Clinic
Hamakua Health Center, INC.
Hamakua Health Center, INC. was paid $4.41M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoHAMAKUA HEALTH CENTER, INC.
HONOKAA, HI 96727
HONOKAA, HI 96727
33aNPI1013993146assigned 12/20/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$4.41M
24GClaims48,114
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#7 of 31
Median peer was paid$614K
This provider vs. median7.2×
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 | 5,951 | $570K | |
| 2019 | 6,048 | $514K | |
| 2020 | 4,585 | $388K | |
| 2021 | 8,012 | $617K | |
| 2022 | 7,685 | $650K | |
| 2023 | 7,968 | $708K | |
| 2024incomplete | 7,865 | $962K |
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 | 34% | 9,012 | 7,784 | $1.48M |
| 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 | 26% | 7,735 | 6,692 | $1.16M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 13% | 3,652 | 1,616 | $595K |
| D9999 | Unspecified adjunctive procedure, by report | 13% | 2,389 | 1,995 | $551K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 4.4% | 1,497 | 1,211 | $196K |
| 99442 | 2.7% | 629 | 550 | $120K | |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2.2% | 3,792 | 3,029 | $97K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 239 | 189 | $94K |
| 99443 | 1.3% | 306 | 275 | $57K | |
| 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% | 105 | 91 | $19K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 166 | 155 | $10K |
| 0012A | <1% | 166 | 119 | $7K |
29 more codes
| 0011A | <1% | 161 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $5K |
| 0064A | <1% | 71 | $4K | |
| 0001A | <1% | 48 | $2K | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 15 | $1K |
| 0002A | <1% | 29 | $1K | |
| 0071A | <1% | 16 | $640.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 41 | $202.11 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 16 | $184.63 |
| 96127 | <1% | 92 | $156.35 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 76 | $103.50 |
| G0008 | Administration of influenza virus vaccine | <1% | 91 | $22.50 |
| 1160F | 0% | 4,917 | $0.00 | |
| G9316 | Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family | 0% | 223 | $0.00 |
| 1159F | 0% | 4,886 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 87 | $0.00 |
| 3078F | 0% | 394 | $0.00 | |
| 91300 | 0% | 104 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $0.00 |
| 1125F | 0% | 1,316 | $0.00 | |
| 3008F | 0% | 4,878 | $0.00 | |
| 91301 | 0% | 375 | $0.00 | |
| 3074F | 0% | 213 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 41 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 109 | $0.00 |
| 90688 | 0% | 25 | $0.00 | |
| 91306 | 0% | 71 | $0.00 | |
| 1126F | 0% | 38 | $0.00 | |
| 91307 | 0% | 49 | $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 officialCARPENTER, IRENE (CEO)
Parent organizationHAMAKUA HEALTH CENTER, INC.
| Provider | Location | Paid |
|---|---|---|
| Hamakua Health Center, INC. | Kapa'au, HI | $442K |
| Hamakua Health Center, INC. | Kamuela, HI | $161K |
| Hamakua Health Center, INC. | Laupahoehoe, HI | $61K |
| Hamakua Health Center, INC. | Kamuela, HI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.