Hawaii Nephrologists LLC
Hawaii Nephrologists LLC was paid $1.19M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 40% of everything it billed.
WAIPAHU, HI 96797
Next to other Nephrology Physician providers in Hawaii
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,394 | $167K | |
| 2019 | 2,442 | $131K | |
| 2020 | 1,680 | $104K | |
| 2021 | 3,812 | $240K | |
| 2022 | 3,465 | $234K | |
| 2023 | 2,411 | $176K | |
| 2024incomplete | 1,597 | $137K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 40% | 4,361 | 3,895 | $470K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 30% | 7,656 | 2,078 | $351K |
| 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% | 4,792 | 4,233 | $240K |
| 99223 | Prolong inpt eval add15 m | 6.8% | 1,005 | 816 | $81K |
| 90961 | 1.5% | 180 | 161 | $18K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 150 | 140 | $10K |
| 90962 | <1% | 94 | 89 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 98 | 40 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 53 | 40 | $3K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 384 | 348 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 28 | 25 | $805.88 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lafayette Kidney Care LLC | Alexandria, LA | $1.59M |
| New Jersey Kidney Care LLC | Jersey City, NJ | $1.17M |
| South Florida Kidney Care LLC | Hollywood, FL | $550K |
| Nephrology Associates of Utah LLC | Salt Lake City, UT | $507K |
| Laredo Nephrologists PLLC | Laredo, TX | $217K |
| ST Louis Kidney Care LLC | Florissant, MO | $156K |
| Midland Kidney Care PLLC | Midland, TX | $67K |
| ST George Kidney Care LLC | St George, UT | $43K |
| Orlando Kidney Care LLC | Vero Beach, FL | $27K |
| Pittsburgh Kidney Care LLC | Clairton, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.