Clinic
Community Clinic of Maui, INC.
Community Clinic of Maui, INC. was paid $21.69M by Medicaid between Jan 2018 and Dec 2024, across 102 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoCOMMUNITY CLINIC OF MAUI, INC.
WAILUKU, HI 96793
WAILUKU, HI 96793
33aNPI1528042561assigned 12/02/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$21.69M
24GClaims207,251
24DCodes billed102
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#3 of 31
Median peer was paid$614K
This provider vs. median35×
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 | 30,125 | $3.01M | |
| 2019 | 25,466 | $2.88M | |
| 2020 | 17,717 | $1.92M | |
| 2021 | 20,320 | $2.41M | |
| 2022 | 22,927 | $2.90M | |
| 2023 | 25,049 | $4.50M | |
| 2024incomplete | 65,647 | $4.07M |
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 | 59% | 53,841 | 45,697 | $12.83M |
| 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 | 24% | 19,279 | 17,093 | $5.16M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 3,861 | 3,459 | $997K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.3% | 2,849 | 2,615 | $718K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 1,747 | 1,611 | $481K |
| 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 | 1.7% | 6,399 | 5,241 | $366K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.5% | 1,946 | 1,658 | $319K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 985 | 696 | $197K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 465 | 434 | $138K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 368 | 196 | $123K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 348 | 321 | $78K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 319 | 227 | $75K |
90 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 190 | $54K |
| 97803 | <1% | 119 | $31K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 101 | $26K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 137 | $23K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12,425 | $18K |
| 81025 | <1% | 877 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,099 | $7K |
| 97802 | <1% | 28 | $7K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $3K |
| 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% | 31 | $3K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 58 | $3K |
| 81002 | <1% | 8,979 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 14 | $2K |
| 82962 | <1% | 3,498 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,002 | $2K |
| 90670 | <1% | 1,773 | $2K | |
| 1000F | <1% | 4,844 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,404 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,991 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,322 | $921.34 |
| 3008F | <1% | 5,245 | $819.91 | |
| 2001F | <1% | 8,228 | $819.90 | |
| 90461 | <1% | 3,125 | $615.97 | |
| 92551 | <1% | 4,687 | $541.20 | |
| 99177 | <1% | 2,416 | $288.74 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 381 | $120.47 |
| 83026 | <1% | 1,094 | $46.44 | |
| 99173 | <1% | 4,570 | $31.32 | |
| 86580 | <1% | 82 | $13.36 | |
| 81000 | <1% | 4,171 | $13.13 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 14 | $1.96 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 155 | $0.72 |
| J8499 | Prescription drug, oral, non chemotherapeutic, nos | <1% | 307 | $0.39 |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | <1% | 438 | $0.19 |
| 1111F | 0% | 28 | $0.00 | |
| 90686 | 0% | 1,182 | $0.00 | |
| 1126F | 0% | 546 | $0.00 | |
| 3079F | 0% | 778 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 159 | $0.00 |
| 3044F | 0% | 349 | $0.00 | |
| 3074F | 0% | 5,178 | $0.00 | |
| 2000F | 0% | 6,826 | $0.00 | |
| 90656 | 0% | 1,859 | $0.00 | |
| 36416 | 0% | 150 | $0.00 | |
| 1220F | 0% | 2,630 | $0.00 | |
| 4000F | 0% | 347 | $0.00 | |
| 90698 | 0% | 438 | $0.00 | |
| 1036F | 0% | 161 | $0.00 | |
| 90744 | 0% | 92 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 27 | $0.00 |
| 3075F | 0% | 303 | $0.00 | |
| 90480 | 0% | 47 | $0.00 | |
| 3080F | 0% | 181 | $0.00 | |
| 1125F | 0% | 17 | $0.00 | |
| 90688 | 0% | 14 | $0.00 | |
| 90677 | 0% | 179 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 14 | $0.00 |
| 90716 | 0% | 25 | $0.00 | |
| H0033 | Oral medication administration, direct observation | 0% | 16 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 52 | $0.00 |
| 90620 | 0% | 15 | $0.00 | |
| 96127 | 0% | 20 | $0.00 | |
| 87807 | 0% | 14 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90723 | 0% | 47 | $0.00 | |
| 0134A | 0% | 13 | $0.00 | |
| 3078F | 0% | 4,663 | $0.00 | |
| 1159F | 0% | 2,634 | $0.00 | |
| 1160F | 0% | 2,631 | $0.00 | |
| 90648 | 0% | 138 | $0.00 | |
| 90655 | 0% | 161 | $0.00 | |
| 90633 | 0% | 444 | $0.00 | |
| 3077F | 0% | 403 | $0.00 | |
| 99442 | 0% | 72 | $0.00 | |
| 90681 | 0% | 215 | $0.00 | |
| 91313 | 0% | 13 | $0.00 | |
| 90715 | 0% | 119 | $0.00 | |
| 90710 | 0% | 45 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 199 | $0.00 |
| 2028F | 0% | 137 | $0.00 | |
| 99188 | 0% | 75 | $0.00 | |
| 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) | 0% | 57 | $0.00 |
| 3046F | 0% | 40 | $0.00 | |
| 83655 | 0% | 12 | $0.00 | |
| 90473 | 0% | 129 | $0.00 | |
| 90649 | 0% | 40 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 3210F | 0% | 17 | $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 officialVAZ, JOHN (CHIEF EXECUTIVE OFFICER)