Waianae District Comprehensive Health and Hospital Board, INC
Waianae District Comprehensive Health and Hospital Board, INC was paid $125.42M by Medicaid between Jan 2018 and Dec 2024, across 171 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
WAIANAE, HI 96792
Next to other Pediatrics Physician providers in Hawaii
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 157,743 | $19.04M | |
| 2019 | 160,315 | $18.66M | |
| 2020 | 86,842 | $11.41M | |
| 2021 | 101,320 | $15.70M | |
| 2022 | 112,647 | $19.26M | |
| 2023 | 94,359 | $19.25M | |
| 2024incomplete | 81,651 | $22.10M |
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 | 33% | 170,978 | 152,539 | $41.44M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 152,442 | 132,644 | $38.15M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 13% | 67,975 | 45,101 | $16.43M |
| D9999 | Unspecified adjunctive procedure, by report | 5.3% | 30,076 | 27,626 | $6.65M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 15,016 | 12,920 | $3.60M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 11,416 | 10,455 | $3.08M |
| 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 | 1.8% | 25,537 | 17,761 | $2.22M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 8,000 | 7,791 | $2.20M |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 6,896 | 5,971 | $1.55M |
| 99442 | 1.2% | 6,559 | 5,643 | $1.52M | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 1.1% | 10,521 | 7,419 | $1.36M |
| 98967 | <1% | 4,369 | 3,540 | $1.21M |
159 more codes
| 98968 | <1% | 4,184 | $1.10M | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,660 | $1.00M |
| 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% | 7,122 | $728K |
| 99443 | <1% | 1,717 | $426K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,122 | $375K |
| 99441 | <1% | 1,559 | $333K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,146 | $315K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,947 | $237K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 998 | $233K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 868 | $223K |
| 97803 | <1% | 740 | $180K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 863 | $129K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 659 | $98K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 246 | $74K |
| 0001A | <1% | 1,662 | $61K | |
| 0002A | <1% | 1,542 | $56K | |
| 97802 | <1% | 228 | $55K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 183 | $52K |
| H2036 | Alcohol and/or other drug treatment program, per diem | <1% | 463 | $33K |
| 0012A | <1% | 965 | $29K | |
| 0011A | <1% | 1,050 | $23K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 3,535 | $23K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,896 | $22K |
| 87428 | <1% | 4,540 | $20K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,991 | $19K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 7,895 | $16K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 546 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 277 | $9K |
| 0071A | <1% | 255 | $9K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 330 | $9K |
| 0072A | <1% | 205 | $8K | |
| 98926 | <1% | 62 | $8K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 680 | $8K |
| 98928 | <1% | 28 | $8K | |
| 11720 | <1% | 784 | $7K | |
| 98927 | <1% | 54 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 7,129 | $7K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 248 | $5K |
| 0004A | <1% | 177 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 5,652 | $5K |
| 17110 | <1% | 31 | $5K | |
| 0064A | <1% | 172 | $4K | |
| 90670 | <1% | 4,892 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 19,380 | $3K |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $3K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 14 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 2,122 | $3K |
| V2020 | Frames, purchases | <1% | 1,936 | $2K |
| 90688 | <1% | 3,743 | $2K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 24,560 | $2K |
| 74022 | <1% | 951 | $2K | |
| 80305 | <1% | 4,649 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 310 | $2K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 1,429 | $1K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 9,308 | $1K |
