Clinic
Alii Health Center
Alii Health Center was paid $806K by Medicaid between Oct 2019 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoALII HEALTH CENTER
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1285107698assigned 01/08/2019
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$806K
24GClaims49,351
24DCodes billed72
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Hawaii
Rank by total paid#6 of 13
Median peer was paid$606K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2019 | 376 | $10K | |
| 2020 | 8,758 | $111K | |
| 2021 | 14,965 | $183K | |
| 2022 | 8,341 | $170K | |
| 2023 | 8,958 | $161K | |
| 2024incomplete | 7,953 | $172K |
Box 24 · Service lines
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 | 26% | 4,762 | 3,999 | $212K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 10,112 | 8,326 | $197K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 6.5% | 411 | 356 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 1,469 | 1,381 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 1,309 | 1,211 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 1,444 | 1,373 | $38K |
| 0002A | 4.1% | 978 | 844 | $33K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 625 | 581 | $32K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.4% | 783 | 705 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 812 | 757 | $20K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 1.8% | 187 | 164 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.6% | 354 | 331 | $13K |
60 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.5% | 287 | $12K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 1.4% | 112 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 4,163 | $11K |
| 99204 | Doctor's office visit, new patient (more involved) | 1.3% | 119 | $11K |
| 0001A | 1.3% | 465 | $10K | |
| 44361 | <1% | 118 | $7K | |
| 93000 | <1% | 340 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 128 | $3K |
| 0071A | <1% | 66 | $2K | |
| 0072A | <1% | 63 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 412 | $2K |
| 93351 | <1% | 12 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 71 | $870.17 |
| 99383 | <1% | 26 | $847.53 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $790.60 |
| 90461 | <1% | 1,792 | $740.68 | |
| 99201 | <1% | 26 | $659.69 | |
| 90677 | <1% | 168 | $586.94 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 13 | $432.14 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 70 | $394.46 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 846 | $340.20 |
| 96127 | <1% | 653 | $297.16 | |
| 90686 | <1% | 1,623 | $119.83 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 127 | $80.63 |
| 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% | 19 | $80.21 |
| 81003 | <1% | 47 | $58.99 | |
| 90670 | <1% | 832 | $8.02 | |
| 90698 | <1% | 755 | $4.03 | |
| 90680 | <1% | 619 | $4.02 | |
| 90744 | <1% | 215 | $4.01 | |
| 3074F | <1% | 1,831 | $0.76 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 535 | $0.60 |
| 3078F | <1% | 1,549 | $0.53 | |
| 3079F | <1% | 407 | $0.28 | |
| 3077F | <1% | 335 | $0.13 | |
| 3075F | <1% | 66 | $0.05 | |
| 1160F | <1% | 612 | $0.05 | |
| 90656 | <1% | 231 | $0.03 | |
| 3080F | <1% | 44 | $0.02 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 272 | $0.01 |
| 90651 | 0% | 224 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 793 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 955 | $0.00 |
| 90716 | 0% | 113 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 344 | $0.00 |
| 1111F | 0% | 63 | $0.00 | |
| 91307 | 0% | 173 | $0.00 | |
| 90688 | 0% | 23 | $0.00 | |
| 90620 | 0% | 12 | $0.00 | |
| 1000F | 0% | 16 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 2,729 | $0.00 |
| 90633 | 0% | 168 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 54 | $0.00 |
| 90671 | 0% | 63 | $0.00 | |
| 90707 | 0% | 113 | $0.00 | |
| 90734 | 0% | 51 | $0.00 | |
| 90658 | 0% | 63 | $0.00 | |
| 91300 | 0% | 23 | $0.00 | |
| 0502F | 0% | 30 | $0.00 | |
| 90715 | 0% | 12 | $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 officialCATARAHA, SHELLY-ANN (OPERATIONS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Ali'i Health Center | Kailua Kona, HI | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.