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WEST HAWAII COMMUNITY HEALTH CENTER, INC.

Clinic/Center, Federally Qualified Health Center (FQHC)·KAILUA-KONA, HI·NPI: 1952335630Share

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 $46.8M 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

$46.8M

$46,794,453

Total Claims

770K

Beneficiaries

685K

1.1 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$3.6M
-5%
2019
$3.4M
+8%
2020
$3.7M
+47%
2021
$5.4M
+33%
2022
$7.2M
+57%
2023
$11.4M
+7%
2024
$12.1M

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 32% of total spending.

99213Top 1%

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

$15.0M

74K claims · 32.2%

Your Cost: $203.21/claim|Median: $37.81
5.4× median
D9999Top 10%

Unspecified adjunctive procedure, by report

$12.3M

36K claims · 26.3%

Your Cost: $345.97/claim|Median: $37.60
9.2× median
99214Top 1%

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

$7.2M

36K claims · 15.5%

Your Cost: $200.56/claim|Median: $53.41
3.8× median
D0140Top 1%

Limited oral evaluation, problem focused

$4.1M

11K claims · 8.8%

Your Cost: $361.80/claim|Median: $27.07
13.4× median
90832Top 5%

Psychotherapy, 30 minutes

$3.0M

16K claims · 6.3%

Your Cost: $184.09/claim|Median: $41.28
4.5× median
90834Top 5%

Psychotherapy, 45 minutes

$1.2M

5,889 claims · 2.6%

Your Cost: $207.77/claim|Median: $63.65
3.3× median
99212Top 5%

Office/outpatient visit, low complexity

$832K

4,493 claims · 1.8%

Your Cost: $185.24/claim|Median: $25.06
7.4× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$519K

2,172 claims · 1.1%

Your Cost: $239.15/claim|Median: $74.82
3.2× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$424K

1,915 claims · 0.9%

Your Cost: $221.57/claim|Median: $75.18
2.9× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$377K

1,777 claims · 0.8%

Your Cost: $212.24/claim|Median: $69.35
3.1× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$301K

1,234 claims · 0.6%

Your Cost: $243.80/claim|Median: $80.15
3.0× median
99203Top 5%

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

$191K

990 claims · 0.4%

Your Cost: $193.29/claim|Median: $57.85
3.3× median
G0470Normal range

Chronic care management services, FQHC/RHC

$185K

3,680 claims · 0.4%

Your Cost: $50.18/claim|Median: $45.95
1.1× median
G2025Top 5%

$158K

1,745 claims · 0.3%

Your Cost: $90.63/claim|Median: $15.63
5.8× median
G0511Top 1%

RHC/FQHC visit, psychiatric collaborative care model

$157K

1,266 claims · 0.3%

Your Cost: $124.11/claim|Median: $11.35
10.9× median
99204Top 5%

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

$133K

656 claims · 0.3%

Your Cost: $203.48/claim|Median: $84.03
2.4× median
98968Top 5%

$105K

473 claims · 0.2%

Your Cost: $222.49/claim|Median: $28.39
7.8× median
G0467Normal range

Federally qualified health center visit, mental health

$89K

14K claims · 0.2%

Your Cost: $6.28/claim|Median: $21.91
0.3× median
90677Top 10%

$59K

331 claims · 0.1%

Your Cost: $179.45/claim|Median: $12.96
13.8× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$45K

201 claims · 0.1%

Your Cost: $222.49/claim|Median: $22.44
9.9× median
G0071Top 5%

$42K

678 claims · 0.1%

Your Cost: $62.63/claim|Median: $7.20
8.7× median
90670Top 10%

$33K

947 claims · 0.1%

Your Cost: $34.54/claim|Median: $5.94
5.8× median
90837Top 5%

Psychotherapy, 60 minutes

$31K

126 claims · 0.1%

Your Cost: $244.63/claim|Median: $85.66
2.9× median
90791Top 5%

Psychiatric diagnostic evaluation

$28K

111 claims · 0.1%

Your Cost: $253.56/claim|Median: $99.21
2.6× median
90651Top 25%

HPV vaccine, 9-valent

$23K

471 claims · 0.0%

Your Cost: $48.17/claim|Median: $8.93
5.4× median
G0101Top 1%

Cervical/vaginal cancer screening; pelvic exam

$21K

103 claims · 0.0%

Your Cost: $199.48/claim|Median: $21.28
9.4× median
1000FNormal range

$18K

83K claims · 0.0%

Your Cost: $0.22/claim|Median: $0.01
22.3× median
99211Top 5%

Office/outpatient visit, minimal complexity

$16K

116 claims · 0.0%

Your Cost: $141.74/claim|Median: $12.93
11.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$15K

662 claims · 0.0%

Your Cost: $22.66/claim|Median: $9.56
2.4× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$11K

50 claims · 0.0%

Your Cost: $224.60/claim|Median: $13.30
16.9× median
90710Top 1%

MMRV vaccine

$8K

38 claims · 0.0%

Your Cost: $212.44/claim|Median: $7.00
30.3× median
G0468Top 10%

$7K

43 claims · 0.0%

Your Cost: $161.13/claim|Median: $43.74
3.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$7K

32 claims · 0.0%

Your Cost: $210.52/claim|Median: $40.11
5.2× median
91322Normal range

$6K

77 claims · 0.0%

Your Cost: $71.60/claim|Median: $76.28
0.9× median
99396Top 1%

Preventive medicine, established patient, age 40-64

$5K

25 claims · 0.0%

Your Cost: $213.09/claim|Median: $76.06
2.8× median
1220FNormal range

$4K

36K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.01
11.5× median
99384Top 1%

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

$4K

13 claims · 0.0%

Your Cost: $290.31/claim|Median: $83.63
3.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$4K

27 claims · 0.0%

Your Cost: $138.62/claim|Median: $108.91
1.3× median
98967Top 1%

$3K

16 claims · 0.0%

Your Cost: $217.25/claim|Median: $18.97
11.5× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$3K

753 claims · 0.0%

Your Cost: $4.61/claim|Median: $39.63
0.1× median
99381Top 1%

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

$3K

12 claims · 0.0%

Your Cost: $261.88/claim|Median: $73.46
3.6× median
99395Top 1%

Preventive medicine, established patient, age 18-39

$3K

16 claims · 0.0%

Your Cost: $193.48/claim|Median: $72.71
2.7× median
3351FNormal range

$3K

25K claims · 0.0%

Your Cost: $0.11/claim|Median: $0.03
3.6× median
1036FNormal range

$3K

19K claims · 0.0%

Your Cost: $0.14/claim|Median: $0.01
13.9× median
3008FNormal range

$2K

86K claims · 0.0%

Your Cost: $0.03/claim|Median: $0.06
0.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$2K

2,229 claims · 0.0%

Your Cost: $0.96/claim|Median: $5.50
0.2× median
90619Top 25%

$2K

102 claims · 0.0%

Your Cost: $19.67/claim|Median: $8.36
2.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$2K

7,996 claims · 0.0%

Your Cost: $0.23/claim|Median: $17.85
0.0× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$2K

13K claims · 0.0%

Your Cost: $0.13/claim|Median: $3.67
0.0× median
81025Normal range

Urine pregnancy test

$2K

1,257 claims · 0.0%

Your Cost: $1.26/claim|Median: $4.81
0.3× median

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