Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WHCHC - HAWAII ISLAND COMMUNITY HEALTH CENTER

NPI: 1053955120 · HILO, HI 96720 · Federally Qualified Health Center (FQHC) · NPI assigned 11/01/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TAAFFE, RICHARD controls 12+ related entities in our dataset. Read more

$8.04M
Total Medicaid Paid
60,626
Total Claims
54,656
Beneficiaries
46
Codes Billed
2019-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialTAAFFE, RICHARD (CEO)
NPI Enumeration Date11/01/2019

Related Entities

Other providers sharing the same authorized official: TAAFFE, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 671 $68K
2020 21,773 $2.83M
2021 25,714 $3.48M
2022 12,468 $1.66M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,411 14,156 $2.88M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,253 7,405 $1.35M
D0140 Limited oral evaluation - problem focused 7,448 6,851 $1.34M
D9999 Unspecified adjunctive procedure, by report 3,805 3,603 $775K
90832 Psychotherapy, 30 minutes with patient 2,194 1,352 $409K
98968 2,197 1,170 $356K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,008 890 $190K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 791 781 $155K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 542 534 $118K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 517 504 $98K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 441 426 $96K
G0467 Federally 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 1,466 1,245 $52K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 222 215 $42K
0012A 477 467 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 180 173 $26K
0001A 590 573 $20K
0002A 567 557 $20K
0011A 509 483 $13K
90791 Psychiatric diagnostic evaluation 68 66 $12K
90834 Psychotherapy, 45 minutes with patient 54 39 $11K
99384 51 50 $10K
0071A 279 274 $10K
0072A 216 214 $8K
99383 34 34 $8K
0004A 219 216 $7K
98967 66 38 $7K
0064A 152 149 $5K
0031A 128 115 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 12 12 $3K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 87 85 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,389 3,303 $1K
90472 Immunization administration, each additional vaccine (list separately) 2,029 1,986 $401.60
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 28 20 $325.12
81025 2,448 2,299 $271.00
93000 13 12 $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 605 327 $174.20
86580 13 12 $11.23
99173 2,553 2,500 $7.56
81002 53 51 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00
99215 Prolong outpt/office vis 14 13 $0.00
92551 1,057 1,038 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 276 260 $0.00
91301 58 54 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 82 80 $0.00
90474 12 12 $0.00