| 84484 | <1% | 4,081 | $1K | |
| 80061 | Lipid panel | <1% | 13,030 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 3,767 | $1K |
| 86580 | <1% | 408 | $1K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 946 | $1K |
| 81025 | <1% | 4,136 | $964.55 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,957 | $958.94 |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,783 | $954.47 |
| 83880 | <1% | 2,094 | $803.62 | |
| 90707 | <1% | 385 | $711.55 | |
| 90677 | <1% | 370 | $677.67 | |
| 97161 | <1% | 21 | $570.90 | |
| 11100 | <1% | 12 | $534.96 | |
| 81002 | <1% | 11,403 | $516.54 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 3,551 | $485.44 |
| 81000 | <1% | 11,403 | $472.82 | |
| 92015 | Determination of refractive state | <1% | 3,219 | $471.58 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,438 | $441.61 |
| 73630 | <1% | 840 | $437.19 | |
| 91320 | <1% | 57 | $417.00 | |
| 0081A | <1% | 13 | $391.68 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 269 | $313.41 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,044 | $301.24 |
| 83690 | <1% | 2,800 | $295.44 | |
| 29580 | <1% | 113 | $271.49 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,365 | $263.12 |
| 83605 | <1% | 1,842 | $254.33 | |
| 90480 | <1% | 87 | $214.44 | |
| 90651 | <1% | 161 | $210.89 | |
| 84439 | <1% | 2,322 | $169.66 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 535 | $139.86 |
| 90662 | <1% | 234 | $138.00 | |
| 90686 | <1% | 5,632 | $124.84 | |
| 0124A | <1% | 51 | $112.64 | |
| 90715 | <1% | 347 | $91.57 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,264 | $82.47 |
| 73610 | <1% | 253 | $66.39 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 279 | $65.51 |
| V2756 | Eye glass case | <1% | 1,004 | $58.08 |
| 87807 | <1% | 55 | $52.23 | |
| 84550 | <1% | 1,919 | $49.49 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 108 | $34.58 |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 400 | $16.21 |
| 83735 | <1% | 803 | $16.08 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 81 | $15.66 |
| Q0112 | All potassium hydroxide (koh) preparations | <1% | 398 | $15.17 |
| 80320 | <1% | 68 | $11.60 | |
| 82962 | <1% | 1,184 | $10.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 2,061 | $8.97 |
| 85610 | <1% | 1,047 | $7.15 | |
| 87210 | <1% | 55 | $5.90 | |
| 73560 | <1% | 214 | $5.24 | |
| 84450 | <1% | 146 | $3.00 | |
| 84460 | <1% | 162 | $3.00 | |
| 84100 | 0% | 321 | $0.00 | |
| 73130 | 0% | 230 | $0.00 | |
| 73562 | 0% | 40 | $0.00 | |
| 90685 | 0% | 754 | $0.00 | |
| 90633 | 0% | 805 | $0.00 | |
| 84702 | 0% | 17 | $0.00 | |
| 90710 | 0% | 430 | $0.00 | |
| 73590 | 0% | 25 | $0.00 | |
| 91300 | 0% | 3,267 | $0.00 | |
| 73030 | 0% | 171 | $0.00 | |
| 72100 | 0% | 108 | $0.00 | |
| 82248 | 0% | 380 | $0.00 | |
| 73110 | 0% | 45 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| 91308 | 0% | 15 | $0.00 | |
| 90734 | 0% | 15 | $0.00 | |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 0% | 149 | $0.00 |
| 74018 | 0% | 25 | $0.00 | |
| 90785 | 0% | 12 | $0.00 | |
| 82947 | 0% | 24 | $0.00 | |
| 90680 | 0% | 1,869 | $0.00 | |
| 90647 | 0% | 2,515 | $0.00 | |
| 36416 | 0% | 879 | $0.00 | |
| 87081 | 0% | 1,560 | $0.00 | |
| 85651 | 0% | 256 | $0.00 | |
| 85027 | 0% | 1,179 | $0.00 | |
| 90723 | 0% | 2,368 | $0.00 | |
| 82550 | 0% | 144 | $0.00 | |
| 82950 | 0% | 818 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 401 | $0.00 |
| 82150 | 0% | 181 | $0.00 | |
| 85018 | 0% | 315 | $0.00 | |
| 91305 | 0% | 51 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 517 | $0.00 |
| 90697 | 0% | 135 | $0.00 | |
| 91301 | 0% | 1,840 | $0.00 | |
| 81015 | 0% | 60 | $0.00 | |
| 91307 | 0% | 619 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 134 | $0.00 |
| 82040 | 0% | 48 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 58 | $0.00 |
| 80329 | 0% | 15 | $0.00 | |
| 91306 | 0% | 161 | $0.00 | |
| 20610 | 0% | 42 | $0.00 | |
| 90619 | 0% | 26 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 48 | $0.00 |
| 85379 | 0% | 30 | $0.00 | |
| 72040 | 0% | 13 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| 74019 | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.