Clinic
Samuel Mahelona Memorial Hospital
Samuel Mahelona Memorial Hospital was paid $342K by Medicaid between Mar 2021 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoSAMUEL MAHELONA MEMORIAL HOSPITAL
KOLOA, HI 96756
KOLOA, HI 96756
33aNPI1033705074assigned 12/14/2020
33bProvider typeClinic/Center
28Total paid$342K
24GClaims6,204
24DCodes billed8
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Hawaii
Rank by total paid#8 of 41
Median peer was paid$75K
This provider vs. median4.6×
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 | |
|---|---|---|---|
| 2021 | 1,430 | $26K | |
| 2022 | 1,296 | $63K | |
| 2023 | 1,968 | $116K | |
| 2024incomplete | 1,510 | $136K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 53% | 2,150 | 1,981 | $182K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,218 | 2,049 | $110K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.7% | 388 | 363 | $33K |
| 87428 | 3.9% | 321 | 262 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 124 | 118 | $2K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 977 | 863 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | 12 | $186.07 |
| 81002 | <1% | 14 | 12 | $33.72 |
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 officialASATO, CHRISTINE (REGIONAL CFO)
Parent organizationSAMUEL MAHELONA MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Kauai Veterans Memorial Hospital | Waimea, HI | $6.22M |
| Samuel Mahelona Memorial Hospital | Waimea, HI | $397K |
| Kauai Veterans Memorial Hospital | Waimea, HI | $294K |
| Samuel Mahelona Memorial Hospital | Kalaheo, HI | $90K |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $29K |
| Samuel Mahelona Memorial Hospital | Kalaheo, HI | $20K |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $9K |
| Samuel Mahelona Memorial Hospital | Eleele, HI | $585.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.