Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › HI › Kailua Kona › NPI 1336378033
Clinic

Kona Ambulatory Surgery Center LLC

Kona Ambulatory Surgery Center LLC was paid $798.03 by Medicaid between Jun 2022 and Jun 2022, across 1 billing code. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 100% of everything it billed.

33Billing provider infoKONA AMBULATORY SURGERY CENTER LLC
KAILUA KONA, HI 96740
33aNPI1336378033assigned 07/02/2009
28Total paid$798.03
24GClaims13
24DCodes billed1
24AFirst – last monthJun 2022 – Jun 2022
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Hawaii

Rank by total paid#18 of 18
Median peer was paid$115K
This provider vs. median0.0×

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

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
202213$798.03
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 100% 13 13 $798.03

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 officialOKA, LORELI (MEDICAL DIRECTOR)