Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

KALIHI PALAMA HEALTH CENTER

Clinic/Center, Federally Qualified Health Center (FQHC)·HONOLULU, HI·NPI: 1457304966Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.0M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

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

Total Paid

$39.0M

$38,984,436

Total Claims

299K

Beneficiaries

256K

1.2 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2018
$6.6M
-3%
2019
$6.4M
-33%
2020
$4.3M
+56%
2021
$6.6M
-20%
2022
$5.3M
-10%
2023
$4.8M
+6%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 38% of total spending.

99213Top 1%

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

$14.9M

80K claims · 38.2%

Your Cost: $185.21/claim|Median: $37.81
4.9× median
99214Top 5%

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

$6.4M

36K claims · 16.5%

Your Cost: $176.48/claim|Median: $53.41
3.3× median
99212Top 5%

Office/outpatient visit, low complexity

$5.3M

26K claims · 13.5%

Your Cost: $198.20/claim|Median: $25.06
7.9× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$2.1M

6,979 claims · 5.4%

Your Cost: $302.69/claim|Median: $37.60
8.1× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$1.2M

5,682 claims · 3.0%

Your Cost: $208.85/claim|Median: $69.35
3.0× median
90834Top 5%

Psychotherapy, 45 minutes

$1.2M

6,624 claims · 3.0%

Your Cost: $174.60/claim|Median: $63.65
2.7× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$956K

4,543 claims · 2.5%

Your Cost: $210.45/claim|Median: $75.18
2.8× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$833K

3,971 claims · 2.1%

Your Cost: $209.88/claim|Median: $74.82
2.8× median
G0467Top 25%

Federally qualified health center visit, mental health

$697K

18K claims · 1.8%

Your Cost: $37.79/claim|Median: $21.91
1.7× median
90832Top 5%

Psychotherapy, 30 minutes

$655K

3,845 claims · 1.7%

Your Cost: $170.28/claim|Median: $41.28
4.1× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$630K

2,914 claims · 1.6%

Your Cost: $216.16/claim|Median: $76.06
2.8× median
99394Top 5%

Preventive medicine, established patient, age 12-17

$412K

1,954 claims · 1.1%

Your Cost: $210.93/claim|Median: $80.15
2.6× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$387K

1,826 claims · 1.0%

Your Cost: $212.19/claim|Median: $13.30
16.0× median
G0511Top 1%

RHC/FQHC visit, psychiatric collaborative care model

$356K

2,318 claims · 0.9%

Your Cost: $153.76/claim|Median: $11.35
13.5× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$287K

1,368 claims · 0.7%

Your Cost: $210.15/claim|Median: $32.55
6.5× median
G2025Top 5%

$284K

2,465 claims · 0.7%

Your Cost: $115.39/claim|Median: $15.63
7.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$275K

1,315 claims · 0.7%

Your Cost: $208.79/claim|Median: $22.44
9.3× median
90853Top 5%

Group psychotherapy

$235K

1,713 claims · 0.6%

Your Cost: $137.36/claim|Median: $25.02
5.5× median
92012Top 5%

Ophthalmological exam, intermediate, established patient

$233K

1,960 claims · 0.6%

Your Cost: $119.02/claim|Median: $38.23
3.1× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$208K

1,000 claims · 0.5%

Your Cost: $208.19/claim|Median: $72.71
2.9× median
92002Top 5%

Intermediate eye exam, new patient

$190K

1,584 claims · 0.5%

Your Cost: $120.01/claim|Median: $41.61
2.9× median
92250Top 25%

Fundus photography with interpretation and report

$153K

3,946 claims · 0.4%

Your Cost: $38.90/claim|Median: $27.95
1.4× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$147K

808 claims · 0.4%

Your Cost: $182.00/claim|Median: $47.08
3.9× median
99397Top 1%

$131K

732 claims · 0.3%

Your Cost: $179.24/claim|Median: $22.92
7.8× median
92004Top 1%

Ophthalmological exam, comprehensive, new patient

$129K

697 claims · 0.3%

Your Cost: $185.48/claim|Median: $59.72
3.1× median
98968Top 5%

$128K

729 claims · 0.3%

Your Cost: $176.22/claim|Median: $28.39
6.2× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$122K

