Physician
Alii Community Care, INC
Alii Community Care, INC was paid $156K by Medicaid between Jan 2018 and Sep 2019, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoALII COMMUNITY CARE, INC
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1114127859assigned 07/20/2007
33bProvider typePediatrics Physician
28Total paid$156K
24GClaims16,900
24DCodes billed33
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Pediatrics Physician providers in Hawaii
Rank by total paid#11 of 76
Median peer was paid$21K
This provider vs. median7.5×
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 | 12,173 | $103K | |
| 2019 | 4,727 | $53K |
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 | 34% | 2,105 | 1,776 | $52K |
| 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 | 23% | 1,291 | 1,123 | $36K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 10% | 586 | 537 | $16K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 9.1% | 12 | 12 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 94 | 79 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 106 | 103 | $7K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.7% | 63 | 60 | $6K |
| 93000 | 2.9% | 244 | 219 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.6% | 39 | 37 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.4% | 201 | 93 | $4K |
| 72170 | <1% | 45 | 43 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | 25 | $960.37 |
21 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 70 | $629.85 |
| 90688 | <1% | 58 | $274.98 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,585 | $0.00 |
| 3078F | 0% | 2,555 | $0.00 | |
| 90687 | 0% | 34 | $0.00 | |
| 90707 | 0% | 191 | $0.00 | |
| 90648 | 0% | 58 | $0.00 | |
| 3077F | 0% | 339 | $0.00 | |
| 90670 | 0% | 204 | $0.00 | |
| 90700 | 0% | 15 | $0.00 | |
| 90633 | 0% | 37 | $0.00 | |
| 3074F | 0% | 2,853 | $0.00 | |
| 90680 | 0% | 148 | $0.00 | |
| 3079F | 0% | 759 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 946 | $0.00 |
| 3080F | 0% | 45 | $0.00 | |
| 90698 | 0% | 48 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 90716 | 0% | 75 | $0.00 | |
| 90744 | 0% | 13 | $0.00 | |
| 90723 | 0% | 37 | $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 officialLEWIS, DONALD (REGIONAL CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Haverhill Dental Associates INC | Haverhill, MA | $204K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.