Lab
Kaiser Foundation Health Plan INC
Kaiser Foundation Health Plan INC was paid $506K by Medicaid between Apr 2023 and Dec 2024, across 24 billing codes. Its largest line is 0241U, Neonatal screening for hereditary disorders, genomic sequence analysis panel — 31% of everything it billed.
33Billing provider infoKAISER FOUNDATION HEALTH PLAN INC
WAILUKU, HI 96793
WAILUKU, HI 96793
33aNPI1043227010assigned 08/02/2006
33bProvider typeClinical Medical Laboratory
28Total paid$506K
24GClaims19,005
24DCodes billed24
24AFirst – last monthApr 2023 – Dec 2024
Compared with peers
Next to other Clinical Medical Laboratory providers in Hawaii
Rank by total paid#6 of 18
Median peer was paid$163K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2023 | 3,455 | $64K | |
| 2024incomplete | 15,550 | $442K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 31% | 498 | 493 | $159K |
| 87428 | 12% | 2,279 | 2,223 | $63K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 9.2% | 1,812 | 1,649 | $46K |
| 80051 | 7.8% | 1,720 | 1,631 | $40K | |
| 81001 | 5.4% | 3,033 | 2,832 | $27K | |
| 81025 | 3.7% | 557 | 544 | $19K | |
| 84484 | 3.6% | 495 | 478 | $18K | |
| 82247 | 3.5% | 1,019 | 878 | $18K | |
| 82565 | 3.1% | 1,136 | 1,083 | $16K | |
| 85027 | 3.1% | 699 | 655 | $16K | |
| 84460 | 2.4% | 646 | 632 | $12K | |
| 84450 | 2.2% | 622 | 608 | $11K |
12 more codes
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 officialADAM, JAMES (EXECUTIVE DIRECTOR, FINANACE LEADER)
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Health Plan INC | Honolulu, HI | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.