Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › AIEA › PALI MOMI MEDICAL CENTER

PALI MOMI MEDICAL CENTER

NPI: 1013961408 · AIEA, HI 96701 · General Acute Care Hospital · NPI assigned 05/20/2006

$49.28M
Total Medicaid Paid
715,392
Total Claims
581,351
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialOKABE, DAVID (CFO, SR. VICE PRESIDENT)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: OKABE, DAVID

ProviderCityStateTotal Paid
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN HONOLULU HI $102.45M
STRAUB CLINIC & HOSPITAL HONOLULU HI $45.59M
STRAUB CLINIC & HOSPITAL HONOLULU HI $8.19M
KAPIOLANI MEDICAL SPECIALISTS HONOLULU HI $5.15M
KAUAI MEDICAL CLINIC LIHUE HI $4.98M
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN HONOLULU HI $3.29M
STRAUB CLINIC & HOSPITAL HONOLULU HI $985K
PALI MOMI MEDICAL CENTER AIEA HI $598K
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN HONOLULU HI $154K
STRAUB CLINIC & HOSPITAL HONOLULU HI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 125,173 $8.02M
2019 131,897 $7.80M
2020 85,647 $4.58M
2021 98,101 $6.01M
2022 100,364 $7.18M
2023 96,210 $7.26M
2024 78,000 $8.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 31,321 28,525 $14.04M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15,841 13,942 $11.20M
99284 Emergency department visit for the evaluation and management, high severity 20,752 18,874 $10.31M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,643 7,232 $2.70M
G0378 Hospital observation service, per hour 4,204 2,515 $2.45M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,846 3,641 $2.34M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,630 2,457 $1.24M
L8699 Prosthetic implant, not otherwise specified 745 683 $655K
77067 Screening mammography, bilateral, including computer-aided detection 6,076 5,985 $519K
A4649 Surgical supply; miscellaneous 55,548 41,245 $372K
99281 Emergency department visit for the evaluation and management, self-limited or minor 1,146 1,071 $360K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,051 1,971 $290K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,189 3,080 $233K
77065 Tomosynthesis, mammo 2,615 2,405 $215K
77066 Tomosynthesis, mammo 1,971 1,904 $214K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,222 1,193 $184K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 2,158 1,337 $175K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 327 314 $141K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1,445 1,408 $124K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,413 1,226 $95K
76813 1,327 1,281 $92K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 7,562 5,107 $88K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,760 1,724 $84K
71250 809 763 $78K
93976 756 721 $64K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 86 83 $60K
70450 Computed tomography, head or brain; without contrast material 4,344 4,002 $57K
71260 Computed tomography, thorax, diagnostic; with contrast material 1,054 1,005 $56K
76642 4,461 3,798 $51K
71046 Radiologic examination, chest; 2 views 12,964 12,014 $50K
70551 Magnetic resonance imaging, brain; without contrast material 628 581 $47K
36902 155 150 $45K
72100 1,830 1,736 $44K
76770 835 820 $40K
96361 Intravenous infusion, hydration; each additional hour 4,885 4,244 $40K
71275 Computed tomographic angiography, chest, with contrast material 314 300 $31K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 3,089 2,825 $30K
96367 2,989 1,854 $29K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 2,373 1,286 $29K
88305 Level IV - Surgical pathology, gross and microscopic examination 2,025 1,872 $28K
36591 1,780 1,032 $26K
76536 543 530 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,834 9,689 $20K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24,323 20,944 $20K
73130 1,499 1,396 $18K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,037 927 $18K
73630 1,827 1,703 $15K
77080 246 239 $14K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 17 14 $13K
73610 1,571 1,451 $13K
76801 177 164 $12K
93017 767 722 $11K
73030 1,609 1,535 $11K
73560 966 912 $10K
73110 735 692 $10K
73562 1,043 1,016 $9K
76819 Fetal biophysical profile; without non-stress testing 199 86 $9K
74183 13 13 $9K
76831 26 26 $8K
86850 1,563 1,373 $8K
36430 350 225 $8K
73502 315 301 $7K
