Medicaid Provider Spending

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

PALI MOMI MEDICAL CENTER

NPI: 1275588329 · AIEA, HI 96701 · Multi-Specialty Clinic/Center · NPI assigned 05/24/2006

$598K
Total Medicaid Paid
16,035
Total Claims
14,827
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialOKABE, DAVID (CFO, SR. VICE PRESIDENT)
Parent OrganizationKAPIOLANI MEDICAL CENTER AT PALI MOMI
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: OKABE, DAVID

ProviderCityStateTotal Paid
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN HONOLULU HI $102.45M
PALI MOMI MEDICAL CENTER AIEA HI $49.28M
STRAUB CLINIC & HOSPITAL HONOLULU HI $45.59M
STRAUB CLINIC & HOSPITAL HONOLULU HI $8.19M
KAPIOLANI MEDICAL SPECIALISTS HONOLULU HI $5.15M
KAUAI MEDICAL CLINIC LIHUE HI $4.98M
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN HONOLULU HI $3.29M
STRAUB CLINIC & HOSPITAL HONOLULU HI $985K
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN HONOLULU HI $154K
STRAUB CLINIC & HOSPITAL HONOLULU HI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,521 $65K
2019 1,355 $48K
2020 564 $19K
2021 2,389 $81K
2022 5,519 $206K
2023 2,950 $102K
2024 1,737 $77K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,090 5,699 $224K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,863 2,655 $144K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,030 1,963 $76K
97803 1,828 1,709 $61K
99215 Prolong outpt/office vis 398 379 $30K
95913 86 77 $15K
95886 98 90 $13K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 130 128 $13K
99244 Office or other outpatient consultation, moderate to high complexity 105 102 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,017 804 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 41 37 $1K
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) 105 93 $679.52
99223 Prolong inpt eval add15 m 15 12 $676.88
99442 13 13 $432.80
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 13 12 $295.12
81001 31 27 $37.63
1159F 482 423 $0.00
1160F 482 423 $0.00
1126F 183 157 $0.00
1125F 12 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 13 12 $0.00