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Medicaid spending in Hawaii
2,583 providers based in Hawaii were paid $3.00B in outpatient and professional Medicaid claims from 2018 through 2024. The largest single code is 99283, emergency room visit (moderate), at $232.62M. Honolulu is the biggest billing hub.
28Total paid$3.00B
33Billing providers2,583
24GClaims50,821,733
On OIG exclusion list1
Box 33 · Billing provider
Who sent the bill in Hawaii
Cents of every dollar billed by Hawaii-based providers, grouped by each provider's primary NPPES type. Compare: nationally, agencies take 33¢ and physicians 11¢.
Box 32 · Location
By city
Honolulu$1.4BWaipahu$214MHilo$212MAiea$196MWaianae$171MWailuku$144MEwa Beach$124MKailua$80MKailua Kona$53MLihue$51MKailua-kona$48MWahiawa$46MKaneohe$29MKahului$28MKapolei$27MKaunakakai$26MKealakekua$25MKamuela$25MMililani$22MKahuku$17MPearl City$15MWaimanalo$14MWaimea$11MKapaa$9.7MHonokaa$6.9MPahoa$6.2MBloomfield Hills$6.1MKihei$5.9MWaialua$5.6MPahala$5.6MKula$4.4MKeaau$4.3MMakawao$2.3MHana$1.8MLanai City$1.7MKilauea$1.2MKapaau$1.2MLaie$1.0MHaiku$972KAica$827KKoloa$805KPearl Harbor$636KWaikoloa$606KKurtistown$594KCaptain Cook$450KKapa'au$442KHanapepe$418KLahaina$382KKalaheo$348KPrinceville$345K
Auditor's notes
Billing flags in Hawaii
Statistical outliers on claims per beneficiary, single-code billing, and OIG exclusion. Not evidence of fraud — how these work.
| # | Provider | Flags | Paid |
|---|---|---|---|
| 1 | Cradle N' Crayons, LLC | single-code billing | $5.91M |
| 2 | Ace 1 LLC | single-code billing | $1.19M |
| 3 | Nightingale Case Management, INC | single-code billing | $1.17M |
| 4 | Stoll, Karin | single-code billing | $1.15M |
| 5 | Bentley, Tiffany | single-code billing | $1.03M |
| 6 | Hawaii Meals on Wheels, INC. | single-code billing | $1.03M |
| 7 | Lipetz, Mark | OIG excluded | $7K |
Ranked
Top 100 providers in Hawaii
| # | Provider | Type | City | Claims | Paid |
|---|---|---|---|---|---|
| 1 | The Queens Medical Center | Hospital | Honolulu | 2,466,453 | $200.03M |
| 2 | Waianae District Comprehensive Health and Hospital Board, INC | Physician | Waianae | 794,877 | $125.42M |
| 3 | Kapiolani Medical Center for Women & Children | Hospital | Honolulu | 1,008,897 | $102.45M |
| 4 | Kaiser Foundation Hospitals | Hospital | Honolulu | 1,754,687 | $76.49M |
| 5 | Hawaii Permanente Medical Group INC | Managed care | Honolulu | 609,846 | $75.71M |
| 6 | Preferred Home & Community Based Services, INC. | Agency | Waipahu | 23,536 | $66.92M |
| 7 | Maui Health System a Kaiser Foundation Hospitals LLC | Hospital | Wailuku | 711,261 | $60.37M |
| 8 | Hilo Benioff Medical Center | Hospital | Hilo | 853,949 | $51.17M |
| 9 | Pali Momi Medical Center | Hospital | Aiea | 715,392 | $49.28M |
| 10 | West Hawaii Community Health Center, INC. | Physician | Kailua-kona | 770,232 | $46.79M |
| 11 | Diagnostic Laboratory Services, INC | Lab | Aiea | 4,026,114 | $45.98M |
| 12 | Clinical Laboratories of Hawaii LLP | Lab | Ewa Beach | 3,350,610 | $45.76M |
| 13 | Straub Clinic & Hospital | Hospital | Honolulu | 912,398 | $45.59M |
| 14 | Liberty Dialysis - Hawaii LLC | Clinic | Honolulu | 929,459 | $42.71M |