72125 Computed tomography, cervical spine; without contrast material 555 534 $7K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 11,318 9,858 $6K
93971 272 255 $5K
94060 135 131 $5K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 24 24 $4K
94726 38 36 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 12 12 $4K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 123 113 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,024 914 $3K
96415 277 133 $3K
J3490 Unclassified drugs 30,066 10,254 $3K
72141 12 12 $3K
71045 Radiologic examination, chest; single view 7,164 6,448 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 60 57 $2K
76705 Ultrasound, abdominal, real time with image documentation; limited 228 210 $2K
J0561 Injection, penicillin g benzathine, 100,000 units 12 12 $2K
73590 155 150 $2K
73140 180 172 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,579 4,307 $2K
73564 26 25 $2K
80305 2,669 2,467 $2K
86920 271 237 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,042 2,907 $2K
96375 Therapeutic injection; each additional sequential IV push 10,050 7,921 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 536 445 $1K
87186 2,685 2,509 $1K
80053 Comprehensive metabolic panel 25,017 20,713 $1K
74018 186 177 $1K
10060 149 146 $989.46
72170 75 73 $978.40
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 5,631 4,037 $761.81
29125 27 26 $740.03
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,525 28,517 $708.75
P9016 Red blood cells, leukocytes reduced, each unit 196 150 $705.29
84132 2,334 1,984 $704.79
88341 58 53 $664.00
83880 4,023 3,479 $630.34
80048 Basic metabolic panel (calcium, ionized) 11,026 9,297 $584.33
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 8,506 7,575 $502.08
84484 11,890 9,732 $469.16
96523 28 24 $451.97
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,059 1,034 $417.79
A9270 Non-covered item or service 8,267 3,376 $405.84
93308 12 12 $316.65
74022 432 393 $276.69
81025 7,461 6,985 $267.81
73080 15 13 $258.44
93246 16 15 $238.37
87040 3,009 2,723 $237.85
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,070 1,044 $180.91
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 854 806 $166.13
90715 1,573 1,520 $162.55
71101 70 64 $161.76
J0696 Injection, ceftriaxone sodium, per 250 mg 5,117 3,938 $159.13
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,771 2,443 $152.93
83690 8,609 7,694 $151.80
76830 Ultrasound, transvaginal 3,110 3,001 $127.59
83605 3,523 3,064 $126.56
87086 Culture, bacterial; quantitative colony count, urine 5,085 4,733 $123.23
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,419 7,826 $121.89
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,571 1,501 $121.13
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,392 8,171 $117.76
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,716 1,650 $107.59
96376 3,634 2,348 $107.53
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 516 500 $102.13
84703 2,954 2,704 $101.87
J1885 Injection, ketorolac tromethamine, per 15 mg 8,560 7,497 $90.17
A4648 Tissue marker, implantable, any type, each 12 12 $89.91
J1815 Injection, insulin, per 5 units 818 615 $86.30
83036 Hemoglobin; glycosylated (A1C) 640 600 $59.79
J2270 Injection, morphine sulfate, up to 10 mg 4,428 3,412 $57.50
84443 Thyroid stimulating hormone (TSH) 999 924 $56.99
81003 6,652 6,293 $55.43
87077 3,364 2,599 $52.56
36415 Collection of venous blood by venipuncture 24,531 18,999 $50.12
81001 5,747 5,241 $49.38
83735 2,288 1,820 $45.72
J1170 Injection, hydromorphone, up to 4 mg 1,984 1,358 $44.89
J3370 Injection, vancomycin hcl, 500 mg 830 573 $40.62
85379 449 425 $39.56
J2060 Injection, lorazepam, 2 mg 679 549 $38.04
85610 3,475 3,024 $36.58
82948 2,256 1,415 $36.28
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips 698 682 $34.00
J2765 Injection, metoclopramide hcl, up to 10 mg 2,848 2,482 $32.17
73660 12 12 $29.88
A4550 Surgical trays 5,911 4,355 $28.80
A4217 Sterile water/saline, 500 ml 1,390 1,330 $28.41
85730 1,146 970 $28.40
81015 2,499 2,396 $23.07
A4565 Slings 250 242 $22.80
84702 83 80 $20.80
86901 2,123 1,759 $20.67
J8540 Dexamethasone, oral, 0.25 mg 562 521 $20.28
73070 14 14 $18.60
J3010 Injection, fentanyl citrate, 0.1 mg 8,140 6,434 $18.51
84145 37 36 $17.77
J1200 Injection, diphenhydramine hcl, up to 50 mg 2,682 1,948 $16.13
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 445 376 $13.62
