Sorbella Guillermo,m.D., INC.

Sorbella Guillermo,m.D., INC. was paid $674K by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.

33Billing provider infoSORBELLA GUILLERMO,M.D., INC.
WAIPAHU, HI 96797

33aNPI1780869693assigned 01/09/2008

33bProvider typePoint of Service

28Total paid$674K

24GClaims58,545

24DCodes billed59

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Point of Service providers in Hawaii

Rank by total paid#3 of 5

Median peer was paid$674K

This provider vs. median1.0×

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	8,371	$116K
2019	8,261	$94K
2020	5,285	$49K
2021	7,560	$70K
2022	10,142	$108K
2023	9,179	$104K
2024incomplete	9,747	$133K

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	58%	17,932	15,000	$390K
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	20%	4,607	3,939	$135K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.1%	738	708	$28K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.9%	801	742	$26K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.5%	425	407	$17K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.1%	364	338	$14K
99072		1.7%	3,330	2,795	$11K
S0302	Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service)	1.3%	291	280	$9K
90460	Immunization administration through 18 years of age via any route, first or only component	1.0%	1,793	1,112	$7K
99397		<1%	188	156	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	211	184	$5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	433	325	$4K

47 more codes

90688		<1%	653	$4K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	148	$4K
99497		<1%	194	$4K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	1,901	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	130	$2K
G2252	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion	<1%	347	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	294	$1K
99442		<1%	74	$1K
86580		<1%	259	$587.65
90651		<1%	116	$580.28
90674		<1%	148	$397.77
90461		<1%	201	$315.43
Q2038	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	<1%	31	$186.92
90756		<1%	19	$158.41
G0008	Administration of influenza virus vaccine	<1%	31	$124.31
S9470	Nutritional counseling, dietitian visit	<1%	3,100	$120.15
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	14	$89.46
S9999	Sales tax	<1%	1,662	$44.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	73	$36.32
90698		<1%	207	$16.00
90670		<1%	234	$8.00
90744		<1%	30	$4.01
96127		<1%	734	$1.47
3078F		<1%	1,477	$1.10
3074F		<1%	929	$0.71
1159F		<1%	755	$0.57
1160F		<1%	650	$0.56
1170F		<1%	796	$0.54
3075F		<1%	570	$0.41
1126F		<1%	655	$0.39
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	3,007	$0.34
3079F		<1%	438	$0.26
1123F		<1%	461	$0.06
3077F		<1%	184	$0.04
3044F		<1%	29	$0.02
G9902	Patient screened for tobacco use and identified as a tobacco user	<1%	71	$0.02
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	5,305	$0.01
G9459	Currently a tobacco non-user	<1%	896	$0.01
G9275	Documentation that patient is a current non-tobacco user	0%	364	$0.00
G9906	Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	42	$0.00
90680		0%	13	$0.00
S9451	Exercise classes, non-physician provider, per session	0%	19	$0.00
90696		0%	12	$0.00
90633		0%	39	$0.00
90734		0%	33	$0.00
90715		0%	29	$0.00
90710		0%	58	$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 officialGUILLERMO, SORBELLA (OWNER/PRESIDENT)