712 claims · 0.3%

Your Cost: $171.24/claim|Median: $57.85
3.0× median
90837Top 5%

Psychotherapy, 60 minutes

$105K

547 claims · 0.3%

Your Cost: $192.54/claim|Median: $85.66
2.2× median
G0439Top 25%

Annual wellness visit, subsequent visit

$71K

1,225 claims · 0.2%

Your Cost: $58.05/claim|Median: $5.42
10.7× median
90833Normal range

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

$58K

1,213 claims · 0.1%

Your Cost: $48.19/claim|Median: $38.83
1.2× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$49K

253 claims · 0.1%

Your Cost: $193.57/claim|Median: $40.11
4.8× median
G0470Normal range

Chronic care management services, FQHC/RHC

$36K

3,575 claims · 0.1%

Your Cost: $10.15/claim|Median: $45.95
0.2× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$31K

187 claims · 0.1%

Your Cost: $163.82/claim|Median: $84.03
1.9× median
99381Top 5%

Preventive visit, new patient, infant (<1 yr)

$29K

151 claims · 0.1%

Your Cost: $191.01/claim|Median: $73.46
2.6× median
36415Top 25%

Collection of venous blood by venipuncture

$24K

6,263 claims · 0.1%

Your Cost: $3.76/claim|Median: $1.57
2.4× median
H2015Normal range

Comprehensive community support services, per 15 min

$18K

9,123 claims · 0.0%

Your Cost: $1.99/claim|Median: $96.24
0.0× median
90678Normal range

$15K

100 claims · 0.0%

Your Cost: $154.08/claim|Median: $89.09
1.7× median
V2020Normal range

Frames, purchases

$12K

4,354 claims · 0.0%

Your Cost: $2.65/claim|Median: $19.33
0.1× median
V2103Normal range

Lens, sphere-cylinder, single vision, plus or minus 4.00

$9K

1,291 claims · 0.0%

Your Cost: $7.02/claim|Median: $18.82
0.4× median
G0468Normal range

$9K

1,688 claims · 0.0%

Your Cost: $5.35/claim|Median: $43.74
0.1× median
99383Top 5%

Preventive visit, new patient, late childhood (5-11 yr)

$8K

42 claims · 0.0%

Your Cost: $189.72/claim|Median: $81.92
2.3× median
90791Top 10%

Psychiatric diagnostic evaluation

$8K

38 claims · 0.0%

Your Cost: $199.09/claim|Median: $99.21
2.0× median
D0140Top 1%

Limited oral evaluation, problem focused

$7K

24 claims · 0.0%

Your Cost: $290.94/claim|Median: $27.07
10.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$6K

2,039 claims · 0.0%

Your Cost: $2.82/claim|Median: $9.80
0.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$3K

2,299 claims · 0.0%

Your Cost: $1.48/claim|Median: $17.85
0.1× median
99384Top 5%

Preventive visit, new patient, adolescent (12-17 yr)

$3K

14 claims · 0.0%

Your Cost: $210.15/claim|Median: $83.63
2.5× median
98967Top 25%

$3K

62 claims · 0.0%

Your Cost: $44.41/claim|Median: $18.97
2.3× median
90480Normal range

$2K

706 claims · 0.0%

Your Cost: $3.07/claim|Median: $25.29
0.1× median
V2203Normal range

$2K

62 claims · 0.0%

Your Cost: $34.05/claim|Median: $29.84
1.1× median
92015Normal range

Determination of refractive state

$896

5,377 claims · 0.0%

Your Cost: $0.17/claim|Median: $10.36
0.0× median

Other Top Providers in Hawaii

View all →

The Queens Medical Center

Psychiatric Unit

$200.0M

Waianae District Comprehensive Health and Hospital Board, INC

Pediatrics

$125.4M

Similar Providers

Other top providers in Clinic/Center, Federally Qualified Health Center (FQHC)

El Rio Santa Cruz Neighborhood Health Center, INC

Tucson, AZ

$360.3M

Mountain Park Health Center

Phoenix, AZ

$352.1M

La Maestra Family Clinic, Inc.

San Diego, CA

$202.1M

Neighborhood Healthcare

Hemet, CA

$160.4M

Centro DE Salud DE La Comunidad DE San Ysidro, Inc.

San Ysidro, CA

$157.3M

← All providersAll providers in Hawaii →How we detect fraud →