Supplier
Don Quijote (USA) Co., LTD.
Don Quijote (USA) Co., LTD. was paid $3K by Medicaid between Sep 2020 and Sep 2023, across 7 billing codes. Its largest line is 90750, — 51% of everything it billed.
33Billing provider infoDON QUIJOTE (USA) CO., LTD.
HONOLULU, HI 96814
HONOLULU, HI 96814
33aNPI1821123951assigned 02/22/2007
33bProvider typeCommunity/Retail Pharmacy
28Total paid$3K
24GClaims209
24DCodes billed7
24AFirst – last monthSep 2020 – Sep 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Hawaii
Rank by total paid#10 of 19
Median peer was paid$3K
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 | |
|---|---|---|---|
| 2020 | 36 | $2K | |
| 2021 | 71 | $0.00 | |
| 2022 | 90 | $903.32 | |
| 2023 | 12 | $236.72 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90750 | 51% | 12 | 12 | $2K | |
| 90686 | 39% | 63 | 59 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 9.8% | 24 | 24 | $288.88 |
| 0013A | 0% | 51 | 51 | $0.00 | |
| 0004A | 0% | 33 | 33 | $0.00 | |
| 0054A | 0% | 14 | 14 | $0.00 | |
| 0124A | 0% | 12 | 12 | $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 officialGUSHIKUMA, HERBERT (VICE PRESIDENT)