Clinic
The Makana North Shore Clinic
The Makana North Shore Clinic was paid $225K by Medicaid between Oct 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoTHE MAKANA NORTH SHORE CLINIC
PRINCEVILLE, HI 96722
PRINCEVILLE, HI 96722
33aNPI1114431632assigned 11/20/2017
33bProvider typeUrgent Care Clinic/Center
28Total paid$225K
24GClaims6,447
24DCodes billed12
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Hawaii
Rank by total paid#10 of 26
Median peer was paid$103K
This provider vs. median2.2×
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 | 31 | $1K | |
| 2019 | 914 | $24K | |
| 2020 | 950 | $30K | |
| 2021 | 940 | $34K | |
| 2022 | 1,374 | $44K | |
| 2023 | 1,371 | $46K | |
| 2024incomplete | 867 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 1,191 | 1,039 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 1,620 | 1,406 | $79K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 18% | 3,057 | 2,667 | $42K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.6% | 219 | 194 | $13K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.7% | 110 | 99 | $4K |
| 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 | 1.6% | 46 | 44 | $4K |
| 17110 | <1% | 16 | 13 | $902.21 | |
| 87428 | <1% | 14 | 12 | $632.52 | |
| 11102 | <1% | 15 | 12 | $492.62 | |
| 17000 | <1% | 26 | 14 | $375.91 | |
| 99051 | 0% | 53 | 49 | $0.00 | |
| S9999 | Sales tax | 0% | 80 | 67 | $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 officialKIMBALL, EDWARD (OWNER)