Clinic
Waimea Medical Associates LLP
Waimea Medical Associates LLP was paid $163K by Medicaid between Jan 2018 and Dec 2020, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoWAIMEA MEDICAL ASSOCIATES LLP
KAMUELA, HI 96743
KAMUELA, HI 96743
33aNPI1598860124assigned 09/14/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$163K
24GClaims6,924
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Health Service Clinic/Center providers in Hawaii
Rank by total paid#2 of 13
Median peer was paid$21K
This provider vs. median7.7×
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 | 2,891 | $50K | |
| 2019 | 2,849 | $84K | |
| 2020 | 1,184 | $29K |
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% | 3,062 | 2,668 | $62K |
| 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 | 35% | 1,537 | 1,415 | $57K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 445 | 420 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.3% | 383 | 381 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.9% | 220 | 216 | $10K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 150 | 135 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 62 | 55 | $624.13 |
| 90688 | <1% | 184 | 180 | $396.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 29 | 26 | $222.91 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | 13 | $91.01 |
| 87276 | <1% | 27 | 27 | $80.51 | |
| 87275 | <1% | 27 | 27 | $76.60 |
12 more codes
| 96127 | <1% | 250 | $41.70 | |
| 90633 | 0% | 148 | $0.00 | |
| 90670 | 0% | 30 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 90715 | 0% | 13 | $0.00 | |
| 1036F | 0% | 16 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 130 | $0.00 |
| 90651 | 0% | 61 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 19 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 26 | $0.00 |
| 90660 | 0% | 63 | $0.00 | |
| 90698 | 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 officialDAWSON, JOHN (SENIOR PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Community for New Direction | Columbus, OH | $1.10M |
| East Tennessee Eye Surgeons, P.C. | Powell, TN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.