Clinic
Kapiolani Medical Center for Women & Children
Kapiolani Medical Center for Women & Children was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoKAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
HONOLULU, HI 96826
HONOLULU, HI 96826
33aNPI1548215692assigned 05/24/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$3.29M
24GClaims57,097
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Hawaii
Rank by total paid#3 of 13
Median peer was paid$606K
This provider vs. median5.4×
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 | 14,927 | $794K | |
| 2019 | 13,536 | $595K | |
| 2020 | 5,922 | $355K | |
| 2021 | 6,259 | $403K | |
| 2022 | 7,798 | $495K | |
| 2023 | 5,405 | $362K | |
| 2024incomplete | 3,250 | $290K |
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 | 20% | 15,512 | 14,848 | $660K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 6,244 | 5,991 | $617K |
| 99239 | Hospital discharge day management, more than 30 minutes | 14% | 7,211 | 7,027 | $454K |
| 99460 | 11% | 6,868 | 6,678 | $375K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 2,085 | 1,976 | $198K |
| A0190 | Non-emergency transportation: ancillary: meals-recipient | 4.8% | 1,238 | 1,075 | $159K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.0% | 3,104 | 1,242 | $132K |
| 90782 | 3.8% | 83 | 57 | $126K | |
| 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 | 3.2% | 1,507 | 1,446 | $105K |
| 99462 | 3.0% | 3,890 | 3,380 | $98K | |
| 54150 | 2.4% | 862 | 815 | $80K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.7% | 440 | 436 | $57K |
38 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 325 | $37K |
| S9140 | Diabetic management program, follow-up visit to non-md provider | <1% | 66 | $30K |
| 99441 | <1% | 560 | $20K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 317 | $19K |
| 99223 | Prolong inpt eval add15 m | <1% | 129 | $15K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 156 | $14K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,361 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 119 | $13K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 251 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 480 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 100 | $9K |
| 99442 | <1% | 132 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 164 | $4K |
| 86580 | <1% | 500 | $4K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 24 | $4K |
| 81025 | <1% | 379 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 777 | $3K |
| 90686 | <1% | 217 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 84 | $3K |
| 81003 | <1% | 880 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 160 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 199 | $2K |
| 99242 | <1% | 28 | $2K | |
| 99217 | <1% | 42 | $1K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 41 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 12 | $981.45 |
| 99241 | <1% | 24 | $846.22 | |
| 99464 | <1% | 13 | $810.36 | |
| 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% | 33 | $374.05 |
| 0081A | <1% | 12 | $373.27 | |
| 90715 | <1% | 12 | $321.13 | |
| 90656 | <1% | 13 | $218.34 | |
| 64642 | 0% | 32 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 28 | $0.00 |
| 64643 | 0% | 19 | $0.00 | |
| 99072 | 0% | 26 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 266 | $0.00 |
| A0210 | Non-emergency transportation: ancillary: meals-escort | 0% | 72 | $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 officialOKABE, DAVID (CFO, SR. VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Kapiolani Medical Center for Women & Children | Honolulu, HI | $102.45M |
| Pali Momi Medical Center | Aiea, HI | $49.28M |
| Straub Clinic & Hospital | Honolulu, HI | $45.59M |
| Straub Clinic & Hospital | Honolulu, HI | $8.19M |
| Kapiolani Medical Specialists | Honolulu, HI | $5.15M |
| Kauai Medical Clinic | Lihue, HI | $4.98M |
| Straub Clinic & Hospital | Honolulu, HI | $985K |
| Pali Momi Medical Center | Aiea, HI | $598K |
| Kapiolani Medical Center for Women & Children | Honolulu, HI | $154K |
| Straub Clinic & Hospital | Honolulu, HI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.