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NPI 1114074622 · Honolulu, HI · Federally Qualified Health Center (FQHC)
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Kokua Kalihi Valley Comprehensive Family Services is a federally qualified health center (fqhc) provider located in Honolulu, Hawaii. This profile covers 0 Medicare and 74 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Kokua Kalihi Valley Comprehensive Family Services |
| Address | 2239 N School St |
| City | Honolulu |
| State | HI |
| ZIP | 96819 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | January 5, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $10M |
| Medicare | $0 |
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES reports $10M in lifetime Medicaid revenue and has no Medicare billing on file, making its public payer footprint effectively Medicaid-only in the available data. This concentration on a single public payer should frame any payer-mix or access analysis in the context of Medicaid policy and reimbursement dynamics rather than dual-payor comparisons.
Revenue concentration is extremely high: the precomputed top 3 Medicaid codes (99213, 99214, 99212) account for 85.5% of the provider's total Medicaid revenue. Individually those codes generate $3.5M (99213), $2.7M (99214), and $2.4M (99212) respectively, indicating that a very small set of office visit E/M services drives the vast majority of collected Medicaid dollars.
The top revenue-driving codes are all office/outpatient E/M visits (99213, 99214, 99212), signaling that the organization operates primarily as a high-volume primary care/FQHC outpatient practice. The presence of FQHC-specific codes like G0467 (8.9K claims, $58 avg paid/claim, $518.3K revenue) and G0470 indicates bundled FQHC visit billing is part of operations, while psychotherapy codes 90832 and 90834 (combined several hundred claims and ~$489K revenue) show an integrated behavioral health component.
Competitive standing within Hawaii is strong on core E/M lines: 99213 ranks #13 of 707 providers in-state (98th percentile) and 99214 ranks #17 of 690 (98th percentile), both described as "notably above typical state volume." 99212 is an "extreme outlier," ranking #5 of 186 providers in-state (98th percentile), which together positions this FQHC as a dominant statewide provider for routine established-patient office visits.
Top-code operational scale is visible in claim volumes and unit rates: 99213 has 21.3K claims at $165 avg paid/claim, 99214 has 17.8K claims at $151 avg paid/claim, and 99212 has 11.8K claims at $201 avg paid/claim. These high claim counts combined with the rank information imply sustained, high-frequency primary care throughput rather than episodic specialty procedures.
Beyond core E/M activity, the provider bills telehealth and preventive services at modest levels: G2025 (706 claims, $78 avg paid/claim, $55.1K revenue) and several preventive codes (99391/99392/99393 series) appear with typical, unremarkable volumes, suggesting telehealth and well-child/adult preventive care are present but not major revenue drivers. Immunizations show very high encounter volume but low revenue per claim—90471 posts 7.5K claims at $2 avg paid/claim and ranks #2 of 231 in-state (100th percentile), indicating strong vaccination throughput consistent with community health center activity.
The provider's NPI has been enumerated since 2007-01-05 (~19 years ago), which implies long tenure as an FQHC in Honolulu. Combined with the concentrated E/M revenue mix and high state percentiles on core visit codes, the data depict a long-established community health center model focused on high-volume primary care and associated preventive/behavioral services under Medicaid.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
74 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 21,310 | $170 | $3.5M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 17,770 | $150 | $2.7M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 11,810 | $200 | $2.4M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 8,940 | $60 | $518.3K |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 1,750 | $150 | $267.9K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 1,740 | $130 | $221.4K |
| 99443 | N/A | 320 | $210 | $64.6K |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 290 | $190 | $56.5K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 710 | $80 | $55.1K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 270 | $210 | $55.1K |
Showing 1–10 of 74
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
74 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 20 | 70 | 370 | $150 | $457.3K |
| 80061 | The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood. | 17 | 20 | 660 | $20 | $408.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 13 | 710 | 650 | $90 | $274.1K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 6 | 30 | 1,850 | $60 | $248.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 17 | 690 | 650 | $90 | $235.4K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 7 | 20 | 310 | $130 | $184K |
| 98968 | A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes… | 13 | 10 | 490 | $190 | $172.3K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 5 | 190 | 190 | $100 | $122.8K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 17 | 80 | 320 | $100 | $119.2K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 47 | 100 | 210 | $120 | $116.7K |
Showing 1–10 of 74
Other providers in the same ZIP code as Kokua Kalihi Valley Comprehensive Family Services, ranked by combined Medicare and Medicaid revenue.
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