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Waianae District Comprehensive Health and Hospital Board, INC

Pediatrics·Waianae, HI·NPI: 1275566424Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $125.4M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$125.4M

$125,417,968

Total Claims

795K

Beneficiaries

691K

1.2 claims/patient

Avg Cost/Claim

$158

#941 of 618K providers by total spending(top 0.2%)

🔍 Analysis

Provider Overview

Waianae District Comprehensive Health and Hospital Board, INC is a Pediatrics provider based in Waianae, HI. From the 2018–2024 period, this provider received $125.4M in Medicaid payments across 795K claims.

Why This Matters

This provider received $125.4M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,677 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 16% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.0M
-2%
2019
$18.7M
-39%
2020
$11.4M
+38%
2021
$15.7M
+23%
2022
$19.3M
-0%
2023
$19.3M
+15%
2024
$22.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 33% of total spending.

99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$41.4M

171K claims · 33.0%

Your Cost: $242.35/claim|Median: $53.41
4.5× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$38.1M

152K claims · 30.4%

Your Cost: $250.24/claim|Median: $37.81
6.6× median
90832Top 1%

Psychotherapy, 30 minutes

$16.4M

68K claims · 13.1%

Your Cost: $241.73/claim|Median: $41.28
5.9× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$6.6M

30K claims · 5.3%

Your Cost: $221.01/claim|Median: $37.60
5.9× median
99212Top 1%

Office/outpatient visit, low complexity

$3.6M

15K claims · 2.9%

Your Cost: $239.52/claim|Median: $25.06
9.6× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$3.1M

11K claims · 2.5%

Your Cost: $269.92/claim|Median: $69.35
3.9× median
G0467Top 10%

Federally qualified health center visit, mental health

$2.2M

26K claims · 1.8%

Your Cost: $86.79/claim|Median: $21.91
4.0× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$2.2M

8K claims · 1.8%

Your Cost: $274.81/claim|Median: $75.18
3.7× median
D0140Top 1%

Limited oral evaluation, problem focused

$1.6M

7K claims · 1.2%

Your Cost: $225.20/claim|Median: $27.07
8.3× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$1.5M

7K claims · 1.2%

Your Cost: $231.28/claim|Median: $22.44
10.3× median
G2025Top 5%

$1.4M

11K claims · 1.1%

Your Cost: $129.02/claim|Median: $15.63
8.3× median
98967Top 1%

$1.2M

4K claims · 1.0%

Your Cost: $277.01/claim|Median: $18.97
14.6× median
98968Top 1%

$1.1M

4K claims · 0.9%

Your Cost: $262.01/claim|Median: $28.39
9.2× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$1.0M

4K claims · 0.8%

Your Cost: $274.41/claim|Median: $74.82
3.7× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$728K

7K claims · 0.6%

Your Cost: $102.17/claim|Median: $45.95
2.2× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$426K

2K claims · 0.3%

Your Cost: $248.35/claim|Median: $32.55
7.6× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$375K

2K claims · 0.3%

Your Cost: $176.84/claim|Median: $47.08
3.8× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$333K

2K claims · 0.3%

Your Cost: $213.82/claim|Median: $13.30
16.1× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$315K

1K claims · 0.3%

Your Cost: $274.50/claim|Median: $80.15
3.4× median
G0101Top 1%

Cervical/vaginal cancer screening; pelvic exam

$237K

2K claims · 0.2%

Your Cost: $121.78/claim|Median: $21.28
5.7× median
90791Top 5%

Psychiatric diagnostic evaluation

$233K

998 claims · 0.2%

Your Cost: $233.43/claim|Median: $99.21
2.4× median
99215Top 5%

Office/outpatient visit, high complexity

$223K

868 claims · 0.2%

Your Cost: $256.90/claim|Median: $74.09
3.5× median
97803Top 1%

Medical nutrition therapy, reassessment, group, thirty minutes

$180K

740 claims · 0.1%

Your Cost: $243.73/claim|Median: $24.33
10.0× median
90833Top 1%

Psychotherapy, 30 min, add-on to E/M service

$129K

863 claims · 0.1%

Your Cost: $149.61/claim|Median: $38.83
3.9× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$98K

659 claims · 0.1%

Your Cost: $149.16/claim|Median: $59.72
2.5× median
90834Top 1%

Psychotherapy, 45 minutes

$74K

246 claims · 0.1%

Your Cost: $301.52/claim|Median: $63.65
4.7× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$61K

2K claims · 0.0%

Your Cost: $36.62/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$56K

2K claims · 0.0%

Your Cost: $36.08/claim|Median: $36.70
1.0× median
97802Top 1%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$55K

228 claims · 0.0%

Your Cost: $240.18/claim|Median: $12.70
18.9× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$52K

183 claims · 0.0%

Your Cost: $285.77/claim|Median: $108.91
2.6× median

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