Clinic
Kalihi Palama Health Center
Kalihi Palama Health Center was paid $38.98M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoKALIHI PALAMA HEALTH CENTER
HONOLULU, HI 96817
HONOLULU, HI 96817
33aNPI1457304966assigned 05/18/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$38.98M
24GClaims299,419
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#1 of 31
Median peer was paid$614K
This provider vs. median64×
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 | 48,346 | $6.58M | |
| 2019 | 40,934 | $6.39M | |
| 2020 | 25,787 | $4.25M | |
| 2021 | 39,429 | $6.61M | |
| 2022 | 32,347 | $5.32M | |
| 2023 | 37,213 | $4.78M | |
| 2024incomplete | 75,363 | $5.05M |
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 | 38% | 80,453 | 70,794 | $14.90M |
| 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 | 16% | 36,343 | 32,373 | $6.41M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 13% | 26,489 | 21,817 | $5.25M |
| D9999 | Unspecified adjunctive procedure, by report | 5.4% | 6,979 | 6,607 | $2.11M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 5,682 | 5,181 | $1.19M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.0% | 6,624 | 4,761 | $1.16M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 4,543 | 4,336 | $956K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 3,971 | 3,773 | $833K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.8% | 18,436 | 14,603 | $697K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 3,845 | 3,024 | $655K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.6% | 2,914 | 2,845 | $630K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 1,954 | 1,875 | $412K |
70 more codes
| 99441 | <1% | 1,826 | $387K | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 2,318 | $356K |
| 99443 | <1% | 1,368 | $287K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 2,465 | $284K |
| 99442 | <1% | 1,315 | $275K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,713 | $235K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,960 | $233K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,000 | $208K |
| 92002 | <1% | 1,584 | $190K | |
| 92250 | <1% | 3,946 | $153K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 808 | $147K |
| 99397 | <1% | 732 | $131K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 697 | $129K |
| 98968 | <1% | 729 | $128K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 712 | $122K |
| 90837 | Psychotherapy session, about an hour | <1% | 547 | $105K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 1,225 | $71K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,213 | $58K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 253 | $49K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 3,575 | $36K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 187 | $31K |
| 99381 | <1% | 151 | $29K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,263 | $24K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 9,123 | $18K |
| 90678 | <1% | 100 | $15K | |
| V2020 | Frames, purchases | <1% | 4,354 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,291 | $9K |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 1,688 | $9K |
| 99383 | <1% | 42 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 38 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 24 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,039 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,299 | $3K |
| 99384 | <1% | 14 | $3K | |
| 98967 | <1% | 62 | $3K | |
| 90480 | <1% | 706 | $2K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 62 | $2K |
| 92015 | Determination of refractive state | <1% | 5,377 | $896.09 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 119 | $840.00 |
| 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% | 17 | $688.35 |
| 90461 | <1% | 868 | $592.78 | |
| 82948 | <1% | 2,433 | $554.28 | |
| 81025 | <1% | 234 | $384.93 | |
| 90656 | <1% | 387 | $320.70 | |
| 90750 | <1% | 123 | $246.58 | |
| G0466 | Community health center visit, new patient | <1% | 15 | $64.56 |
| 80061 | Lipid panel | <1% | 13 | $14.77 |
| 85018 | <1% | 1,477 | $13.72 | |
| 90473 | <1% | 48 | $11.15 | |
| 90658 | <1% | 55 | $10.94 | |
| 94760 | <1% | 18 | $10.40 | |
| 86580 | <1% | 14 | $9.68 | |
| 81002 | <1% | 317 | $3.72 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 410 | $0.00 |
| 83655 | 0% | 39 | $0.00 | |
| 90662 | 0% | 415 | $0.00 | |
| 96160 | 0% | 115 | $0.00 | |
| G9316 | Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family | 0% | 120 | $0.00 |
| 90715 | 0% | 167 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 216 | $0.00 |
| H0023 | Behavioral health outreach service (planned approach to reach a targeted population) | 0% | 145 | $0.00 |
| 2028F | 0% | 48 | $0.00 | |
| 99173 | 0% | 44 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 120 | $0.00 |
| 91320 | 0% | 18 | $0.00 | |
| 3008F | 0% | 25,281 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,585 | $0.00 |
| 92551 | 0% | 178 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 40 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 301 | $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 officialKINTU, EMMANUEL (EXECUTIVE DIRECTOR/CEO)