Clinic
Waikiki Health
Waikiki Health was paid $22.26M by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoWAIKIKI HEALTH
HONOLULU, HI 96815
HONOLULU, HI 96815
33aNPI1679646509assigned 11/16/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$22.26M
24GClaims233,963
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Hawaii
Rank by total paid#2 of 31
Median peer was paid$614K
This provider vs. median36×
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 | 24,707 | $2.70M | |
| 2019 | 36,877 | $2.51M | |
| 2020 | 23,043 | $2.00M | |
| 2021 | 35,772 | $3.78M | |
| 2022 | 42,354 | $4.02M | |
| 2023 | 36,798 | $3.98M | |
| 2024incomplete | 34,412 | $3.28M |
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 | 56% | 61,364 | 51,617 | $12.44M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 12% | 14,404 | 10,508 | $2.75M |
| 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 | 8.9% | 11,133 | 9,662 | $1.99M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 7,865 | 6,762 | $1.37M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.2% | 4,211 | 2,859 | $713K |
| 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 | 2.6% | 9,840 | 7,190 | $578K |
| Q3014 | Telehealth originating site facility fee | 1.4% | 8,152 | 5,986 | $304K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.2% | 1,487 | 1,138 | $271K |
| 97803 | 1.2% | 1,512 | 1,347 | $271K | |
| 99441 | 1.2% | 1,721 | 1,547 | $267K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 1,323 | 1,235 | $246K |
| 3008F | <1% | 53,124 | 44,075 | $157K |
80 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 730 | $154K |
| 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% | 2,710 | $141K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 650 | $135K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 381 | $76K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 466 | $63K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 291 | $62K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,602 | $45K |
| 99442 | <1% | 205 | $41K | |
| 98968 | <1% | 172 | $31K | |
| 92250 | <1% | 2,353 | $26K | |
| 0012A | <1% | 486 | $17K | |
| 0011A | <1% | 441 | $12K | |
| 0064A | <1% | 467 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,672 | $9K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 92 | $8K |
| 99201 | <1% | 52 | $8K | |
| 97802 | <1% | 25 | $7K | |
| 99443 | <1% | 32 | $6K | |
| 82962 | <1% | 38 | $6K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 82 | $5K |
| 86580 | <1% | 84 | $5K | |
| 3078F | <1% | 4,411 | $5K | |
| 3079F | <1% | 2,531 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $3K |
| V2020 | Frames, purchases | <1% | 581 | $2K |
| 1036F | <1% | 2,434 | $2K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 14 | $2K |
| 0134A | <1% | 179 | $2K | |
| 0004A | <1% | 69 | $2K | |
| 3074F | <1% | 4,015 | $1K | |
| 1034F | <1% | 772 | $1K | |
| 90670 | <1% | 15 | $1K | |
| 91322 | <1% | 220 | $1K | |
| 0013A | <1% | 36 | $956.63 | |
| 90686 | <1% | 2,479 | $892.41 | |
| 90715 | <1% | 243 | $883.64 | |
| 3075F | <1% | 1,518 | $880.64 | |
| 3077F | <1% | 2,917 | $880.64 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 8,019 | $863.40 |
| 3080F | <1% | 1,480 | $664.66 | |
| 80305 | <1% | 18 | $554.52 | |
| G0008 | Administration of influenza virus vaccine | <1% | 453 | $434.48 |
| 96127 | <1% | 149 | $301.04 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 585 | $258.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 216 | $226.44 |
| 3044F | <1% | 565 | $220.16 | |
| 3045F | <1% | 56 | $220.16 | |
| 4004F | <1% | 234 | $220.16 | |
| 90480 | <1% | 220 | $207.36 | |
| 92015 | Determination of refractive state | <1% | 1,352 | $148.37 |
| 90656 | <1% | 102 | $39.15 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 240 | $28.88 |
| V2756 | Eye glass case | <1% | 710 | $25.43 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 93 | $6.75 |
| 91301 | <1% | 661 | $0.62 | |
| 91306 | <1% | 110 | $0.16 | |
| 91300 | <1% | 29 | $0.02 | |
| 91313 | <1% | 180 | $0.01 | |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 246 | $0.00 |
| 1111F | 0% | 87 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 335 | $0.00 |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 234 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 195 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 52 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 126 | $0.00 |
| 3500F | 0% | 16 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 1000F | 0% | 66 | $0.00 | |
| 90674 | 0% | 20 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 17 | $0.00 |
| G9908 | Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 52 | $0.00 |
| 1160F | 0% | 796 | $0.00 | |
| 1159F | 0% | 187 | $0.00 | |
| 3046F | 0% | 127 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 180 | $0.00 |
| J1071 | Injection, testosterone cypionate, 1 mg | 0% | 56 | $0.00 |
| 81002 | 0% | 16 | $0.00 | |
| 3051F | 0% | 27 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 14 | $0.00 |
| 81025 | 0% | 15 | $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 officialBECKHAM, SHEILA (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Waikiki Health | Honolulu, HI | $3.51M |
| Waikiki Health | Honolulu, HI | $9K |
| Waikiki Health | Honolulu, HI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.