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HAWAII PERMANENTE MEDICAL GROUP INC

Health Maintenance Organization·HONOLULU, HI·NPI: 1710945969Share

Compared to Health Maintenance Organization Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $75.7M is at the 50th percentile among 10 Health Maintenance Organization providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$75.7M

$75,712,663

Total Claims

610K

Beneficiaries

582K

1.0 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$15.7M
-4%
2019
$15.0M
-67%
2020
$4.9M
+39%
2021
$6.9M
+46%
2022
$10.0M
+10%
2023
$11.0M
+10%
2024
$12.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$22.0M

147K claims · 29.1%

Your Cost: $150.13/claim|Median: $37.81
4.0× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$7.5M

34K claims · 9.9%

Your Cost: $219.22/claim|Median: $53.41
4.1× median
77067Top 1%

Screening mammography, bilateral, including CAD

$4.7M

12K claims · 6.2%

Your Cost: $406.25/claim|Median: $39.33
10.3× median
99284Top 5%

Emergency dept visit, high complexity

$3.5M

9,872 claims · 4.7%

Your Cost: $356.86/claim|Median: $69.51
5.1× median
99283Top 5%

Emergency dept visit, moderate complexity

$3.4M

15K claims · 4.5%

Your Cost: $219.52/claim|Median: $42.48
5.2× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$3.4M

15K claims · 4.5%

Your Cost: $230.62/claim|Median: $75.18
3.1× median
90471Top 5%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$3.1M

67K claims · 4.1%

Your Cost: $45.87/claim|Median: $9.80
4.7× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$2.5M

13K claims · 3.3%

Your Cost: $192.78/claim|Median: $69.35
2.8× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$2.1M

9,626 claims · 2.7%

Your Cost: $214.71/claim|Median: $35.80
6.0× median
99212Top 10%

Office/outpatient visit, low complexity

$1.9M

22K claims · 2.5%

Your Cost: $87.12/claim|Median: $25.06
3.5× median
90472Top 1%

Immunization administration, each additional vaccine

$1.5M

27K claims · 1.9%

Your Cost: $54.82/claim|Median: $11.79
4.6× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$1.4M

35K claims · 1.9%

Your Cost: $40.84/claim|Median: $13.30
3.1× median
90670Top 1%

$1.3M

5,060 claims · 1.8%

Your Cost: $262.02/claim|Median: $5.94
44.1× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$1.2M

6,510 claims · 1.6%

Your Cost: $185.51/claim|Median: $38.23
4.9× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.0M

4,243 claims · 1.3%

Your Cost: $240.27/claim|Median: $74.82
3.2× median
71046Top 5%

Chest X-ray, 2 views

$961K

14K claims · 1.3%

Your Cost: $70.65/claim|Median: $8.92
7.9× median
76811Top 1%

Ultrasound, pregnant uterus, detailed, single fetus

$827K

1,554 claims · 1.1%

Your Cost: $531.94/claim|Median: $106.79
5.0× median
99215Top 5%

Office/outpatient visit, high complexity

$702K

2,493 claims · 0.9%

Your Cost: $281.53/claim|Median: $74.09
3.8× median
76816Top 1%

Ultrasound, pregnant uterus, follow-up

$695K

1,883 claims · 0.9%

Your Cost: $369.15/claim|Median: $58.55
6.3× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$615K

22K claims · 0.8%

Your Cost: $27.69/claim|Median: $7.18
3.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$546K

1,250 claims · 0.7%

Your Cost: $436.70/claim|Median: $85.65
5.1× median
92015Top 5%

Determination of refractive state

$522K

13K claims · 0.7%

Your Cost: $38.70/claim|Median: $10.36
3.7× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$514K

7,338 claims · 0.7%

Your Cost: $69.98/claim|Median: $22.44
3.1× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$510K

2,043 claims · 0.7%

Your Cost: $249.57/claim|Median: $80.15
3.1× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$492K

1,867 claims · 0.7%

Your Cost: $263.78/claim|Median: $36.79
7.2× median
76805Top 1%

Ultrasound, pregnant uterus, complete, single fetus

$485K

658 claims · 0.6%

Your Cost: $737.54/claim|Median: $74.78
9.9× median
90677Top 1%

$407K

918 claims · 0.5%

Your Cost: $443.72/claim|Median: $12.96
34.2× median
92002Top 1%

Intermediate eye exam, new patient

$370K

2,202 claims · 0.5%

Your Cost: $168.07/claim|Median: $41.61
4.0× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$329K

9,936 claims · 0.4%

Your Cost: $33.08/claim|Median: $9.70
3.4× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$326K

2,199 claims · 0.4%

Your Cost: $148.04/claim|Median: $57.85
2.6× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$274K

1,108 claims · 0.4%

Your Cost: $247.03/claim|Median: $75.28
3.3× median
90651Top 1%

HPV vaccine, 9-valent

$270K

842 claims · 0.4%

Your Cost: $320.30/claim|Median: $8.93
35.9× median
93306Top 10%

Echocardiography, transthoracic, complete, with Doppler

$251K

990 claims · 0.3%

Your Cost: $253.93/claim|Median: $54.68
4.6× median
59025Top 25%

Fetal non-stress test

$244K

2,074 claims · 0.3%

Your Cost: $117.57/claim|Median: $26.45
4.4× median
93010Top 5%

Electrocardiogram, interpretation and report only

$238K

17K claims · 0.3%

Your Cost: $13.67/claim|Median: $5.60
2.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$235K

2,173 claims · 0.3%

Your Cost: $108.03/claim|Median: $40.11
2.7× median
90723Top 1%

DTaP-HepB-IPV vaccine

$230K

2,242 claims · 0.3%

Your Cost: $102.73/claim|Median: $5.78
17.8× median
76801Top 1%

Ultrasound, pregnant uterus, single fetus, first trimester

$227K

691 claims · 0.3%

Your Cost: $329.09/claim|Median: $58.16
5.7× median
74177Top 10%

CT abdomen and pelvis with contrast

$217K

558 claims · 0.3%

Your Cost: $388.87/claim|Median: $65.76
5.9× median
76642Top 1%

$187K

727 claims · 0.2%

Your Cost: $257.86/claim|Median: $32.06
8.0× median
76856Top 5%

Ultrasound, pelvic, complete

$182K

563 claims · 0.2%

Your Cost: $323.78/claim|Median: $47.58
6.8× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$182K

4,453 claims · 0.2%

Your Cost: $40.89/claim|Median: $33.72
1.2× median
76830Top 1%

Ultrasound, transvaginal

$176K

485 claims · 0.2%

Your Cost: $362.39/claim|Median: $57.47
6.3× median
76705Top 1%

Ultrasound, abdominal, limited

$156K

602 claims · 0.2%

Your Cost: $258.96/claim|Median: $23.81
10.9× median
76817Top 1%

Ultrasound, pregnant uterus, transvaginal

$150K

387 claims · 0.2%

Your Cost: $386.87/claim|Median: $47.65
8.1× median
99078Top 10%

$149K

2,209 claims · 0.2%

Your Cost: $67.33/claim|Median: $25.66
2.6× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$148K

3,525 claims · 0.2%

Your Cost: $41.96/claim|Median: $36.70
1.1× median
90962Top 5%

$146K

993 claims · 0.2%

Your Cost: $147.48/claim|Median: $40.91
3.6× median
91320Top 5%

$139K

956 claims · 0.2%

Your Cost: $145.69/claim|Median: $72.65
2.0× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$122K

468 claims · 0.2%

Your Cost: $260.94/claim|Median: $47.08
5.5× median

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