | $450.79 | |
| 90677 | <1% | 14 | $273.28 | |
| 3008F | <1% | 1,180 | $261.26 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 84 | $101.80 |
| 90461 | <1% | 102 | $63.30 | |
| 90656 | <1% | 15 | $53.59 | |
| 96127 | <1% | 51 | $44.10 | |
| 99000 | <1% | 134 | $35.38 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 36 | $9.00 |
| 90670 | <1% | 14 | $4.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 59 | $0.06 |
| 1160F | 0% | 1,129 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| 92552 | 0% | 12 | $0.00 | |
| 96160 | 0% | 21 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 47 | $0.00 |
| 85018 | 0% | 25 | $0.00 | |
| 99349 | 0% | 14 | $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 officialNYE, JEFFREY (CFO)
Parent organizationCASTLE MEDICAL CENTER