Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › HI › Hilo › NPI 1780757856
Hospital

Hilo Benioff Medical Center

Hilo Benioff Medical Center was paid $51.17M by Medicaid between Jan 2018 and Dec 2024, across 272 billing codes. Its largest line is 99283, emergency room visit (moderate) — 24% of everything it billed.

33Billing provider infoHILO BENIOFF MEDICAL CENTER
HILO, HI 96720
33aNPI1780757856assigned 11/16/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$51.17M
24GClaims853,949
24DCodes billed272
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in Hawaii

Rank by total paid#3 of 18
Median peer was paid$10.94M
This provider vs. median4.7×

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$500K$1.0M$1.5M2018201920202021202220232024
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
2018142,048$9.65M
2019133,369$8.43M
202088,926$4.49M
2021118,100$4.96M
2022119,519$6.00M
2023135,822$8.26M
2024incomplete116,165$9.38M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 24% 40,784 36,801 $12.33M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 23% 25,685 22,534 $11.52M
99282 Emergency department visit for the evaluation and management, low to moderate severity 8.7% 22,506 21,120 $4.45M
74177 Computed tomography, abdomen and pelvis; with contrast material 8.0% 7,332 6,824 $4.07M
99281 Emergency department visit for the evaluation and management, self-limited or minor 6.4% 26,051 23,407 $3.30M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 5.6% 4,309 3,938 $2.87M
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3.1% 9,231 8,725 $1.60M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.4% 1,160 1,074 $1.23M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2.4% 11,801 9,784 $1.21M
74176 Computed tomography, abdomen and pelvis; without contrast material 1.8% 3,974 3,741 $907K
59025 Fetal non-stress test 1.7% 4,412 2,649 $857K
G0378 Hospital observation service, per hour 1.4% 4,544 2,133 $705K
260 more codes
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.3% 26,437 $646K
70450 Computed tomography, head or brain; without contrast material <1% 8,523 $448K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,702 $442K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 9,623 $321K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 1,183 $229K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 308 $197K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 296 $153K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 252 $147K
71045 Radiologic examination, chest; single view <1% 20,335 $143K
86900 <1% 2,594 $143K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 4,348 $135K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,026 $129K
A4649 Surgical supply; miscellaneous <1% 1,842 $118K
41899 Unlisted procedure, dentoalveolar structures <1% 144 $109K
10060 <1% 905 $96K
12001 <1% 873 $95K
99214 Doctor's office visit, returning patient (more involved) <1% 1,802 $87K
0002A <1% 2,279 $86K
71046 Radiologic examination, chest; 2 views <1% 7,733 $85K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 8,938 $80K
0001A <1% 2,123 $79K
70551 Magnetic resonance imaging, brain; without contrast material <1% 571 $78K
73610 <1% 2,482 $73K
12002 <1% 867 $73K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,912 $72K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,544 $71K
73562 <1% 2,943 $69K
73630 <1% 2,619 $68K
76801 <1% 1,183 $67K
76830 Ultrasound, transvaginal <1% 1,631 $65K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 118 $64K
73030 <1% 2,673 $63K
73110 <1% 2,291 $56K
73130 <1% 2,433 $50K
76770 <1% 880 $48K
97161 <1% 646 $46K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 1,962 $45K
93971 <1% 1,171 $43K
72125 Computed tomography, cervical spine; without contrast material <1% 2,849 $43K
94060 <1% 375 $40K
70486 <1% 858 $39K
P9016 Red blood cells, leukocytes reduced, each unit <1% 68 $38K
72131 <1% 1,278 $37K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 9,497 $36K
87634 <1% 3,460 $36K
73080 <1% 1,235 $35K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,010 $33K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,323 $33K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 1,222 $33K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 4,123 $31K
99213 Doctor's office visit, returning patient (routine) <1% 2,041 $31K
