Medicine Pediatrics Associates, LLC
Medicine Pediatrics Associates, LLC was paid $33K by Medicaid between Jan 2018 and Mar 2022, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoMEDICINE PEDIATRICS ASSOCIATES, LLC
HONOLULU, HI 96813
HONOLULU, HI 96813
33aNPI1861506867assigned 08/18/2006
33bProvider typeSpecialist
28Total paid$33K
24GClaims6,099
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Specialist providers in Hawaii
Rank by total paid#39 of 75
Median peer was paid$49K
This provider vs. median0.7×
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 | 1,562 | $10K | |
| 2019 | 1,919 | $9K | |
| 2020 | 1,063 | $6K | |
| 2021 | 1,272 | $7K | |
| 2022 | 283 | $2K |
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 | 39% | 1,763 | 1,575 | $13K |
| 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 | 31% | 610 | 574 | $10K |
| 90686 | 8.1% | 514 | 507 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.6% | 885 | 876 | $2K |
| 90707 | 4.1% | 40 | 38 | $1K | |
| 0072A | 3.2% | 24 | 24 | $1K | |
| 0071A | 3.0% | 23 | 23 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 105 | 102 | $549.73 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 26 | 26 | $360.00 |
| 96127 | <1% | 317 | 310 | $257.90 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 91 | 87 | $178.04 |
| 90461 | <1% | 156 | 156 | $136.94 |
10 more codes
| 92551 | <1% | 287 | $115.40 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 16 | $114.40 |
| 99173 | <1% | 359 | $55.65 | |
| 90685 | <1% | 34 | $21.25 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 104 | $6.94 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 531 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 135 | $0.00 |
| 91307 | 0% | 44 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 20 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $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 officialSALLE, NADINE (CEO)