Kauai Veterans Memorial Hospital
Kauai Veterans Memorial Hospital was paid $294K by Medicaid between Jan 2018 and Jun 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoKAUAI VETERANS MEMORIAL HOSPITAL
WAIMEA, HI 96796
WAIMEA, HI 96796
33aNPI1467620328assigned 02/13/2008
33bProvider typeSpecialist
28Total paid$294K
24GClaims9,228
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Specialist providers in Hawaii
Rank by total paid#12 of 75
Median peer was paid$49K
This provider vs. median6.0×
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
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 | 5,089 | $220K | |
| 2019 | 3,347 | $65K | |
| 2020 | 512 | $7K | |
| 2021 | 97 | $1K | |
| 2022 | 32 | $144.80 | |
| 2023 | 84 | $428.64 | |
| 2024incomplete | 67 | $360.88 |
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 | 32% | 2,062 | 1,831 | $94K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,769 | 2,422 | $82K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 819 | 652 | $50K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 431 | 405 | $36K |
| 80305 | 3.5% | 842 | 676 | $10K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 100 | 89 | $6K |
| 71046 | Radiologic examination, chest; 2 views | 1.0% | 396 | 368 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 262 | 241 | $3K |
| 71045 | Radiologic examination, chest; single view | <1% | 480 | 393 | $3K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 41 | 38 | $2K |
| 99460 | <1% | 25 | 24 | $1K | |
| 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 | <1% | 25 | 25 | $1K |
10 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 494 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 62 | $617.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15 | $447.23 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $410.47 |
| 90461 | <1% | 229 | $303.40 | |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | <1% | 51 | $38.00 |
| 90670 | <1% | 73 | $4.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90686 | 0% | 13 | $0.00 | |
| 90698 | 0% | 14 | $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 officialASATO, CHRISTINE (REGIONAL CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Kauai Veterans Memorial Hospital | Waimea, HI | $6.22M |
| Samuel Mahelona Memorial Hospital | Waimea, HI | $397K |
| Samuel Mahelona Memorial Hospital | Koloa, HI | $342K |
| Samuel Mahelona Memorial Hospital | Kalaheo, HI | $90K |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $29K |
| Samuel Mahelona Memorial Hospital | Kalaheo, HI | $20K |
| Samuel Mahelona Memorial Hospital | Kapaa, HI | $9K |
| Samuel Mahelona Memorial Hospital | Eleele, HI | $585.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.