Paniolo Pediatrics LLC

Paniolo Pediatrics LLC was paid $35K by Medicaid between Jan 2018 and May 2018, across 20 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 30% of everything it billed.

33Billing provider infoPANIOLO PEDIATRICS LLC
KAMUELA, HI 96743

33aNPI1790162980assigned 04/27/2015

33bProvider typePrimary Care Clinic/Center

28Total paid$35K

24GClaims4,221

24DCodes billed20

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other Primary Care Clinic/Center providers in Hawaii

Rank by total paid#18 of 37

Median peer was paid$33K

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	4,221	$35K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	30%	209	187	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,329	1,254	$10K
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	21%	647	625	$7K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.3%	125	120	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	5.1%	272	269	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.2%	30	30	$1K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	2.8%	37	35	$991.21
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.1%	14	12	$379.53
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	12	$126.59
90461		<1%	140	136	$63.86
99173		<1%	312	304	$52.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	40	40	$26.85

8 more codes

92551		<1%	30	$10.13
90670		0%	188	$0.00
S9999	Sales tax	0%	611	$0.00
90687		0%	20	$0.00
90680		0%	87	$0.00
90698		0%	52	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	27	$0.00
90688		0%	37	$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 officialFERGUSON, BRETT (SOLE MEMBER)

Same official

Other billing entities under FERGUSON, BRETT

Full network →

Provider	Location	Paid
Paniolo Pediatric and Family Medicine INC	Kamuela, HI	$1.44M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.