Hospital
Kohala Hospital
Kohala Hospital was paid $1.13M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99283, emergency room visit (moderate) — 64% of everything it billed.
33Billing provider infoKOHALA HOSPITAL
KAPAAU, HI 96755
KAPAAU, HI 96755
33aNPI1588734420assigned 11/08/2006
33bProvider typeCritical Access Hospital
28Total paid$1.13M
24GClaims5,574
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Critical Access Hospital providers in Hawaii
Rank by total paid#7 of 8
Median peer was paid$4.91M
This provider vs. median0.2×
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 | 1,264 | $164K | |
| 2019 | 1,253 | $167K | |
| 2020 | 257 | $71K | |
| 2021 | 502 | $124K | |
| 2022 | 982 | $212K | |
| 2023 | 836 | $243K | |
| 2024incomplete | 480 | $149K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 64% | 1,759 | 1,350 | $719K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 26% | 1,161 | 955 | $297K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 9.9% | 282 | 169 | $112K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 27 | 26 | $18.75 |
| 96160 | <1% | 267 | 238 | $6.56 | |
| 84520 | 0% | 265 | 213 | $0.00 | |
| 82947 | 0% | 267 | 214 | $0.00 | |
| 82565 | 0% | 268 | 214 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 28 | 24 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 32 | 29 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 492 | 382 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 77 | 51 | $0.00 |
7 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 281 | $0.00 |
| 80051 | 0% | 268 | $0.00 | |
| 96361 | Intravenous infusion, hydration; each additional hour | 0% | 14 | $0.00 |
| 96161 | 0% | 17 | $0.00 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 17 | $0.00 |
| 81001 | 0% | 12 | $0.00 | |
| A9270 | Non-covered item or service | 0% | 40 | $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 officialAMAR, GINO (ASSISTANT ADMINISTRATOR)