Clinic
West Hawaii Community Health Center, INC.
West Hawaii Community Health Center, INC. was paid $7.14M by Medicaid between Jan 2018 and Jun 2022, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoWEST HAWAII COMMUNITY HEALTH CENTER, INC.
HILO, HI 96720
HILO, HI 96720
33aNPI1225086887assigned 05/05/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.14M
24GClaims55,520
24DCodes billed36
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#6 of 31
Median peer was paid$614K
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TAAFFE, RICHARD controls 12+ related entities in our dataset. Read more
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 | 27,248 | $3.44M | |
| 2019 | 20,766 | $2.86M | |
| 2020 | 3,378 | $361K | |
| 2021 | 2,874 | $335K | |
| 2022 | 1,254 | $142K |
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 | 47% | 18,372 | 17,222 | $3.34M |
| 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 | 32% | 13,346 | 12,677 | $2.26M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 10% | 4,061 | 2,978 | $737K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.2% | 1,298 | 992 | $226K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 2.2% | 817 | 810 | $155K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.6% | 3,447 | 3,054 | $114K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 440 | 438 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 316 | 302 | $45K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 171 | 170 | $34K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 171 | 169 | $34K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 139 | 139 | $28K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 115 | 110 | $22K |
24 more codes
| 90791 | Psychiatric diagnostic evaluation | <1% | 107 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 95 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $18K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 193 | $12K |
| 99383 | <1% | 41 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,037 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 24 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 588 | $1K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 18 | $425.36 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 970 | $281.98 |
| 90688 | <1% | 481 | $185.15 | |
| 81025 | <1% | 3,305 | $163.48 | |
| 81002 | <1% | 1,536 | $62.70 | |
| 86580 | <1% | 13 | $56.15 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 68 | $37.64 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 71 | $33.76 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 126 | $11.63 |
| 99173 | <1% | 1,037 | $2.52 | |
| 82962 | <1% | 199 | $1.74 | |
| 92551 | 0% | 486 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 45 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 70 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 77 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 152 | $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 officialTAAFFE, RICHARD (CEO)
| Provider | Location | Paid |
|---|---|---|
| West Hawaii Community Health Center, INC. | Kailua-kona, HI | $46.79M |
| WHCHC - Hawaii Island Community Health Center | Hilo, HI | $8.04M |
| West Hawaii Community Health Center, INC. | Pahoa, HI | $1.96M |
| West Hawaii Community Health Center, INC. | Keaau, HI | $1.59M |
| West Hawaii Community Health Center, INC. | Hilo, HI | $554K |
| West Hawaii Community Health Center, INC. | Kailua Kona, HI | $335K |
| West Hawaii Community Health Center, INC. | Na'alehu, HI | $300K |
| West Hawaii Community Health Center, INC. | Pahoa, HI | $284K |
| West Hawaii Community Health Center, INC. | Kealakekua, HI | $258K |
| West Hawaii Community Health Center, INC. | Waikoloa, HI | $7K |
| West Hawaii Community Health Center, INC. | Hilo, HI | $3K |
| West Hawaii Community Health Center INC. | Kealakekua, HI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.