Hawaii Permanente Medical Group INC

Hawaii Permanente Medical Group INC was paid $75.71M by Medicaid between Jan 2018 and Dec 2024, across 198 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

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	88,851	$15.69M
2019	81,042	$15.00M
2020	53,512	$4.95M
2021	74,438	$6.89M
2022	97,018	$10.03M
2023	104,615	$11.02M
2024incomplete	110,370	$12.13M

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	29%	146,753	140,378	$22.03M
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	9.9%	34,312	33,001	$7.52M
77067	Screening mammography, bilateral, including computer-aided detection	6.2%	11,563	11,498	$4.70M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.7%	9,872	9,699	$3.52M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.5%	15,432	15,143	$3.39M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.5%	14,624	14,537	$3.37M
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	4.1%	67,327	66,510	$3.09M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	3.3%	12,955	12,553	$2.50M
88305	Level IV - Surgical pathology, gross and microscopic examination	2.7%	9,626	9,471	$2.07M
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.5%	21,836	20,808	$1.90M
90472	Immunization administration, each additional vaccine (list separately)	1.9%	26,757	26,509	$1.47M
99441		1.9%	34,915	32,894	$1.43M

186 more codes

90670		1.8%	5,060	$1.33M
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.6%	6,510	$1.21M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.3%	4,243	$1.02M
71046	Radiologic examination, chest; 2 views	1.3%	13,605	$961K
76811	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed	1.1%	1,554	$827K
99215	Doctor's office visit, returning patient (complex)	<1%	2,493	$702K
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	1,883	$695K
90686		<1%	22,229	$615K
99285	Emergency room visit (most serious)	<1%	1,250	$546K
92015	Determination of refractive state	<1%	13,485	$522K
99442		<1%	7,338	$514K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	2,043	$510K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	1,867	$492K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	658	$485K
90677		<1%	918	$407K
92002		<1%	2,202	$370K
93000		<1%	9,936	$329K
99203	Doctor's office visit, new patient (routine)	<1%	2,199	$326K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	<1%	1,108	$274K
90651		<1%	842	$270K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	<1%	990	$251K
59025	Fetal non-stress test	<1%	2,074	$244K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	17,407	$238K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	2,173	$235K
90723		<1%	2,242	$230K
76801		<1%	691	$227K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	558	$217K
76642		<1%	727	$187K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	563	$182K
0001A		<1%	4,453	$182K
76830	Ultrasound, transvaginal	<1%	485	$176K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	602	$156K
76817	Ultrasound, pregnant uterus, real time with image documentation, transvaginal	<1%	387	$150K
99078		<1%	2,209	$149K
0002A		<1%	3,525	$148K
90962		<1%	993	$146K
91320		<1%	956	$139K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	468	$122K
73564		<1%	960	$115K
90688		<1%	2,850	$99K
93304		<1%	236	$96K
90853	Group psychotherapy (other than of a multiple-family group)	<1%	1,978	$90K
73630		<1%	1,149	$89K
99238	Hospital discharge day management, 30 minutes or less	<1%	584	$89K
71045	Radiologic examination, chest; single view	<1%	9,519	$86K
93325		<1%	1,193	$77K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	617	$76K
99443		<1%	704	$75K
99204	Doctor's office visit, new patient (more involved)	<1%	226	$74K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	317	$70K
99460		<1%	429	$69K
90656		<1%	2,250	$67K
81002		<1%	5,141	$65K
90648		<1%	2,336	$65K
90681		<1%	435	$62K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	2,335	$60K
90480		<1%	1,099	$56K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,171	$55K
99205	Prolong outpt/office vis	<1%	124	$55K
77065	Tomosynthesis, mammo	<1%	132	$51K
77063	Screening digital breast tomosynthesis, bilateral	<1%	465	$50K
