Waimanalo Health Center

Waimanalo Health Center was paid $11.34M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

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	14,159	$1.93M
2019	10,738	$1.48M
2020	8,936	$1.15M
2021	11,949	$1.56M
2022	29,172	$1.48M
2023	47,599	$1.90M
2024incomplete	42,004	$1.83M

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	43%	23,422	20,632	$4.82M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	17%	8,784	8,008	$1.98M
90834	Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient	16%	8,330	5,243	$1.78M
90832	Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient	8.0%	4,786	3,739	$902K
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	3.7%	5,020	3,485	$420K
D9999	Unspecified adjunctive procedure, by report	3.2%	1,603	1,418	$367K
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	1.5%	870	573	$175K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.3%	769	719	$147K
D0140	Limited oral evaluation - problem focused	1.2%	613	580	$139K
97803		<1%	728	677	$61K
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%	1,596	907	$55K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	197	187	$53K

70 more codes

99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	187	$50K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	207	$49K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	189	$46K
G0511	Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month	<1%	291	$43K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	138	$40K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	162	$37K
90791	Psychiatric diagnostic evaluation	<1%	150	$27K
99203	Doctor's office visit, new patient (routine)	<1%	111	$24K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	79	$18K
99442		<1%	58	$12K
0012A		<1%	314	$12K
92002		<1%	53	$11K
0011A		<1%	354	$11K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	<1%	111	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	3,706	$11K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	59	$5K
0064A		<1%	113	$4K
99443		<1%	17	$4K
0002A		<1%	67	$3K
98968		<1%	25	$3K
36415	Collection of venous blood by venipuncture	<1%	1,482	$2K
90688		<1%	556	$2K
0072A		<1%	44	$2K
V2020	Frames, purchases	<1%	624	$2K
0001A		<1%	35	$1K
90472	Immunization administration, each additional vaccine (list separately)	<1%	1,076	$1K
82962		<1%	3,093	$1K
0124A		<1%	36	$1K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	16	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	141	$890.33
0071A		<1%	15	$495.58
99406		<1%	55	$344.18
87428		<1%	443	$220.47
90686		<1%	789	$100.20
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	84	$77.74
Q2038	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	<1%	139	$51.21
92551		<1%	758	$11.16
2001F		<1%	12,247	$1.95
3008F		<1%	12,147	$1.95
G8754	Most recent diastolic blood pressure < 90 mmhg	<1%	10,971	$1.95
G8752	Most recent systolic blood pressure < 140 mmhg	0%	10,139	$0.00
3078F		0%	8,105	$0.00
3050F		0%	326	$0.00
G8753	Most recent systolic blood pressure >= 140 mmhg	0%	626	$0.00
90685		0%	35	$0.00
92015	Determination of refractive state	0%	814	$0.00
3077F		0%	625	$0.00
99173		0%	873	$0.00
90670		0%	65	$0.00
1158F		0%	13	$0.00
G9359	Documentation of negative or managed positive tb screen with further evidence that tb is not active prior to treatment with a biologic immune response modifier	0%	59	$0.00
81002		0%	12	$0.00
1159F		0%	187	$0.00
1036F		0%	7,484	$0.00
3048F		0%	2,856	$0.00
3079F		0%	1,757	$0.00
1111F		0%	11,584	$0.00
3074F		0%	8,731	$0.00
3049F		0%	607	$0.00
1035F		0%	33	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	118	$0.00
1034F		0%	899	$0.00
3075F		0%	331	$0.00
G8755	Most recent diastolic blood pressure >= 90 mmhg	0%	89	$0.00
G0008	Administration of influenza virus vaccine	0%	173	$0.00
93000		0%	17	$0.00
90651		0%	54	$0.00
3080F		0%	55	$0.00
1123F		0%	13	$0.00
3044F		0%	17	$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 officialONEHA, MARY (CHIEF EXECUTIVE OFFICER)