Clinic
Maria Caridad Ilar-Revilla Community Health Clinic LLC
Maria Caridad Ilar-Revilla Community Health Clinic LLC was paid $242K by Medicaid between Jan 2018 and Sep 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoMARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC
WAIPAHU, HI 96797
WAIPAHU, HI 96797
33aNPI1386944437assigned 10/22/2010
33bProvider typeMedical Specialty Clinic/Center
28Total paid$242K
24GClaims37,230
24DCodes billed40
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Hawaii
Rank by total paid#7 of 19
Median peer was paid$65K
This provider vs. median3.8×
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 | 7,061 | $27K | |
| 2019 | 5,224 | $25K | |
| 2020 | 3,880 | $19K | |
| 2021 | 5,306 | $35K | |
| 2022 | 6,534 | $49K | |
| 2023 | 5,250 | $39K | |
| 2024incomplete | 3,975 | $49K |
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 | 53% | 6,673 | 6,082 | $127K |
| 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 | 25% | 1,733 | 1,665 | $61K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.7% | 1,987 | 1,861 | $24K |
| 80061 | Lipid panel | 5.5% | 3,406 | 3,350 | $13K |
| 90688 | 1.2% | 416 | 407 | $3K | |
| 90756 | 1.1% | 300 | 298 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 292 | 291 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 697 | 682 | $2K |
| 99397 | <1% | 196 | 195 | $2K | |
| 82947 | <1% | 1,309 | 1,288 | $1K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 140 | 70 | $1K |
| 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% | 227 | 212 | $840.64 |
28 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 84 | $647.63 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 244 | $388.23 |
| G0008 | Administration of influenza virus vaccine | <1% | 339 | $324.81 |
| 99441 | <1% | 22 | $176.91 | |
| G9275 | Documentation that patient is a current non-tobacco user | <1% | 6,328 | $79.89 |
| 93000 | <1% | 12 | $56.80 | |
| 3078F | <1% | 2,763 | $24.49 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 68 | $0.30 |
| 1159F | 0% | 1,338 | $0.00 | |
| 1160F | 0% | 1,405 | $0.00 | |
| 4040F | 0% | 286 | $0.00 | |
| 3288F | 0% | 517 | $0.00 | |
| 4274F | 0% | 157 | $0.00 | |
| 2022F | 0% | 30 | $0.00 | |
| 3044F | 0% | 193 | $0.00 | |
| 1157F | 0% | 422 | $0.00 | |
| 3075F | 0% | 1,377 | $0.00 | |
| 1125F | 0% | 63 | $0.00 | |
| 3074F | 0% | 1,886 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,206 | $0.00 |
| 1126F | 0% | 190 | $0.00 | |
| 4010F | 0% | 78 | $0.00 | |
| 3017F | 0% | 48 | $0.00 | |
| 1170F | 0% | 540 | $0.00 | |
| 3079F | 0% | 149 | $0.00 | |
| 4037F | 0% | 30 | $0.00 | |
| 1123F | 0% | 67 | $0.00 | |
| 96127 | 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 officialILAR-REVILLA, MARIA (OWNER)