Clinic
Molokai Ohana Health Care, INC.
Molokai Ohana Health Care, INC. was paid $3.07M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoMOLOKAI OHANA HEALTH CARE, INC.
KAUNAKAKAI, HI 96748
KAUNAKAKAI, HI 96748
33aNPI1770570780assigned 10/04/2005
33bProvider typeClinic/Center
28Total paid$3.07M
24GClaims37,843
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Hawaii
Rank by total paid#3 of 41
Median peer was paid$75K
This provider vs. median41×
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 | 3,566 | $466K | |
| 2019 | 3,065 | $405K | |
| 2020 | 2,345 | $370K | |
| 2021 | 3,375 | $449K | |
| 2022 | 2,405 | $389K | |
| 2023 | 10,630 | $573K | |
| 2024incomplete | 12,457 | $414K |
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 | 49% | 9,769 | 8,200 | $1.51M |
| D9999 | Unspecified adjunctive procedure, by report | 24% | 2,865 | 2,654 | $731K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 7.0% | 1,505 | 757 | $215K |
| 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 | 6.6% | 1,476 | 1,174 | $203K |
| D0140 | Limited oral evaluation - problem focused | 3.7% | 457 | 430 | $112K |
| 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 | 3.6% | 1,854 | 1,239 | $111K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 402 | 202 | $81K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 593 | 510 | $71K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 52 | 51 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 35 | 33 | $7K |
| 0011A | <1% | 182 | 178 | $3K | |
| 0012A | <1% | 146 | 140 | $3K |
28 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 20 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 144 | $1K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,240 | $985.76 |
| 0013A | <1% | 24 | $692.85 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $591.41 |
| 92552 | <1% | 163 | $41.34 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $5.83 |
| 91301 | <1% | 360 | $0.21 | |
| 3074F | 0% | 2,003 | $0.00 | |
| 1036F | 0% | 1,752 | $0.00 | |
| 3079F | 0% | 369 | $0.00 | |
| 1125F | 0% | 574 | $0.00 | |
| 1126F | 0% | 2,297 | $0.00 | |
| 3008F | 0% | 2,574 | $0.00 | |
| 1034F | 0% | 136 | $0.00 | |
| 3075F | 0% | 71 | $0.00 | |
| 90651 | 0% | 17 | $0.00 | |
| 96127 | 0% | 35 | $0.00 | |
| 3078F | 0% | 1,904 | $0.00 | |
| 3725F | 0% | 1,681 | $0.00 | |
| 1160F | 0% | 1,409 | $0.00 | |
| 1159F | 0% | 1,407 | $0.00 | |
| 90461 | 0% | 34 | $0.00 | |
| 3077F | 0% | 68 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 14 | $0.00 |
| 99173 | 0% | 135 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 13 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $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 officialKEKALIA, HELEN (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Molokai Ohana Health Care, INC. | Kaunakakai, HI | $614K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.