Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Wahiawa Center For Community Health (NPI 1992176283)

Field	Value
Entity Type	Organization
Organization	The Wahiawa Center For Community Health
Address	302 California Avenue
City	Wahiawa
State	HI
ZIP	96786
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 12, 2015

Payer Source	Total Paid
Medicaid	$8.3M
Medicare	$0

Key Findings

THE WAHIAWA CENTER FOR COMMUNITY HEALTH is effectively a Medicaid-focused provider: it reports no Medicare billing on file and $8.3M in lifetime Medicaid revenue, indicating a single-payer concentration on Medicaid for the billing captured here. This makes the clinic highly dependent on Medicaid flows rather than Medicare for its reimbursement base.

Revenue is heavily concentrated in a very small set of service lines: the precomputed top three Medicaid codes (99213, 99214, 90832) account for 85.9% of this provider's total Medicaid revenue. Individually those codes represent $4.4M (53.1%), $1.4M (17.5%), and $1.3M (15.4%) respectively, so routine evaluation-and-management and psychotherapy services drive nearly all billed Medicaid dollars.

The code mix and FQHC taxonomy point to a primary-care–centered operation with integrated behavioral health: dominant use of 99213 and 99214 indicates heavy volume of established-patient outpatient E/M visits, while 90832 as a top-three revenue driver shows a significant psychotherapy caseload embedded in the clinic. This combination is consistent with a community health center model delivering both medical primary care and mental-health services onsite.

For primary care E/M, the provider is a strong state competitor on 99213: it ranks #10 of 707 providers in-state (99th percentile) and is labeled "notably above typical state volume for this code," making the center a high-volume site for routine established-patient visits in Hawaii. That ranking signals market prominence for low-complexity established visits compared with most in-state peers.

99214 and 90832 show high absolute volumes but are characterized as typical within their peer groups: 99214 is 8.9K claims with $1.4M revenue and ranks #40 of 690 (94th percentile; typical, unremarkable volume for this code), while 90832 is 7.6K claims with $1.3M revenue and ranks #9 of 74 (89th percentile; typical, unremarkable volume for this code). Together these support the observation that moderate-complexity office visits and psychotherapy are important but align with state-level FQHC activity patterns rather than representing anomalous outlier behavior.

Pediatric and preventive services are present and operationally meaningful: the center files large volumes of vaccine administration (90460, 5.1K claims, $15.4K revenue) and multiple well-child/well-adolescent codes (99393, 99392, 99394) reflecting routine preventive care. 90460 ranks #6 of 104 (95th percentile; notably above typical state volume), suggesting an active immunization program and likely strong outreach to pediatric Medicaid enrollees.

Telehealth and FQHC-specific encounter billing are evident but modest: G2025 telehealth distant-site services appear (354 claims, $26.9K revenue) and G0467/G0469 FQHC visit bundles are billed (G0467: 1K claims, $8K revenue; G0469: 71 claims, $14.7K revenue). G2025 ranks #10 of 21 (55th percentile) and G0467 ranks #22 of 33 (34th percentile), indicating telehealth and bundled FQHC mental-health encounters exist but are not dominant revenue sources in the dataset; G0469 is listed as #1 of 1 providers in-state (0th percentile; no peer comparison available), reflecting a unique single-provider datapoint rather than a clear market benchmark.

The provider has an established operational history as an FQHC: its NPI was enumerated 2015-10-12 (~11 years ago), indicating it has been in the claims system for roughly a decade and has built a sustained Medicaid footprint in the community. This tenure, combined with the concentrated revenue mix, suggests a stable, mature Medicaid-focused primary care and behavioral-health practice rather than a new or transient billing entrant.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

69 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…	29,660	$150	$4.4M
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…	8,880	$160	$1.4M
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…	7,580	$170	$1.3M
99442	N/A	1,500	$200	$305.8K
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,…	1,010	$210	$210K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	950	$140	$136.3K
99392	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…	1,070	$120	$131.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	910	$140	$123.6K
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…	940	$100	$96K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	350	$80	$26.9K

Showing 1–10 of 69

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

The Wahiawa Center For Community Health — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

69 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…	9	70	370	$150	$457.3K
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…	10	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…	22	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…	40	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	10	20	310	$130	$184K
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,…	41	190	190	$100	$122.8K
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…	23	100	210	$120	$116.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	394	440	500	$90	$116.1K
99392	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…	22	100	210	$110	$101.4K
99442	N/A	4	60	80	$130	$67.7K

Showing 1–10 of 69

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Wahiawa Center For Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hyungbum Kang	AP (Armed Forces Pacific)	Clinical Social Worker	$0	$383.3K
Courtny Tanigawa	HI	Family Nurse Practitioner	$12.9K	$0
Sione Tafuna	HI	Clinical Psychologist	$3.3K	$0

Nearby Providers

Other providers in the same ZIP code as The Wahiawa Center For Community Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wahiawa General Hospital	HI	General Acute Care Hospital	$0	$16.9M
Hi'ilani Health Corporation	HI	Home Health Agency	$0	$8.2M
Hiilani Health Corporation	HI	Developmentally Disabled Services Day Training Agency	$0	$5.1M
Usrc Wahiawa LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Wahiawa Family Dental Care, LLP	HI	General Practice Dentistry	$0	$852K
Hawaiian Eye Center Inc	HI	Ophthalmology Physician	$0	$681.8K
Nora Phillips LLC	HI	Family Nurse Practitioner	$0	$523.3K
Longs Drug Stores California LLC	HI	Community/Retail Pharmacy	$249.8K	$90.5K
Hawaiian Eye Center Inc	HI	Ambulatory Surgical Clinic/Center	$242K	$79.7K

The Wahiawa Center For Community Health — Billing Profile & Reimbursement Data

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The Wahiawa Center For Community Health — Billing Profile & Reimbursement Data

Sign up for The Wahiawa Center For Community Health — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References