Clinic
Samuel Mahelona Memorial Hospital
Samuel Mahelona Memorial Hospital was paid $90K by Medicaid between May 2021 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoSAMUEL MAHELONA MEMORIAL HOSPITAL
KALAHEO, HI 96741
KALAHEO, HI 96741
33aNPI1326634569assigned 12/11/2020
33bProvider typeClinic/Center
28Total paid$90K
24GClaims2,204
24DCodes billed13
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Hawaii
Rank by total paid#16 of 41
Median peer was paid$75K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 529 | $8K | |
| 2022 | 474 | $16K | |
| 2023 | 685 | $34K | |
| 2024incomplete | 516 | $32K |
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 | 48% | 816 | 736 | $43K |
| 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 | 28% | 228 | 208 | $25K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 261 | 190 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 27 | 27 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 568 | 472 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 35 | 34 | $1K |
| 99441 | <1% | 38 | 33 | $885.16 | |
| 90461 | <1% | 107 | 77 | $95.06 | |
| 99173 | <1% | 42 | 42 | $14.46 | |
| 90670 | 0% | 23 | 14 | $0.00 | |
| 90680 | 0% | 21 | 12 | $0.00 | |
| 90686 | 0% | 17 | 15 | $0.00 |
1 more codes
| 90698 | 0% | 21 | $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 officialASATO, CHRISTINE (REGIONAL CFO)
Parent organizationSAMUEL MAHELONA MEMORIAL HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Kauai Veterans Memorial Hospital | Waimea, HI | $6.22M |
| Samuel Mahelona Memorial Hospital | Waimea, HI | $397K |
| Samuel Mahelona Memorial Hospital | Koloa, HI | $342K |
| Kauai Veterans Memorial Hospital | Waimea, HI | $294K |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $29K |
| Samuel Mahelona Memorial Hospital | Kalaheo, HI | $20K |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $9K |
| Samuel Mahelona Memorial Hospital | Eleele, HI | $585.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.