97151		<1%	356	$50K
0004A		<1%	1,037	$41K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	85	$41K
0012A		<1%	966	$40K
0011A		<1%	955	$39K
70450	Computed tomography, head or brain; without contrast material	<1%	442	$36K
90832	Psychotherapy session, about 30 minutes	<1%	184	$33K
98968		<1%	457	$32K
90685		<1%	723	$32K
90633		<1%	572	$29K
G0400	Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels	<1%	82	$29K
73610		<1%	284	$29K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	1,562	$28K
88141		<1%	267	$25K
J0585	Injection, onabotulinumtoxina, 1 unit	<1%	13	$25K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	56	$24K
93321		<1%	344	$24K
73030		<1%	235	$24K
J1380	Injection, estradiol valerate, up to 10 mg	<1%	871	$23K
90734		<1%	125	$23K
99232	Hospital visit by a doctor, follow-up day	<1%	325	$23K
0072A		<1%	556	$22K
88307		<1%	69	$22K
0064A		<1%	604	$22K
V2020	Frames, purchases	<1%	1,264	$21K
76770		<1%	50	$21K
88342		<1%	161	$21K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	692	$20K
81025		<1%	657	$19K
90647		<1%	517	$19K
99223	Prolong inpt eval add15 m	<1%	79	$18K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	204	$16K
0360T		<1%	55	$15K
0071A		<1%	386	$15K
99462		<1%	172	$15K
92134		<1%	274	$15K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	62	$14K
0054A		<1%	443	$14K
99239	Hospital discharge day management, more than 30 minutes	<1%	58	$14K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	36	$13K
70551	Magnetic resonance imaging, brain; without contrast material	<1%	25	$13K
76536		<1%	28	$13K
J1050	Injection, medroxyprogesterone acetate, 1 mg	<1%	99	$12K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	301	$12K
0124A		<1%	372	$12K
81001		<1%	885	$11K
74018		<1%	168	$10K
73110		<1%	143	$10K
96417		<1%	72	$9K
80051		<1%	342	$9K
82565		<1%	414	$8K
85027		<1%	304	$7K
86580		<1%	185	$7K
90474		<1%	236	$6K
88341		<1%	14	$6K
99417	Prolong home eval add 15m	<1%	62	$6K
90698		<1%	38	$6K
73130		<1%	85	$5K
98966		<1%	186	$5K
31575		<1%	27	$5K
99201		<1%	38	$5K
77061		<1%	12	$4K
90792	Psychiatric diagnostic evaluation with medical services	<1%	15	$4K
90473		<1%	133	$4K
76813		<1%	12	$4K
84460		<1%	208	$4K
84450		<1%	202	$4K
94729		<1%	26	$4K
84484		<1%	69	$3K
99308	Subsequent nursing facility care, per day, straightforward	<1%	218	$3K
11719		<1%	113	$3K
92552		<1%	37	$3K
84520		<1%	223	$3K
82247		<1%	176	$3K
99222	Initial hospital care, per day, moderate complexity	<1%	27	$3K
90710		<1%	14	$3K
85610		<1%	160	$3K
97152		<1%	13	$3K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	131	$2K
82947		<1%	163	$2K
98962		<1%	88	$2K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	27	$2K
83690		<1%	88	$2K
72100		<1%	19	$2K
84075		<1%	103	$2K
73140		<1%	25	$2K
J1000	Injection, depo-estradiol cypionate, up to 5 mg	<1%	60	$2K
85379		<1%	39	$2K
90715		<1%	25	$2K
94010		<1%	12	$1K
90696		<1%	14	$924.00
99221		<1%	13	$919.36
99281	Emergency department visit for the evaluation and management, self-limited or minor	<1%	12	$900.00
96164		<1%	54	$816.00
98967		<1%	14	$798.00
96165		<1%	54	$752.00
85007		<1%	52	$735.00
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	52	$734.23
99188		<1%	24	$667.00
82150		<1%	27	$650.00
73080		<1%	14	$642.00
85730		<1%	26	$624.00
93272		<1%	12	$600.00
0134A		<1%	26	$576.00
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	13	$533.84
81003		<1%	58	$522.00
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	13	$507.00
85652		<1%	51	$500.00
90674		<1%	12	$495.00
77081		<1%	16	$480.00
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	<1%	13	$454.48
92558		<1%	19	$444.00
93016		<1%	12	$400.26
0053A		<1%	17	$388.36
90662		<1%	31	$368.00
81000		<1%	21	$336.00
93018		<1%	12	$266.80
77080		<1%	12	$210.00
92227		<1%	917	$30.71
87428		0%	46	$0.00
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	0%	13	$0.00
G0008	Administration of influenza virus vaccine	0%	30	$0.00
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	0%	16	$0.00
1159F		0%	120	$0.00
1160F		0%	120	$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 officialSTEFANELLI, CHRISTOPHER (ASST. MED DIRECTOR BUSINESS SVCS)