| 15 | The Queen's Medical Center | Hospital | Ewa Beach | 373,073 | $42.67M |
| 16 | Procare Pharmacy, L.L.C. | Supplier | Honolulu | 16,401 | $41.83M |
| 17 | DLMC, INC. | Agency | Aiea | 131,930 | $39.53M |
| 18 | Kalihi Palama Health Center | Clinic | Honolulu | 299,419 | $38.98M |
| 19 | Castle Medical Center | Clinic | Kailua | 573,202 | $37.62M |
| 20 | Bayada Home Care | Agency | Waipahu | 67,443 | $33.31M |
| 21 | Emergency Medical Services System Hawaii Dept of Health | Transport | Honolulu | 265,818 | $32.45M |
| 22 | Hawaii Health Services, INC. | Agency | Waipahu | 8,644 | $29.43M |
| 23 | State of Hawaii Dept. of Health Adult Mental Health Division | Agency | Honolulu | 396,045 | $29.25M |
| 24 | Wilcox Memorial Hospital | Hospital | Lihue | 388,441 | $28.06M |
| 25 | Positive Behavior Supports Corporation | Behavioral | Honolulu | 234,448 | $26.38M |
| 26 | Walgreen Co | Supplier | Honolulu | 9,384 | $25.31M |
| 27 | Kona Hospital | Hospital | Kealakekua | 287,471 | $22.27M |
| 28 | Waikiki Health | Clinic | Honolulu | 233,963 | $22.26M |
| 29 | Value Drug LTD | Supplier | Honolulu | 131,685 | $21.72M |
| 30 | Community Clinic of Maui, INC. | Clinic | Wailuku | 207,251 | $21.69M |
| 31 | Hawaii Emergency Physicians Associated INC | Physician | Kailua | 609,019 | $20.26M |
| 32 | Liberty Dialysis - Hawaii LLC | Clinic | Waipahu | 450,611 | $19.41M |
| 33 | Liberty Dialysis - Hawaii LLC | Clinic | Hilo | 533,653 | $19.25M |
| 34 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic | Waianae | 121,666 | $18.44M |
| 35 | Wahiawa General Hospital | Hospital | Wahiawa | 215,882 | $16.87M |
| 36 | Easter Seals Hawaii | Agency | Honolulu | 140,827 | $16.78M |
| 37 | Liberty Dialysis - Hawaii LLC | Clinic | Wailuku | 335,674 | $15.64M |
| 38 | S&G Labs Hawaii LLC | Lab | Kailua Kona | 409,562 | $15.13M |
| 39 | The Emergency Group, INC. | Physician | Honolulu | 276,792 | $15.01M |
| 40 | Liberty Dialysis - Hawaii LLC | Clinic | Ewa Beach | 358,102 | $14.72M |
| 41 | Molokai General Hospital | Hospital | Kaunakakai | 115,968 | $14.48M |
| 42 | Metropacific Group, Corp | Agency | Hilo | 31,766 | $13.27M |
| 43 | Queens North Hawaii Community Hospital | Hospital | Kamuela | 157,562 | $13.01M |
| 44 | Careresource Hawaii | Agency | Honolulu | 136,579 | $12.81M |
| 45 | The ARC in Hawaii | Agency | Honolulu | 86,395 | $12.69M |
| 46 | Hawaii Dental Group, INC. | Dental | Honolulu | 334,255 | $12.46M |
| 47 | Care Hawaii, INC. | Agency | Honolulu | 226,379 | $11.81M |
| 48 | Lanakila Pacific | Agency | Honolulu | 68,687 | $11.69M |
| 49 | Usrc Pearlridge, LLC | Clinic | Aiea | 41,183 | $11.65M |
| 50 | Waimanalo Health Center | Clinic | Waimanalo | 164,557 | $11.34M |
| 51 | Usrc Aloha LLC | Clinic | Honolulu | 47,197 | $11.08M |
| 52 | Full Life | Agency | Kailua Kona | 39,175 | $10.95M |
| 53 | Kuakini Medical Center | Hospital | Honolulu | 226,514 | $10.94M |
| 54 | Mastercare INC | Agency | Honolulu | 113,370 | $10.78M |
| 55 | Triple Ace Venture Capital, Corp. | Agency | Hilo | 25,099 | $10.51M |
| 56 | Liberty Dialysis - Hawaii LLC | Clinic | Mililani | 129,094 | $10.33M |
| 57 | The Queen's Medical Center | Hospital | Honolulu | 249,781 | $10.29M |
