Clinic
Kauai Medical Clinic
Kauai Medical Clinic was paid $4.98M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoKAUAI MEDICAL CLINIC
LIHUE, HI 96766
LIHUE, HI 96766
33aNPI1376596643assigned 05/18/2006
33bProvider typeUrgent Care Clinic/Center
28Total paid$4.98M
24GClaims212,193
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Hawaii
Rank by total paid#4 of 26
Median peer was paid$103K
This provider vs. median48×
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 | 43,550 | $857K | |
| 2019 | 40,344 | $796K | |
| 2020 | 18,553 | $399K | |
| 2021 | 24,595 | $544K | |
| 2022 | 31,093 | $817K | |
| 2023 | 30,668 | $826K | |
| 2024incomplete | 23,390 | $744K |
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 | 30% | 55,723 | 52,665 | $1.51M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 16% | 18,506 | 17,830 | $821K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 49,479 | 45,650 | $767K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 9,004 | 8,567 | $554K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 7,831 | 7,097 | $286K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 4,900 | 4,803 | $96K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.7% | 3,767 | 1,343 | $86K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.4% | 2,094 | 2,028 | $72K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.4% | 1,768 | 613 | $72K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.1% | 1,373 | 1,326 | $56K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.0% | 1,841 | 1,787 | $50K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,701 | 2,608 | $46K |
90 more codes
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 71 | $41K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 8,877 | $39K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 676 | $34K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 2,003 | $32K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 1,484 | $31K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 597 | $30K |
| 93000 | <1% | 2,990 | $28K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 4,166 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,107 | $24K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 5,673 | $23K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 421 | $20K |
| 71045 | Radiologic examination, chest; single view | <1% | 4,734 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,149 | $17K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 329 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 661 | $12K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,416 | $11K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 186 | $11K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 107 | $10K |
| 99223 | Prolong inpt eval add15 m | <1% | 141 | $10K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 110 | $9K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 56 | $8K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 685 | $7K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 494 | $7K |
| 99243 | <1% | 169 | $7K | |
| 90837 | Psychotherapy session, about an hour | <1% | 60 | $6K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 144 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 167 | $4K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 421 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 207 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 405 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 839 | $4K |
| 81025 | <1% | 935 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,313 | $4K |
| 73630 | <1% | 533 | $3K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 40 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 77 | $3K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 66 | $3K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 59 | $3K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 13 | $3K |
| 87428 | <1% | 233 | $3K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 162 | $3K |
| 73130 | <1% | 527 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 56 | $2K |
| 81002 | <1% | 1,454 | $2K | |
| 73110 | <1% | 345 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 261 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 502 | $2K |
| 73610 | <1% | 272 | $2K | |
| 76830 | Ultrasound, transvaginal | <1% | 88 | $1K |
| 90686 | <1% | 285 | $1K | |
| 99242 | <1% | 27 | $1K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 12 | $1K |
| 73562 | <1% | 119 | $946.20 | |
| 99442 | <1% | 29 | $931.17 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 28 | $904.32 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 264 | $871.90 |
| 73030 | <1% | 134 | $792.64 | |
| 00142 | <1% | 12 | $658.64 | |
| 99441 | <1% | 67 | $621.58 | |
| 99460 | <1% | 12 | $602.81 | |
| 99221 | <1% | 16 | $595.55 | |
| 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% | 86 | $587.13 |
| 20610 | <1% | 13 | $499.54 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 14 | $483.14 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 105 | $445.65 |
| 97597 | <1% | 22 | $425.72 | |
| 87807 | <1% | 140 | $423.33 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 25 | $380.93 |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 821 | $376.22 |
| 99225 | <1% | 17 | $358.75 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 13 | $334.05 |
| 93308 | <1% | 13 | $332.81 | |
| 73564 | <1% | 43 | $318.41 | |
| 93298 | <1% | 25 | $273.10 | |
| 99384 | <1% | 38 | $248.23 | |
| 76801 | <1% | 13 | $203.94 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 13 | $178.50 |
| 73080 | <1% | 38 | $148.95 | |
| 99497 | <1% | 13 | $127.73 | |
| 85610 | <1% | 50 | $95.92 | |
| 93325 | <1% | 14 | $86.80 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 15 | $79.44 |
| 72100 | <1% | 12 | $76.99 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 57 | $71.14 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 31 | $65.48 |
| 73140 | <1% | 31 | $40.14 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $39.96 |
| 80305 | <1% | 12 | $14.81 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 14 | $0.30 |
| 99383 | 0% | 18 | $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)
| 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 |
| Kapiolani Medical Center for Women & Children | Honolulu, HI | $3.29M |
| Straub Clinic & Hospital | Honolulu, HI | $985K |
| Pali Momi Medical Center | Aiea, HI | $598K |
| 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.