Kokua Kalihi Valley Comprehensive Family Services

Kokua Kalihi Valley Comprehensive Family Services was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 55% of everything it billed.

33Billing provider infoKOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
HONOLULU, HI 96819

33aNPI1548521164assigned 05/30/2012

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$1.18M

24GClaims7,993

24DCodes billed23

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Hawaii

Rank by total paid#15 of 31

Median peer was paid$614K

This provider vs. median1.9×

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	1,975	$265K
2019	1,474	$206K
2020	660	$108K
2021	1,281	$151K
2022	775	$140K
2023	723	$126K
2024incomplete	1,105	$181K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	55%	3,304	2,681	$651K
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%	2,606	1,985	$442K
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	4.0%	282	257	$47K
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	1.9%	458	350	$23K
92250		<1%	256	239	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	12	12	$2K
0071A		<1%	35	34	$1K
0002A		<1%	65	59	$1K
0072A		<1%	21	21	$800.00
0064A		<1%	46	45	$436.86
0001A		<1%	14	14	$131.05
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	241	222	$83.36

11 more codes

99173		<1%	12	$2.52
91300		<1%	91	$0.03
V2020	Frames, purchases	0%	67	$0.00
92015	Determination of refractive state	0%	198	$0.00
90658		0%	40	$0.00
92552		0%	12	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	33	$0.00
90656		0%	17	$0.00
V2756	Eye glass case	0%	67	$0.00
91301		0%	64	$0.00
91307		0%	52	$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 officialDERAUF, DAVID (EXECUTIVE DIRECTOR)

Same official

Other billing entities under DERAUF, DAVID

Full network →

Provider	Location	Paid
Kokua Kalihi Valley Comprehensive Family Services	Honolulu, HI	$10.05M
Kokua Kalihi Valley Comprehensive Family Services	Honolulu, HI	$116K
Kokua Kalihi Valley Comprehensive Family Services	Honolulu, HI	$80K

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