Physician
Castle Medical Center
Castle Medical Center was paid $629K by Medicaid between Jan 2018 and Oct 2024, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
33Billing provider infoCASTLE MEDICAL CENTER
KAILUA, HI 96734
KAILUA, HI 96734
33aNPI1710336011assigned 06/07/2016
33bProvider typeInternal Medicine Physician
28Total paid$629K
24GClaims39,345
24DCodes billed49
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in Hawaii
Rank by total paid#7 of 123
Median peer was paid$27K
This provider vs. median24×
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 | 2,248 | $15K | |
| 2019 | 3,061 | $43K | |
| 2020 | 4,339 | $49K | |
| 2021 | 12,705 | $246K | |
| 2022 | 9,268 | $138K | |
| 2023 | 7,606 | $137K | |
| 2024incomplete | 118 | $2K |
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 | 13% | 2,664 | 2,316 | $82K |
| 0001A | 12% | 2,483 | 2,220 | $74K | |
| 0002A | 11% | 2,215 | 2,023 | $72K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 914 | 781 | $70K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 11% | 1,769 | 1,614 | $69K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.7% | 1,177 | 953 | $42K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 3,129 | 1,006 | $35K |
| 99223 | Prolong inpt eval add15 m | 5.4% | 551 | 472 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 1,509 | 1,291 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.3% | 508 | 121 | $21K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.0% | 960 | 813 | $19K |
| 0003A | 2.3% | 474 | 429 | $15K |
37 more codes
| 99222 | Initial hospital care, per day, moderate complexity | 2.3% | 496 | $14K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 913 | $8K |
| 0071A | 1.2% | 239 | $8K | |
| 0072A | 1.2% | 217 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 113 | $6K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 72 | $5K |
| 93000 | <1% | 309 | $4K | |
| 31575 | <1% | 63 | $3K | |
| 90686 | <1% | 249 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 83 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 37 | $3K |
| 99201 | <1% | 71 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 48 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 385 | $1K |
| 90688 | <1% | 63 | $964.55 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 15 | $792.57 |
| 90674 | <1% | 13 | $281.74 | |
| 90662 | <1% | 17 | $149.84 | |
| 96127 | <1% | 968 | $20.93 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 14 | $5.10 |
| 1159F | <1% | 5,555 | $0.32 | |
| 3008F | <1% | 2,500 | $0.12 | |
| 1160F | <1% | 4,110 | $0.12 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 478 | $0.11 |
| 3077F | <1% | 15 | $0.03 | |
| 91300 | <1% | 75 | $0.03 | |
| 3078F | <1% | 158 | $0.02 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 280 | $0.01 |
| 3074F | <1% | 153 | $0.01 | |
| 3079F | <1% | 12 | $0.01 | |
| 99000 | 0% | 2,281 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 640 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 181 | $0.00 |
| 1157F | 0% | 18 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 84 | $0.00 |
| 1036F | 0% | 31 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 36 | $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 officialJOHNSON, NICOLAS (CFO)
Parent organizationCASTLE MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| Castle Medical Center | Kailua, HI | $37.62M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.