Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Lanai Community Health Center

Lanai Community Health Center was paid $1.45M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 49% of everything it billed.

33Billing provider infoLANAI COMMUNITY HEALTH CENTER
LANAI CITY, HI 96763
33aNPI1679754097assigned 11/15/2007
28Total paid$1.45M
24GClaims7,946
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

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

Rank by total paid#14 of 31
Median peer was paid$614K
This provider vs. median2.4×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018805$122K
20191,108$140K
2020778$119K
20211,094$151K
20221,268$253K
20231,671$399K
2024incomplete1,222$266K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9999 Unspecified adjunctive procedure, by report 49% 1,477 1,376 $706K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 1,325 1,090 $312K
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 17% 917 732 $250K
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 9.6% 3,660 2,553 $138K
D0140 Limited oral evaluation - problem focused 2.4% 68 57 $34K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16 13 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 145 144 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 35 30 $463.03
90686 <1% 125 125 $125.04
99000 <1% 95 86 $34.58
36415 Collection of venous blood by venipuncture <1% 12 12 $9.00
G0468 Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv 0% 30 29 $0.00
3 more codes
96127 0% 12 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 0% 13 $0.00
91301 0% 16 $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 officialSHAW, DIANA (EXECUTIVE DIRECTOR)