Kaiser Foundation Health Plan INC
Kaiser Foundation Health Plan INC was paid $8K by Medicaid between Apr 2023 and Jul 2023, across 7 billing codes. Its largest line is 85025, Blood count; complete (CBC), automated, and automated differential WBC count — 37% of everything it billed.
LAHAINA, HI 96761
Next to other Clinical Medical Laboratory providers in Hawaii
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 432 | $8K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 37% | 122 | 99 | $3K |
| 85027 | 22% | 76 | 75 | $2K | |
| 81000 | 12% | 95 | 87 | $961.40 | |
| 82565 | 12% | 81 | 74 | $943.00 | |
| 87428 | 9.2% | 27 | 26 | $737.00 | |
| 81025 | 6.3% | 16 | 16 | $504.00 | |
| 84520 | 1.5% | 15 | 13 | $119.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Kaiser Foundation Health Plan INC | Honolulu, HI | $7.37M |
| Village of Brookfield | Brookfield, IL | $1.54M |
| Medtech Laboratory Services LLC | Cypress, TX | $852K |
| Kaiser Foundation Health Plan INC | Kapolei, HI | $631K |
| Kaiser Foundation Health Plan INC | Honolulu, HI | $499K |
| City of Canton | Canton, OH | $326K |
| Kaiser Foundation Health Plan | Honolulu, HI | $248K |
| Kaiser Foundation Health Plan INC | Waipahu, HI | $246K |
| Vegas Hospital Care LLC | Las Vegas, NV | $54K |
| Kaiser Foundation Health Plan INC | Kaneohe, HI | $28K |
| Kaiser Foundation Health Plan INC | Wailuku, HI | $4K |
| Kaiser Foundation Health Plan INC | Kihei, HI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.