Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOOLA LAHUI HAWAII

NPI: 1245269976 · WAIMEA, HI 96796 · Federally Qualified Health Center (FQHC) · NPI assigned 07/03/2006

$2.34M
Total Medicaid Paid
26,948
Total Claims
21,482
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPETERS, DAVID (CEO)
NPI Enumeration Date07/03/2006

Related Entities

Other providers sharing the same authorized official: PETERS, DAVID

ProviderCityStateTotal Paid
DAYBREAK FAMILY SERVICES, LLC TULSA OK $24.27M
DAVID W PETERS MD PA LEAWOOD KS $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,459 $370K
2019 3,711 $251K
2020 2,530 $166K
2021 4,236 $202K
2022 2,948 $207K
2023 4,745 $411K
2024 4,319 $732K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,144 6,106 $899K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,797 3,250 $406K
D0140 Limited oral evaluation - problem focused 2,303 1,958 $401K
90834 Psychotherapy, 45 minutes with patient 2,890 1,610 $206K
90837 Psychotherapy, 53 minutes with patient 1,076 646 $202K
D9999 Unspecified adjunctive procedure, by report 746 648 $129K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 339 264 $27K
G0467 Federally 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 3,346 2,668 $21K
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 769 402 $17K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 313 224 $12K
90832 Psychotherapy, 30 minutes with patient 64 46 $7K
98968 45 28 $7K
99215 Prolong outpt/office vis 54 49 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 175 160 $321.55
90688 250 230 $67.64
3008F 3,581 3,142 $0.00
96127 56 51 $0.00