Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Higgins, Ilona

Higgins, Ilona was paid $3K by Medicaid between Jan 2018 and Apr 2019, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoHIGGINS, ILONA
HONOKAA, HI 96727
33aNPI1770794059assigned 05/25/2007
33bProvider typeGynecology Physician
28Total paid$3K
24GClaims90
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers

Next to other Gynecology Physician providers in Hawaii

Rank by total paid#5 of 5
Median peer was paid$13K
This provider vs. median0.3×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
201853$2K
201937$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 51% 31 28 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32% 28 24 $1K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 14% 19 18 $461.52
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 2.4% 12 12 $78.81

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.