| 58 | Kokua Kalihi Valley Comprehensive Family Services | Clinic | Honolulu | 93,333 | $10.05M |
| 59 | State of Hawaii Department of Education | Agency | Honolulu | 45,624 | $10.04M |
| 60 | Special Education Center of Hawaii | Agency | Honolulu | 102,441 | $9.44M |
| 61 | Hawaii Home Care INC | Agency | Honolulu | 19,557 | $9.33M |
| 62 | Liberty Dialysis - Hawaii LLC | Clinic | Kailua Kona | 198,605 | $9.03M |
| 63 | Maui Medical Group INC | Wailuku | 495,087 | $8.91M | |
| 64 | Liberty Dialysis - Hawaii LLC | Clinic | Waianae | 270,311 | $8.85M |
| 65 | Evergreen Adult Day Care | Clinic | Honolulu | 161,593 | $8.82M |
| 66 | Wihc, LLC | Lab | Honolulu | 123,377 | $8.65M |
| 67 | International Life Support INC | Transport | Aiea | 122,499 | $8.56M |
| 68 | Hawaii Life Flight, LLC | Transport | Honolulu | 2,999 | $8.51M |
| 69 | The Wahiawa Center for Community Health | Wahiawa | 98,195 | $8.28M | |
| 70 | Hi'ilani Health Corporation | Agency | Wahiawa | 2,124 | $8.20M |
| 71 | Straub Clinic & Hospital | Clinic | Honolulu | 315,891 | $8.19M |
| 72 | Usrc Honolulu, LLC | Clinic | Honolulu | 35,059 | $8.06M |
| 73 | WHCHC - Hawaii Island Community Health Center | Clinic | Hilo | 60,626 | $8.04M |
| 74 | Aloha Habilitation Services, INC. | Agency | Mililani | 9,109 | $8.00M |
| 75 | Emergency Medicine Physicians of Honolulu Kapiolani, LLC | Physician | Honolulu | 105,270 | $7.89M |
| 76 | Dsi Waipahu, LLC | Clinic | Waipahu | 122,470 | $7.71M |
| 77 | Attention Plus Private Nursing, INC. | Agency | Honolulu | 8,316 | $7.66M |
| 78 | Queens University Medical Group | Clinic | Honolulu | 288,069 | $7.39M |
| 79 | Kaiser Foundation Health Plan INC | Managed care | Honolulu | 112,592 | $7.37M |
| 80 | Usrc Beretania, LLC | Clinic | Honolulu | 62,935 | $7.31M |
| 81 | All Island Case Management Corporation | Agency | Honolulu | 21,815 | $7.27M |
| 82 | Islands Hospice, INC. | Physician | Honolulu | 42,135 | $7.14M |
| 83 | West Hawaii Community Health Center, INC. | Clinic | Hilo | 55,520 | $7.14M |
| 84 | Samuel Mahelona Memorial Hospital | Hospital | Kapaa | 38,585 | $7.01M |
| 85 | Liberty Dialysis - Hawaii LLC | Clinic | Honolulu | 153,882 | $6.71M |
| 86 | Hilo Urgent Care Center, LLC | Clinic | Hilo | 158,079 | $6.54M |
| 87 | Kahuku Medical Center | Hospital | Kahuku | 82,099 | $6.47M |
| 88 | Dialysis Newco LLC | Clinic | Honolulu | 277,404 | $6.25M |
| 89 | Kauai Veterans Memorial Hospital | Hospital | Waimea | 62,909 | $6.22M |
| 90 | Great Expressions Dental Centers of Massachusetts PC | Dental | Bloomfield Hills | 105,919 | $6.08M |
| 91 | Bayada Home Care | Agency | Wailuku | 71,352 | $6.03M |
| 92 | Cradle N' Crayons, LLC | Honolulu | 9,368 | $5.91M | |
| 93 | Alpha Care Hawaii LLC | Agency | Hilo | 50,864 | $5.85M |
| 94 | Dialysis Newco LLC | Clinic | Aiea | 272,024 | $5.76M |
| 95 | Ku Aloha Ola Mau | Behavioral | Honolulu | 360,276 | $5.76M |
| 96 | Keiki Dental Specialists | Dental | Honolulu | 135,134 | $5.74M |
| 97 | Blue Water Resources | Agency | Waipahu | 15,140 | $5.67M |
| 98 | Hale Nui Community Services, INC. | Agency | Waialua | 3,761 | $5.63M |
| 99 | Mastercare INC | Agency | Hilo | 64,984 | $5.37M |
| 100 | City and County of Honolulu | Honolulu | 63,207 | $5.33M |