Clinic
WHCHC - Hawaii Island Community Health Center
WHCHC - Hawaii Island Community Health Center was paid $8.04M by Medicaid between Jan 2019 and Jun 2022, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoWHCHC - HAWAII ISLAND COMMUNITY HEALTH CENTER
HILO, HI 96720
HILO, HI 96720
33aNPI1053955120assigned 11/01/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.04M
24GClaims60,626
24DCodes billed46
24AFirst – last monthJan 2019 – Jun 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#5 of 31
Median peer was paid$614K
This provider vs. median13×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TAAFFE, RICHARD controls 12+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 671 | $68K | |
| 2020 | 21,773 | $2.83M | |
| 2021 | 25,714 | $3.48M | |
| 2022 | 12,468 | $1.66M |
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 | 36% | 15,411 | 14,156 | $2.88M |
| 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 | 17% | 8,253 | 7,405 | $1.35M |
| D0140 | Limited oral evaluation - problem focused | 17% | 7,448 | 6,851 | $1.34M |
| D9999 | Unspecified adjunctive procedure, by report | 9.6% | 3,805 | 3,603 | $775K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.1% | 2,194 | 1,352 | $409K |
| 98968 | 4.4% | 2,197 | 1,170 | $356K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 1,008 | 890 | $190K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 791 | 781 | $155K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 542 | 534 | $118K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 517 | 504 | $98K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 441 | 426 | $96K |
| 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 | <1% | 1,466 | 1,245 | $52K |
34 more codes
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 222 | $42K |
| 0012A | <1% | 477 | $26K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 180 | $26K |
| 0001A | <1% | 590 | $20K | |
| 0002A | <1% | 567 | $20K | |
| 0011A | <1% | 509 | $13K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 68 | $12K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 54 | $11K |
| 99384 | <1% | 51 | $10K | |
| 0071A | <1% | 279 | $10K | |
| 0072A | <1% | 216 | $8K | |
| 99383 | <1% | 34 | $8K | |
| 0004A | <1% | 219 | $7K | |
| 98967 | <1% | 66 | $7K | |
| 0064A | <1% | 152 | $5K | |
| 0031A | <1% | 128 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 87 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,389 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,029 | $401.60 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 28 | $325.12 |
| 81025 | <1% | 2,448 | $271.00 | |
| 93000 | <1% | 13 | $260.48 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 605 | $174.20 |
| 86580 | <1% | 13 | $11.23 | |
| 99173 | <1% | 2,553 | $7.56 | |
| 81002 | 0% | 53 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 14 | $0.00 |
| 92551 | 0% | 1,057 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 276 | $0.00 |
| 91301 | 0% | 58 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 82 | $0.00 |
| 90474 | 0% | 12 | $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 officialTAAFFE, RICHARD (CEO)
| Provider | Location | Paid |
|---|---|---|
| West Hawaii Community Health Center, INC. | Kailua-kona, HI | $46.79M |
| West Hawaii Community Health Center, INC. | Hilo, HI | $7.14M |
| West Hawaii Community Health Center, INC. | Pahoa, HI | $1.96M |
| West Hawaii Community Health Center, INC. | Keaau, HI | $1.59M |
| West Hawaii Community Health Center, INC. | Hilo, HI | $554K |
| West Hawaii Community Health Center, INC. | Kailua Kona, HI | $335K |
| West Hawaii Community Health Center, INC. | Na'alehu, HI | $300K |
| West Hawaii Community Health Center, INC. | Pahoa, HI | $284K |
| West Hawaii Community Health Center, INC. | Kealakekua, HI | $258K |
| West Hawaii Community Health Center, INC. | Waikoloa, HI | $7K |
| West Hawaii Community Health Center, INC. | Hilo, HI | $3K |
| West Hawaii Community Health Center INC. | Kealakekua, HI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.