Clinic
Kau Hospital
Kau Hospital was paid $2.42M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoKAU HOSPITAL
PAHOA, HI 96778
PAHOA, HI 96778
33aNPI1174777916assigned 11/06/2008
33bProvider typeRural Health Clinic/Center
28Total paid$2.42M
24GClaims21,426
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Hawaii
Rank by total paid#2 of 9
Median peer was paid$983K
This provider vs. median2.5×
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 | 3,230 | $135K | |
| 2019 | 635 | $22K | |
| 2020 | 995 | $33K | |
| 2021 | 2,761 | $128K | |
| 2022 | 3,658 | $327K | |
| 2023 | 4,756 | $600K | |
| 2024incomplete | 5,391 | $1.17M |
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 | 43% | 7,766 | 6,936 | $1.03M |
| 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 | 28% | 5,860 | 5,116 | $688K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 2,595 | 2,283 | $254K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 1,659 | 1,538 | $196K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.3% | 1,592 | 1,505 | $128K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.8% | 623 | 477 | $67K |
| 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 | 1.3% | 339 | 298 | $32K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 51 | 42 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 476 | 411 | $3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 14 | 14 | $3K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 14 | 12 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 112 | 98 | $2K |
7 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 39 | $1K |
| 94060 | <1% | 28 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 31 | $454.47 |
| 81002 | <1% | 97 | $246.12 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 29 | $133.92 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 33 | $82.79 |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 68 | $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 officialREDUS, LAURI (RURAL HEALTH CLINIC PRACTICE ADMIN)
| Provider | Location | Paid |
|---|---|---|
| Kau Hospital | Hilo, HI | $1.42M |
| Kau Hospital | Keaau, HI | $571K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.