Physician
Edward A. Alquero, M.D., INC.
Edward A. Alquero, M.D., INC. was paid $251K by Medicaid between Jan 2018 and Oct 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoEDWARD A. ALQUERO, M.D., INC.
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1710168265assigned 11/26/2007
33bProvider typeFamily Medicine Physician
28Total paid$251K
24GClaims21,915
24DCodes billed38
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Hawaii
Rank by total paid#12 of 81
Median peer was paid$24K
This provider vs. median10×
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 | 5,340 | $42K | |
| 2019 | 3,839 | $40K | |
| 2020 | 3,084 | $19K | |
| 2021 | 2,292 | $25K | |
| 2022 | 2,741 | $40K | |
| 2023 | 3,035 | $51K | |
| 2024incomplete | 1,584 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 65% | 7,967 | 5,397 | $164K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 5,608 | 3,792 | $76K |
| 95923 | <1% | 41 | 39 | $2K | |
| 95943 | <1% | 42 | 39 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 558 | 310 | $2K |
| 90674 | <1% | 86 | 75 | $1K | |
| 90686 | <1% | 195 | 140 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 249 | 194 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 365 | 180 | $755.84 |
| 90662 | <1% | 86 | 78 | $563.11 | |
| 90694 | <1% | 50 | 44 | $279.04 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 13 | $109.93 |
26 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $99.17 |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | <1% | 432 | $74.20 |
| G0008 | Administration of influenza virus vaccine | <1% | 171 | $58.34 |
| 96127 | <1% | 29 | $16.64 | |
| 36416 | <1% | 410 | $0.96 | |
| 3079F | 0% | 147 | $0.00 | |
| 1157F | 0% | 260 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 249 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 403 | $0.00 |
| 1170F | 0% | 658 | $0.00 | |
| 3074F | 0% | 171 | $0.00 | |
| G8542 | Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required | 0% | 52 | $0.00 |
| 1126F | 0% | 438 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 128 | $0.00 |
| 3075F | 0% | 225 | $0.00 | |
| 1036F | 0% | 297 | $0.00 | |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 46 | $0.00 |
| 1159F | 0% | 629 | $0.00 | |
| 3288F | 0% | 178 | $0.00 | |
| 1160F | 0% | 652 | $0.00 | |
| 3078F | 0% | 416 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 215 | $0.00 |
| 1158F | 0% | 333 | $0.00 | |
| G0407 | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth | 0% | 42 | $0.00 |
| 99072 | 0% | 18 | $0.00 | |
| 3725F | 0% | 42 | $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 officialALQUERO, EDWARD (PHYSICIAN/PRESIDENT)