Clinic
Kaanapali Medical Services INC
Kaanapali Medical Services INC was paid $218K by Medicaid between Dec 2020 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoKAANAPALI MEDICAL SERVICES INC
LAHAINA, HI 96761
LAHAINA, HI 96761
33aNPI1386704542assigned 12/11/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$218K
24GClaims5,717
24DCodes billed13
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Hawaii
Rank by total paid#6 of 37
Median peer was paid$33K
This provider vs. median6.6×
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 | |
|---|---|---|---|
| 2020 | 177 | $113.86 | |
| 2021 | 2,543 | $91K | |
| 2022 | 998 | $36K | |
| 2023 | 662 | $28K | |
| 2024incomplete | 1,337 | $63K |
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% | 734 | 671 | $66K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 692 | 690 | $39K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 441 | 407 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 10% | 974 | 862 | $23K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 10% | 698 | 613 | $22K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 7.7% | 1,531 | 1,405 | $17K |
| 87428 | 6.0% | 291 | 278 | $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 | 3.9% | 69 | 67 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.4% | 90 | 85 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 118 | 57 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 52 | 41 | $173.25 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 12 | $155.49 |
1 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $145.71 |
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 officialESTIN, NORMAN (MEDICAL DIRECTOR)