Clinic
Kapiolani Medical Specialists
Kapiolani Medical Specialists was paid $5.15M by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoKAPIOLANI MEDICAL SPECIALISTS
HONOLULU, HI 96826
HONOLULU, HI 96826
33aNPI1124071014assigned 05/19/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$5.15M
24GClaims147,833
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Hawaii
Rank by total paid#1 of 13
Median peer was paid$606K
This provider vs. median8.5×
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 | 26,074 | $1.07M | |
| 2019 | 22,262 | $720K | |
| 2020 | 11,367 | $299K | |
| 2021 | 15,665 | $468K | |
| 2022 | 27,174 | $838K | |
| 2023 | 25,189 | $895K | |
| 2024incomplete | 20,102 | $866K |
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 | 17% | 12,636 | 12,245 | $893K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 5,973 | 5,399 | $568K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 7,166 | 6,922 | $331K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.8% | 5,495 | 2,126 | $298K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 4.7% | 979 | 208 | $242K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 4.7% | 2,411 | 600 | $240K |
| 71045 | Radiologic examination, chest; single view | 3.6% | 29,280 | 14,501 | $184K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.2% | 1,252 | 1,236 | $165K |
| 71046 | Radiologic examination, chest; 2 views | 3.0% | 18,576 | 18,094 | $156K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 2.5% | 1,182 | 303 | $131K |
| 76770 | 2.5% | 4,050 | 3,960 | $130K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.5% | 2,191 | 2,098 | $128K |
100 more codes
| 59025 | Fetal non-stress test | 2.5% | 5,222 | $128K |
| 99243 | 2.4% | 1,363 | $121K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.0% | 1,185 | $105K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.6% | 1,457 | $85K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.6% | 1,537 | $81K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.5% | 3,013 | $79K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 2,948 | $69K |
| 99464 | 1.3% | 1,328 | $68K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.1% | 1,531 | $56K |
| 74018 | 1.0% | 7,711 | $53K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.0% | 1,957 | $52K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,899 | $46K |
| 76813 | <1% | 1,210 | $46K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 531 | $45K |
| 93325 | <1% | 2,366 | $41K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 152 | $40K |
| 76506 | <1% | 1,331 | $36K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 805 | $34K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,366 | $34K |
| 76830 | Ultrasound, transvaginal | <1% | 1,250 | $29K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 530 | $29K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 792 | $25K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,206 | $25K |
| 93321 | <1% | 975 | $23K | |
| 99417 | Prolong home eval add 15m | <1% | 417 | $22K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 568 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 161 | $18K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 203 | $18K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 558 | $17K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 249 | $15K |
| 93304 | <1% | 134 | $14K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 179 | $13K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 649 | $12K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 438 | $11K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 185 | $10K |
| 99223 | Prolong inpt eval add15 m | <1% | 78 | $10K |
| 93308 | <1% | 313 | $10K | |
| 76642 | <1% | 456 | $10K | |
| 99468 | <1% | 12 | $9K | |
| 76801 | <1% | 246 | $9K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 107 | $9K |
| 99245 | <1% | 42 | $8K | |
| 69210 | <1% | 218 | $7K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 607 | $7K |
| 93320 | <1% | 189 | $7K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 472 | $6K |
| 74022 | <1% | 356 | $5K | |
| 81001 | <1% | 1,294 | $5K | |
| 00920 | <1% | 25 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 39 | $4K |
| 94010 | <1% | 145 | $4K | |
| 93000 | <1% | 172 | $4K | |
| 95819 | <1% | 77 | $4K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 41 | $4K |
| 96111 | <1% | 47 | $3K | |
| 99221 | <1% | 41 | $3K | |
| 74019 | <1% | 261 | $3K | |
| 73630 | <1% | 367 | $3K | |
| 99441 | <1% | 91 | $2K | |
| 99253 | <1% | 28 | $2K | |
| 99460 | <1% | 32 | $2K | |
| 64643 | <1% | 30 | $2K | |
| 95816 | <1% | 40 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 14 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 12 | $2K |
| 31575 | <1% | 13 | $1K | |
| 99462 | <1% | 38 | $1K | |
| 73610 | <1% | 169 | $1K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 24 | $1K |
| 77072 | <1% | 159 | $1K | |
| 81025 | <1% | 148 | $1K | |
| 99442 | <1% | 55 | $1K | |
| 64642 | <1% | 28 | $994.74 | |
| 99451 | <1% | 31 | $836.46 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 15 | $789.65 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 69 | $742.97 |
| 76825 | <1% | 12 | $724.36 | |
| 99217 | <1% | 13 | $702.84 | |
| 76827 | <1% | 25 | $699.65 | |
| 73090 | <1% | 88 | $663.14 | |
| 77065 | Tomosynthesis, mammo | <1% | 24 | $585.26 |
| 95251 | <1% | 26 | $570.85 | |
| 93976 | <1% | 12 | $489.68 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 39 | $463.85 |
| 77066 | Tomosynthesis, mammo | <1% | 12 | $406.11 |
| 76942 | <1% | 33 | $355.15 | |
| 76536 | <1% | 12 | $341.71 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 13 | $337.33 |
| 76376 | <1% | 41 | $245.74 | |
| 73521 | <1% | 28 | $237.06 | |
| 73070 | <1% | 30 | $208.45 | |
| 73110 | <1% | 25 | $186.50 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 34 | $150.75 |
| 73590 | <1% | 15 | $116.76 | |
| 73100 | <1% | 12 | $95.90 | |
| 73560 | <1% | 14 | $88.02 | |
| 81003 | <1% | 27 | $41.17 | |
| 95873 | 0% | 12 | $0.00 | |
| 90782 | 0% | 72 | $0.00 | |
| 64640 | 0% | 16 | $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 officialOKABE, DAVID (CFO, SR. VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kapiolani Medical Center for Women & Children | Honolulu, HI | $102.45M |
| Pali Momi Medical Center | Aiea, HI | $49.28M |
| Straub Clinic & Hospital | Honolulu, HI | $45.59M |
| Straub Clinic & Hospital | Honolulu, HI | $8.19M |
| Kauai Medical Clinic | Lihue, HI | $4.98M |
| Kapiolani Medical Center for Women & Children | Honolulu, HI | $3.29M |
| Straub Clinic & Hospital | Honolulu, HI | $985K |
| Pali Momi Medical Center | Aiea, HI | $598K |
| Kapiolani Medical Center for Women & Children | Honolulu, HI | $154K |
| Straub Clinic & Hospital | Honolulu, HI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.