Clinic
Kau Hospital
Kau Hospital was paid $711K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoKAU HOSPITAL
PAHALA, HI 96777
PAHALA, HI 96777
33aNPI1144304338assigned 10/24/2006
33bProvider typeRural Health Clinic/Center
28Total paid$711K
24GClaims8,803
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Hawaii
Rank by total paid#6 of 9
Median peer was paid$983K
This provider vs. median0.7×
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 | 1,375 | $83K | |
| 2019 | 1,407 | $82K | |
| 2020 | 1,114 | $39K | |
| 2021 | 1,165 | $84K | |
| 2022 | 1,509 | $167K | |
| 2023 | 1,018 | $103K | |
| 2024incomplete | 1,215 | $154K |
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 | 55% | 3,775 | 3,159 | $391K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 1,929 | 1,660 | $158K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 1,714 | 1,657 | $92K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.0% | 520 | 501 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 217 | 209 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 188 | 156 | $12K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | 32 | $3K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 45 | 32 | $3K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 41 | 40 | $2K |
| 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% | 31 | 27 | $2K |
| 0001A | <1% | 43 | 41 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 42 | 41 | $2K |
6 more codes
| 99442 | <1% | 52 | $529.75 | |
| 99441 | <1% | 27 | $350.78 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12 | $100.48 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $53.11 |
| 91300 | <1% | 87 | $0.08 | |
| 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) | 0% | 35 | $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 officialHARRIS, MERILYN (ADMINISTRATOR)
Parent organizationHAWAII HEALTH SYSTEMS CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Kau Hospital | Pahala, HI | $4.91M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.