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

WAIKIKI HEALTH

Clinic/Center, Federally Qualified Health Center (FQHC)·HONOLULU, HI·NPI: 1679646509Share

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 $22.3M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$22.3M

$22,259,317

Total Claims

234K

Beneficiaries

194K

1.2 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-7%
2019
$2.5M
-20%
2020
$2.0M
+89%
2021
$3.8M
+6%
2022
$4.0M
-1%
2023
$4.0M
-18%
2024
$3.3M

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 56% of total spending.

99213Top 1%

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

$12.4M

61K claims · 55.9%

Your Cost: $202.74/claim|Median: $37.81
5.4× median
90832Top 5%

Psychotherapy, 30 minutes

$2.7M

14K claims · 12.3%

Your Cost: $190.60/claim|Median: $41.28
4.6× median
99214Top 5%

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

$2.0M

11K claims · 8.9%

Your Cost: $178.59/claim|Median: $53.41
3.3× median
99212Top 5%

Office/outpatient visit, low complexity

$1.4M

7,865 claims · 6.2%

Your Cost: $174.57/claim|Median: $25.06
7.0× median
90837Top 5%

Psychotherapy, 60 minutes

$713K

4,211 claims · 3.2%

Your Cost: $169.24/claim|Median: $85.66
2.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$578K

9,840 claims · 2.6%

Your Cost: $58.69/claim|Median: $21.91
2.7× median
Q3014Top 5%

Telehealth originating site facility fee

$304K

8,152 claims · 1.4%

Your Cost: $37.30/claim|Median: $15.37
2.4× median
90834Top 5%

Psychotherapy, 45 minutes

$271K

1,487 claims · 1.2%

Your Cost: $182.44/claim|Median: $63.65
2.9× median
97803Top 5%

Medical nutrition therapy, reassessment, group, thirty minutes

$271K

1,512 claims · 1.2%

Your Cost: $179.00/claim|Median: $24.33
7.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$267K

1,721 claims · 1.2%

Your Cost: $155.21/claim|Median: $13.30
11.7× median
90791Top 10%

Psychiatric diagnostic evaluation

$246K

1,323 claims · 1.1%

Your Cost: $185.93/claim|Median: $99.21
1.9× median
3008FTop 25%

$157K

53K claims · 0.7%

Your Cost: $2.96/claim|Median: $0.06
49.4× median
92014Top 1%

Ophthalmological exam, comprehensive, established patient

$154K

730 claims · 0.7%

Your Cost: $211.43/claim|Median: $47.08
4.5× median
G0470Normal range

Chronic care management services, FQHC/RHC

$141K

2,710 claims · 0.6%

Your Cost: $52.03/claim|Median: $45.95
1.1× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$135K

650 claims · 0.6%

Your Cost: $207.18/claim|Median: $40.11
5.2× median
99203Top 5%

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

$76K

381 claims · 0.3%

Your Cost: $200.78/claim|Median: $57.85
3.5× median
99211Top 5%

Office/outpatient visit, minimal complexity

$63K

466 claims · 0.3%

Your Cost: $135.38/claim|Median: $12.93
10.5× median
99215Top 5%

Office/outpatient visit, high complexity

$62K

291 claims · 0.3%

Your Cost: $212.01/claim|Median: $74.09
2.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$45K

2,602 claims · 0.2%

Your Cost: $17.41/claim|Median: $9.56
1.8× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$41K

205 claims · 0.2%

Your Cost: $197.77/claim|Median: $22.44
8.8× median
98968Top 5%

$31K

172 claims · 0.1%

Your Cost: $180.16/claim|Median: $28.39
6.3× median
92250Normal range

Fundus photography with interpretation and report

$26K

2,353 claims · 0.1%

Your Cost: $11.04/claim|Median: $27.95
0.4× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$17K

486 claims · 0.1%

Your Cost: $35.72/claim|Median: $33.85
1.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$12K

441 claims · 0.1%

Your Cost: $27.95/claim|Median: $25.93
1.1× median
0064ANormal range

$12K

467 claims · 0.1%

Your Cost: $26.30/claim|Median: $34.17
0.8× median
90471Normal range

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

$9K

4,672 claims · 0.0%

Your Cost: $1.96/claim|Median: $9.80
0.2× median
G2025Top 5%

$8K

92 claims · 0.0%

Your Cost: $89.77/claim|Median: $15.63
5.7× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$8K

52 claims · 0.0%

Your Cost: $158.31/claim|Median: $27.38
5.8× median
97802Top 1%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$7K

25 claims · 0.0%

Your Cost: $264.39/claim|Median: $12.70
20.8× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$6K

32 claims · 0.0%

Your Cost: $186.08/claim|Median: $32.55
5.7× median
82962Top 1%

Blood glucose test by monitoring device

$6K

38 claims · 0.0%

Your Cost: $152.95/claim|Median: $1.40
109.2× median
G0101Top 5%

Cervical/vaginal cancer screening; pelvic exam

$5K

82 claims · 0.0%

Your Cost: $63.76/claim|Median: $21.28
3.0× median
86580Top 1%

Tuberculosis (TB) skin test

$5K

84 claims · 0.0%

Your Cost: $62.05/claim|Median: $4.46
13.9× median
3078FTop 25%

$5K

4,411 claims · 0.0%

Your Cost: $1.11/claim|Median: $0.08
13.8× median
3079FTop 25%

$3K

2,531 claims · 0.0%

Your Cost: $1.26/claim|Median: $0.12
10.5× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$3K

14 claims · 0.0%

Your Cost: $216.91/claim|Median: $72.71
3.0× median
V2020Normal range

Frames, purchases

$2K

581 claims · 0.0%

Your Cost: $4.02/claim|Median: $19.33
0.2× median
1036FTop 25%

$2K

2,434 claims · 0.0%

Your Cost: $0.81/claim|Median: $0.01
81.4× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$2K

14 claims · 0.0%

Your Cost: $132.30/claim|Median: $59.72
2.2× median
0134ANormal range

$2K

179 claims · 0.0%

Your Cost: $10.21/claim|Median: $33.54
0.3× median
0004ANormal range

$2K

69 claims · 0.0%

Your Cost: $21.88/claim|Median: $35.62
0.6× median
3074FNormal range

$1K

4,015 claims · 0.0%

Your Cost: $0.33/claim|Median: $0.11
3.0× median

$1K

772 claims · 0.0%

90670Top 5%

$1K

15 claims · 0.0%

Your Cost: $75.27/claim|Median: $5.94
12.7× median
91322Normal range

$1K

220 claims · 0.0%

Your Cost: $4.62/claim|Median: $76.28
0.1× median
0013ANormal range

$957

36 claims · 0.0%

Your Cost: $26.57/claim|Median: $35.38
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$892

2,479 claims · 0.0%

Your Cost: $0.36/claim|Median: $7.18
0.1× median
90715Normal range

Tdap vaccine

$884

243 claims · 0.0%

Your Cost: $3.64/claim|Median: $10.32
0.4× median
3075FNormal range

$881

1,518 claims · 0.0%

Your Cost: $0.58/claim|Median: $0.15
3.9× median
3077FNormal range

$881

2,917 claims · 0.0%

Your Cost: $0.30/claim|Median: $0.12
2.5× median