74018 <1% 657 $30K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,928 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,237 $29K
73502 <1% 1,378 $29K
86920 <1% 188 $27K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,034 $25K
C1889 Implantable/insertable device, not otherwise classified <1% 545 $23K
96375 Therapeutic injection; each additional sequential IV push <1% 20,004 $23K
71250 <1% 468 $23K
96361 Intravenous infusion, hydration; each additional hour <1% 5,045 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 86 $22K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,308 $22K
73140 <1% 868 $21K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 27,516 $18K
73590 <1% 1,113 $18K
73564 <1% 453 $15K
73090 <1% 577 $14K
76536 <1% 150 $13K
97162 <1% 156 $12K
71271 <1% 111 $12K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography <1% 88 $11K
94726 <1% 406 $11K
71101 <1% 400 $11K
96376 <1% 3,510 $10K
J0897 Injection, denosumab, 1 mg <1% 12 $9K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,717 $9K
88307 <1% 27 $9K
93970 <1% 69 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 5,214 $8K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring <1% 44 $8K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 14 $8K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $8K
12011 <1% 93 $7K
88342 <1% 145 $7K
99215 Doctor's office visit, returning patient (complex) <1% 95 $7K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 43 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 25 $7K
93880 <1% 26 $6K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 118 $5K
76870 <1% 85 $5K
93925 <1% 12 $5K
70491 <1% 63 $5K
96523 <1% 176 $4K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 689 $4K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 174 $4K
80053 Comprehensive metabolic panel <1% 48,587 $4K
Q5101 Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram <1% 229 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 17,746 $3K
83880 <1% 2,113 $3K
96415 <1% 851 $3K
86901 <1% 3,373 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 51 $3K
93351 <1% 13 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 179 $2K
74174 <1% 13 $2K
72170 <1% 56 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 8,626 $2K
72110 <1% 56 $1K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 786 $1K
97165 <1% 29 $1K
72128 <1% 110 $1K
93017 <1% 320 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 138 $1K
84702 <1% 1,817 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 53,492 $967.79
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 1,363 $917.65
93976 <1% 126 $900.38
87420 <1% 882 $851.02
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 1,194 $751.61
87186 <1% 4,869 $702.75
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 469 $527.58
72100 <1% 52 $516.84
76000 <1% 256 $444.58
90715 <1% 2,501 $401.16
87086 Culture, bacterial; quantitative colony count, urine <1% 11,736 $386.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,972 $356.87
84703 <1% 14,628 $339.82
87077 <1% 5,413 $330.74
80048 Basic metabolic panel (calcium, ionized) <1% 4,624 $319.69
81001 <1% 34,428 $302.30
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 775 $263.80
83690 <1% 11,593 $261.43
73521 <1% 14 $252.71
80329 <1% 996 $252.42
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 32 $204.74
72192 <1% 16 $194.84
73552 <1% 13 $164.33
C1769 Guide wire <1% 1,247 $161.78
70496 <1% 14 $147.41
84484 <1% 12,632 $138.48
94375 <1% 28 $125.05
84443 Thyroid stimulating hormone (TSH) <1% 3,759 $120.62
83605 <1% 5,997 $99.66
84145 <1% 2,370 $87.86
87040 <1% 7,235 $82.33
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 11,894 $77.83
83735 <1% 7,932 $66.10
87070 <1% 1,849 $64.35
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 2,029 $61.12
96367 <1% 2,440 $56.47
85379 <1% 2,158 $53.50
85610 <1% 8,565 $49.76
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 20,843 $48.07
70498 <1% 25 $46.00
87081 <1% 1,692 $45.78
85730 <1% 5,300 $38.39
73660 <1% 39 $37.69
36591 <1% 20 $35.82
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 525 $34.80
86140 <1% 1,778 $34.00
82805 <1% 117 $27.85
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 359 $27.56
80320 <1% 809 $21.37
84100 <1% 2,893 $18.50
87088 <1% 860 $15.70
J3475 Injection, magnesium sulfate, per 500 mg <1% 3,127 $15.32
96402 <1% 189 $15.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 12,271 $13.66
