Clinic
Pali Momi Medical Center
Pali Momi Medical Center was paid $598K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPALI MOMI MEDICAL CENTER
AIEA, HI 96701
AIEA, HI 96701
33aNPI1275588329assigned 05/24/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$598K
24GClaims16,035
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Hawaii
Rank by total paid#8 of 13
Median peer was paid$606K
This provider vs. median1.0×
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 | 1,521 | $65K | |
| 2019 | 1,355 | $48K | |
| 2020 | 564 | $19K | |
| 2021 | 2,389 | $81K | |
| 2022 | 5,519 | $206K | |
| 2023 | 2,950 | $102K | |
| 2024incomplete | 1,737 | $77K |
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 | 37% | 6,090 | 5,699 | $224K |
| 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 | 24% | 2,863 | 2,655 | $144K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 13% | 2,030 | 1,963 | $76K |
| 97803 | 10% | 1,828 | 1,709 | $61K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 398 | 379 | $30K |
| 95913 | 2.5% | 86 | 77 | $15K | |
| 95886 | 2.2% | 98 | 90 | $13K | |
| 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 | 2.1% | 130 | 128 | $13K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.1% | 105 | 102 | $13K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,017 | 804 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 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) | <1% | 105 | 93 | $679.52 |
9 more codes
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $676.88 |
| 99442 | <1% | 13 | $432.80 | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 13 | $295.12 |
| 81001 | <1% | 31 | $37.63 | |
| 1159F | 0% | 482 | $0.00 | |
| 1160F | 0% | 482 | $0.00 | |
| 1126F | 0% | 183 | $0.00 | |
| 1125F | 0% | 12 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 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.
From NPPES
Who's on the registration
Authorized officialOKABE, DAVID (CFO, SR. VICE PRESIDENT)
Parent organizationKAPIOLANI MEDICAL CENTER AT PALI MOMI
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.