Physician
West Hawaii Community Health Center, INC.
West Hawaii Community Health Center, INC. was paid $46.79M by Medicaid between Jan 2018 and Dec 2024, across 122 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoWEST HAWAII COMMUNITY HEALTH CENTER, INC.
KAILUA-KONA, HI 96740
KAILUA-KONA, HI 96740
33aNPI1952335630assigned 07/10/2006
33bProvider typeGeneral Practice Physician
28Total paid$46.79M
24GClaims770,232
24DCodes billed122
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Hawaii
Rank by total paid#1 of 18
Median peer was paid$25K
This provider vs. median1,876×
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.
Entity ProliferationAuthorized official TAAFFE, RICHARD controls 12+ related entities in our dataset. Read more
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 | 71,509 | $3.58M | |
| 2019 | 71,234 | $3.42M | |
| 2020 | 52,943 | $3.68M | |
| 2021 | 54,217 | $5.42M | |
| 2022 | 85,226 | $7.22M | |
| 2023 | 226,427 | $11.36M | |
| 2024incomplete | 208,676 | $12.11M |
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 | 32% | 74,048 | 66,231 | $15.05M |
| D9999 | Unspecified adjunctive procedure, by report | 26% | 35,598 | 33,462 | $12.32M |
| 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 | 15% | 36,126 | 32,938 | $7.25M |
| D0140 | Limited oral evaluation - problem focused | 8.8% | 11,340 | 10,430 | $4.10M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.3% | 16,042 | 11,712 | $2.95M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 5,889 | 4,197 | $1.22M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 4,493 | 4,198 | $832K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 2,172 | 2,138 | $519K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,915 | 1,875 | $424K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,777 | 1,713 | $377K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,234 | 1,211 | $301K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 990 | 946 | $191K |
110 more codes
| 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% | 3,680 | $185K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,745 | $158K |
| 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% | 1,266 | $157K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 656 | $133K |
| 98968 | <1% | 473 | $105K | |
| G0467 | Community health center visit, returning patient | <1% | 14,238 | $89K |
| 90677 | <1% | 331 | $59K | |
| 99442 | <1% | 201 | $45K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 678 | $42K |
| 90670 | <1% | 947 | $33K | |
| 90837 | Psychotherapy session, about an hour | <1% | 126 | $31K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 111 | $28K |
| 90651 | <1% | 471 | $23K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 103 | $21K |
| 1000F | <1% | 82,948 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 116 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 662 | $15K |
| 99441 | <1% | 50 | $11K | |
| 90710 | <1% | 38 | $8K | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | <1% | 43 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | $7K |
| 91322 | <1% | 77 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 25 | $5K |
| 1220F | <1% | 35,583 | $4K | |
| 99384 | <1% | 13 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 27 | $4K |
| 98967 | <1% | 16 | $3K | |
| 87428 | <1% | 753 | $3K | |
| 99381 | <1% | 12 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 16 | $3K |
| 3351F | <1% | 25,277 | $3K | |
| 1036F | <1% | 19,419 | $3K | |
| 3008F | <1% | 85,791 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,229 | $2K |
| 90619 | <1% | 102 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 7,996 | $2K |
| 96127 | <1% | 13,153 | $2K | |
| 81025 | <1% | 1,257 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,897 | $2K |
| 0513F | <1% | 4,926 | $1K | |
| 1126F | <1% | 19,325 | $1K | |
| 2000F | <1% | 49,377 | $1K | |
| 1034F | <1% | 5,052 | $1K | |
| 3352F | <1% | 1,275 | $890.97 | |
| 90633 | <1% | 796 | $882.32 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,411 | $720.00 |
| 90715 | <1% | 237 | $580.62 | |
| 2001F | <1% | 53,800 | $544.94 | |
| 90461 | <1% | 4,544 | $466.63 | |
| 3074F | <1% | 40,454 | $450.67 | |
| 4004F | <1% | 12,080 | $447.15 | |
| 3353F | <1% | 1,004 | $443.82 | |
| 3354F | <1% | 575 | $443.82 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 35 | $372.63 |
| 86580 | <1% | 13 | $304.26 | |
| 90697 | <1% | 65 | $290.31 | |
| 1125F | <1% | 5,025 | $277.56 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 142 | $277.54 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 72 | $277.54 |
| 90734 | <1% | 45 | $267.38 | |
| 90688 | <1% | 195 | $225.24 | |
| 90686 | <1% | 2,519 | $219.79 | |
| 80305 | <1% | 1,814 | $198.40 | |
| G0466 | Community health center visit, new patient | <1% | 57 | $122.94 |
| G0008 | Administration of influenza virus vaccine | <1% | 201 | $100.29 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 848 | $69.08 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 14 | $51.31 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 56 | $32.25 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $17.41 |
| 90656 | <1% | 145 | $16.80 | |
| 81002 | <1% | 544 | $3.54 | |
| 3078F | <1% | 36,567 | $0.16 | |
| 3079F | <1% | 8,693 | $0.03 | |
| 3075F | <1% | 2,493 | $0.02 | |
| 1159F | <1% | 6,765 | $0.01 | |
| 1160F | <1% | 6,763 | $0.01 | |
| 3077F | 0% | 2,835 | $0.00 | |
| 3046F | 0% | 58 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 126 | $0.00 |
| 90648 | 0% | 74 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 180 | $0.00 |
| 87400 | 0% | 234 | $0.00 | |
| 3288F | 0% | 152 | $0.00 | |
| 90681 | 0% | 40 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| G8477 | Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg | 0% | 42 | $0.00 |
| 90685 | 0% | 16 | $0.00 | |
| 82948 | 0% | 14 | $0.00 | |
| 3210F | 0% | 137 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 202 | $0.00 |
| 81003 | 0% | 43 | $0.00 | |
| 3015F | 0% | 60 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 115 | $0.00 |
| 99080 | 0% | 13 | $0.00 | |
| 3044F | 0% | 213 | $0.00 | |
| 3080F | 0% | 1,247 | $0.00 | |
| 1111F | 0% | 224 | $0.00 | |
| 1101F | 0% | 112 | $0.00 | |
| 90680 | 0% | 55 | $0.00 | |
| 90723 | 0% | 51 | $0.00 | |
| 93000 | 0% | 58 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 116 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 131 | $0.00 |
| 90744 | 0% | 38 | $0.00 | |
| 4000F | 0% | 245 | $0.00 | |
| 90480 | 0% | 98 | $0.00 | |
| 1035F | 0% | 12 | $0.00 | |
| 90698 | 0% | 76 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 37 | $0.00 |
| 82962 | 0% | 43 | $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 officialTAAFFE, RICHARD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| WHCHC - Hawaii Island Community Health Center | Hilo, HI | $8.04M |
| West Hawaii Community Health Center, INC. | Hilo, HI | $7.14M |
| West Hawaii Community Health Center, INC. | Pahoa, HI | $1.96M |
| West Hawaii Community Health Center, INC. | Keaau, HI | $1.59M |
| West Hawaii Community Health Center, INC. | Hilo, HI | $554K |
| West Hawaii Community Health Center, INC. | Kailua Kona, HI | $335K |
| West Hawaii Community Health Center, INC. | Na'alehu, HI | $300K |
| West Hawaii Community Health Center, INC. | Pahoa, HI | $284K |
| West Hawaii Community Health Center, INC. | Kealakekua, HI | $258K |
| West Hawaii Community Health Center, INC. | Waikoloa, HI | $7K |
| West Hawaii Community Health Center, INC. | Hilo, HI | $3K |
| West Hawaii Community Health Center INC. | Kealakekua, HI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.