Clinic
Transformation Health Network
Transformation Health Network was paid $17K by Medicaid between Mar 2024 and Oct 2024, across 1 billing code. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 100% of everything it billed.
33Billing provider infoTRANSFORMATION HEALTH NETWORK
KAILUA KONA, HI 96740
KAILUA KONA, HI 96740
33aNPI1700521499assigned 04/28/2022
33bProvider typeUrgent Care Clinic/Center
28Total paid$17K
24GClaims174
24DCodes billed1
24AFirst – last monthMar 2024 – Oct 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Hawaii
Rank by total paid#20 of 26
Median peer was paid$103K
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 | |
|---|---|---|---|
| 2024incomplete | 174 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 100% | 174 | 146 | $17K |
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 officialDE CARVALHO, ELISHA (GROUP PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Transformation Health Network | Kailua Kona, HI | $1.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.