Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lab

Kaiser Foundation Health Plan INC

Kaiser Foundation Health Plan INC was paid $3K by Medicaid between Oct 2023 and Jul 2024, across 2 billing codes. Its largest line is 87428, — 78% of everything it billed.

33Billing provider infoKAISER FOUNDATION HEALTH PLAN INC
KIHEI, HI 96753
33aNPI1477568855assigned 07/31/2006
28Total paid$3K
24GClaims112
24DCodes billed2
24AFirst – last monthOct 2023 – Jul 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Hawaii

Rank by total paid#17 of 18
Median peer was paid$163K
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ADAMS, JAMES controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
202314$371.00
2024incomplete98$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87428 78% 87 87 $3K
81025 22% 25 25 $758.80

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 officialADAMS, JAMES (EXECUTIVE DIRECTOR, FINANCE LEADER)
Same official

Other billing entities under ADAMS, JAMES

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.