Physician
Benilda C. Luz-Llena, M.D. INC.
Benilda C. Luz-Llena, M.D. INC. was paid $561K by Medicaid between Jan 2018 and Jul 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoBENILDA C. LUZ-LLENA, M.D. INC.
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1922278969assigned 03/05/2008
33bProvider typePediatrics Physician
28Total paid$561K
24GClaims35,373
24DCodes billed21
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#4 of 76
Median peer was paid$21K
This provider vs. median27×
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 | 7,605 | $112K | |
| 2019 | 7,408 | $139K | |
| 2020 | 4,489 | $75K | |
| 2021 | 4,641 | $50K | |
| 2022 | 4,340 | $71K | |
| 2023 | 4,106 | $67K | |
| 2024incomplete | 2,784 | $49K |
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 | 36% | 12,025 | 10,472 | $204K |
| 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 | 16% | 3,380 | 3,115 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 1,874 | 1,827 | $61K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 1,861 | 1,806 | $56K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 1,344 | 1,231 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,381 | 1,365 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.2% | 2,370 | 2,210 | $18K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.0% | 432 | 427 | $17K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 1,242 | 1,181 | $15K |
| 99072 | 1.7% | 1,855 | 1,675 | $9K | |
| 92552 | <1% | 882 | 836 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 429 | 401 | $2K |
9 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 297 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 50 | $930.69 |
| 86580 | <1% | 367 | $887.31 | |
| 96127 | <1% | 2,061 | $883.39 | |
| 99173 | <1% | 921 | $390.03 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 231 | $107.97 |
| S9999 | Sales tax | <1% | 560 | $25.01 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,798 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 13 | $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 officialLUZ, BENILDA (PRESIDENT)