J1940 Injection, furosemide, up to 20 mg 1,042 752 $10.68
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,524 1,059 $9.97
87070 553 525 $7.51
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 387 379 $6.99
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 4,944 4,324 $5.88
82550 204 190 $4.64
A4215 Needle, sterile, any size, each 15,818 13,440 $4.31
A4620 Variable concentration mask 3,567 3,305 $4.17
86900 1,936 1,584 $3.27
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 6,479 2,588 $3.02
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 4,031 3,696 $3.01
C9113 Injection, pantoprazole sodium, per vial 20 12 $2.30
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 343 331 $2.07
J2704 Injection, propofol, 10 mg 5,845 5,086 $1.23
J2250 Injection, midazolam hydrochloride, per 1 mg 5,458 4,913 $0.55
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 1,349 1,265 $0.44
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 370 323 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 220 178 $0.00
A4618 Breathing circuits 571 521 $0.00
J1644 Injection, heparin sodium, per 1000 units 4,191 2,548 $0.00
84100 336 285 $0.00
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 330 295 $0.00
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 326 314 $0.00
J7030 Infusion, normal saline solution , 1000 cc 828 343 $0.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 705 656 $0.00
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 511 449 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 270 251 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 151 140 $0.00
87075 72 69 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 52 44 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 94 86 $0.00
87660 160 156 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 215 205 $0.00
J3475 Injection, magnesium sulfate, per 500 mg 57 50 $0.00
J1171 Injection, hydromorphone, 0.1 mg 34 30 $0.00
J2720 Injection, protamine sulfate, per 10 mg 92 92 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 65 64 $0.00
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 26 21 $0.00
82565 13 13 $0.00
94799 83 68 $0.00
77062 26 26 $0.00
96160 40 39 $0.00
58340 14 14 $0.00
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 13 13 $0.00
L1906 Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf 12 12 $0.00
87634 27 20 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 986 932 $0.00
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) 117 107 $0.00
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 1,192 1,095 $0.00
J0690 Injection, cefazolin sodium, 500 mg 3,854 3,198 $0.00
J7050 Infusion, normal saline solution, 250 cc 2,184 1,179 $0.00
86140 165 146 $0.00
97162 63 62 $0.00
A4570 Splint 453 444 $0.00
A9585 Injection, gadobutrol, 0.1 ml 1,544 1,465 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 200 184 $0.00
J0330 Injection, succinylcholine chloride, up to 20 mg 525 488 $0.00
87088 184 175 $0.00
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 370 343 $0.00
B4083 Stomach tube - levine type 37 28 $0.00
77063 Screening digital breast tomosynthesis, bilateral 894 884 $0.00
A4467 Belt, strap, sleeve, garment, or covering, any type 1,124 1,062 $0.00
87081 259 254 $0.00
88342 212 187 $0.00
C1769 Guide wire 301 265 $0.00
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away 343 317 $0.00
87205 39 39 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,203 1,117 $0.00
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 72 71 $0.00
88304 111 106 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 250 238 $0.00
J2785 Injection, regadenoson, 0.1 mg 264 254 $0.00
12002 14 14 $0.00
12001 64 64 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 204 182 $0.00
87510 160 156 $0.00
87480 160 156 $0.00
J1630 Injection, haloperidol, up to 5 mg 13 12 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 151 132 $0.00
J1790 Injection, droperidol, up to 5 mg 46 42 $0.00
85018 72 48 $0.00
80320 33 28 $0.00
A4322 Irrigation syringe, bulb or piston, each 72 68 $0.00
85651 78 73 $0.00
A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard 14 13 $0.00
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard 27 27 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 33 14 $0.00
80329 14 13 $0.00
70486 16 15 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 25 13 $0.00
80051 14 14 $0.00
88307 12 12 $0.00