Clinic
Waikiki Health
Waikiki Health was paid $3.51M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 52% of everything it billed.
33Billing provider infoWAIKIKI HEALTH
HONOLULU, HI 96826
HONOLULU, HI 96826
33aNPI1093156119assigned 07/17/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.51M
24GClaims28,801
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#9 of 31
Median peer was paid$614K
This provider vs. median5.7×
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 | 2,969 | $283K | |
| 2019 | 3,992 | $261K | |
| 2020 | 3,752 | $362K | |
| 2021 | 5,325 | $576K | |
| 2022 | 2,169 | $249K | |
| 2023 | 4,148 | $790K | |
| 2024incomplete | 6,446 | $986K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 52% | 6,249 | 5,250 | $1.81M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 6,274 | 5,157 | $716K |
| 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 | 9.8% | 4,181 | 3,339 | $342K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.4% | 1,277 | 924 | $258K |
| D9999 | Unspecified adjunctive procedure, by report | 5.3% | 641 | 538 | $187K |
| 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 | 2.5% | 651 | 596 | $88K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 535 | 466 | $73K |
| Q3014 | Telehealth originating site facility fee | <1% | 581 | 440 | $9K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 28 | 24 | $4K |
| 99442 | <1% | 15 | 14 | $3K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 15 | 13 | $3K |
| 0012A | <1% | 49 | 49 | $2K |
33 more codes
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | <1% | 39 | $2K |
| 0011A | <1% | 53 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 463 | $696.34 |
| 3008F | <1% | 4,490 | $543.12 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 12 | $281.56 |
| 1036F | <1% | 217 | $220.16 | |
| 1034F | <1% | 65 | $220.16 | |
| G0008 | Administration of influenza virus vaccine | <1% | 79 | $216.91 |
| 90686 | <1% | 257 | $93.78 | |
| 91301 | <1% | 118 | $1.17 | |
| 1160F | 0% | 41 | $0.00 | |
| 91322 | 0% | 31 | $0.00 | |
| 3078F | 0% | 375 | $0.00 | |
| 3077F | 0% | 363 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 123 | $0.00 |
| 92015 | Determination of refractive state | 0% | 187 | $0.00 |
| 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 | 0% | 12 | $0.00 |
| V2020 | Frames, purchases | 0% | 31 | $0.00 |
| 4004F | 0% | 20 | $0.00 | |
| 90480 | 0% | 31 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 550 | $0.00 |
| 3074F | 0% | 268 | $0.00 | |
| 3079F | 0% | 151 | $0.00 | |
| 3080F | 0% | 27 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 43 | $0.00 |
| V2756 | Eye glass case | 0% | 31 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 18 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 31 | $0.00 |
| 3075F | 0% | 63 | $0.00 | |
| 90656 | 0% | 54 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| 96127 | 0% | 25 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 25 | $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 officialBECKHAM, SHEILA (CEO)
| Provider | Location | Paid |
|---|---|---|
| Waikiki Health | Honolulu, HI | $22.26M |
| Waikiki Health | Honolulu, HI | $9K |
| Waikiki Health | Honolulu, HI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.