86850 <1% 2,528 $13.08
80061 Lipid panel <1% 12 $11.54
J3490 Unclassified drugs <1% 490 $11.54
J0690 Injection, cefazolin sodium, 500 mg <1% 6,581 $11.30
87205 <1% 1,458 $10.44
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,498 $9.66
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,969 $6.28
85651 <1% 475 $5.53
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 5,960 $5.00
A9270 Non-covered item or service <1% 779 $3.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 190 $1.61
J7030 Infusion, normal saline solution , 1000 cc <1% 1,048 $1.52
J2060 Injection, lorazepam, 2 mg <1% 2,657 $1.28
J1170 Injection, hydromorphone, up to 4 mg <1% 3,744 $1.25
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 1,673 $1.00
J3010 Injection, fentanyl citrate, 0.1 mg <1% 15,446 $0.75
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,440 $0.62
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 5,115 $0.13
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 0% 2,064 $0.00
J1453 Injection, fosaprepitant, 1 mg 0% 452 $0.00
C9113 Injection, pantoprazole sodium, per vial 0% 1,447 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 0% 239 $0.00
J3105 Injection, terbutaline sulfate, up to 1 mg 0% 298 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 962 $0.00
80305 0% 758 $0.00
A4565 Slings 0% 60 $0.00
94729 0% 411 $0.00
82565 0% 144 $0.00
J1644 Injection, heparin sodium, per 1000 units 0% 178 $0.00
96417 0% 456 $0.00
C1887 Catheter, guiding (may include infusion/perfusion capability) 0% 271 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 1,321 $0.00
A6445 Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard 0% 25 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 0% 1,490 $0.00
91300 0% 4,417 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 219 $0.00
J3370 Injection, vancomycin hcl, 500 mg 0% 458 $0.00
84550 0% 132 $0.00
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 0% 52 $0.00
87075 0% 85 $0.00
29125 0% 41 $0.00
77336 0% 73 $0.00
S0028 Injection, famotidine, 20 mg 0% 96 $0.00
87210 0% 12 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 0% 36 $0.00
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 0% 26 $0.00
A4353 Intermittent urinary catheter, with insertion supplies 0% 48 $0.00
C1758 Catheter, ureteral 0% 13 $0.00
88312 0% 29 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 34 $0.00
80076 0% 12 $0.00
87045 0% 14 $0.00
87899 0% 26 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 2,050 $0.00
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 0% 434 $0.00
V2632 Posterior chamber intraocular lens 0% 267 $0.00
J1630 Injection, haloperidol, up to 5 mg 0% 754 $0.00
J1815 Injection, insulin, per 5 units 0% 365 $0.00
88304 0% 693 $0.00
J1940 Injection, furosemide, up to 20 mg 0% 1,195 $0.00
82550 0% 955 $0.00
J2469 Injection, palonosetron hcl, 25 mcg 0% 854 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 953 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 0% 261 $0.00
88341 0% 14 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 325 $0.00
85027 0% 95 $0.00
J2785 Injection, regadenoson, 0.1 mg 0% 211 $0.00
J0456 Injection, azithromycin, 500 mg 0% 14 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 0% 869 $0.00
36430 0% 27 $0.00
73060 0% 13 $0.00
Q3014 Telehealth originating site facility fee 0% 155 $0.00
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 0% 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 250 $0.00
J3480 Injection, potassium chloride, per 2 meq 0% 39 $0.00
97035 0% 146 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 119 $0.00
J3360 Injection, diazepam, up to 5 mg 0% 147 $0.00
0031A 0% 18 $0.00
Q0222 Injection, bebtelovimab, 175 mg 0% 74 $0.00
87046 0% 14 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 0% 15 $0.00
87015 0% 13 $0.00
74022 0% 15 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 0% 14 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 51 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 0% 41 $0.00
J3590 Unclassified biologics 0% 37 $0.00
91303 0% 22 $0.00
A4320 Irrigation tray with bulb or piston syringe, any purpose 0% 23 $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 officialWALTJEN, JONI (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under WALTJEN, JONI

Full network →
ProviderLocationPaid
East Hawaii Health PharmacyHilo, HI$26.20

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.