Physician
Pearl City Medical Associates, INC.
Pearl City Medical Associates, INC. was paid $41K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is S0302, Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) — 49% of everything it billed.
33Billing provider infoPEARL CITY MEDICAL ASSOCIATES, INC.
AIEA, HI 96701
AIEA, HI 96701
33aNPI1962446609assigned 06/15/2006
33bProvider typePediatrics Physician
28Total paid$41K
24GClaims10,801
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#31 of 76
Median peer was paid$21K
This provider vs. median2.0×
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 | 1,806 | $2K | |
| 2019 | 1,887 | $9K | |
| 2020 | 529 | $2K | |
| 2021 | 561 | $95.12 | |
| 2022 | 1,300 | $2K | |
| 2023 | 2,686 | $5K | |
| 2024incomplete | 2,032 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 49% | 585 | 567 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,595 | 2,360 | $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 | 13% | 843 | 781 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.4% | 697 | 677 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.2% | 72 | 67 | $902.20 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 68 | 66 | $569.00 |
| S9999 | Sales tax | 1.2% | 4,328 | 3,944 | $484.59 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 229 | 218 | $409.92 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 53 | 52 | $352.23 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 38 | $246.28 |
| 92551 | <1% | 462 | 454 | $125.86 | |
| 99173 | <1% | 470 | 462 | $29.61 |
5 more codes
| 90461 | 0% | 132 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 24 | $0.00 |
| 96127 | 0% | 25 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 147 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 32 | $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 officialROVNER, BRIDGIT (PRESIDENT)