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.

Waianae District Comprehensive Health And Hospital Board, Incorporated (NPI 1992730956)

Key Findings

Field	Value
Entity Type	Organization
Organization	Waianae District Comprehensive Health And Hospital Board, Incorporated
Address	86-260 Farrington Hwy
City	Waianae
State	HI
ZIP	96792
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$18.5M
Medicare	$0

This provider is effectively a Medicaid-centric organization: there is no Medicare billing on file and lifetime Medicaid revenue is $18.5M. The absence of Medicare revenue indicates operations and payer exposure are dominated by state Medicaid programs rather than senior-focused Medicare billing.

Revenue is highly concentrated in a small set of outpatient codes: the precomputed top 3 Medicaid codes account for 67.4% of the provider's total Medicaid revenue, driven primarily by 99214 (28.1% of Medicaid revenue, $5.2M), 99213 (24.5%, $4.5M), and 90832 (14.7%, $2.7M). This concentration means the financial profile is closely tied to reimbursement and utilization trends for established‑patient E/M visits and short psychotherapy encounters.

The code mix signals a primary‑care–centric ambulatory operation with substantial behavioral health integration: 99214 (24.6K claims, $210 avg paid/claim, $5.2M) and 99213 (22.4K claims, $201 avg paid/claim, $4.5M) together dominate volume and revenue, consistent with frequent established‑patient management and chronic care visits. High claim counts paired with the FQHC taxonomy point to primary care panels and routine follow‑up as the core service line.

Behavioral health is a cleared component of service delivery rather than a marginal line: 90832 has 12.3K claims, $220 avg paid/claim, and $2.7M revenue and ranks #6 of 74 in‑state (93rd percentile) with a label of "typical, unremarkable volume for this code." In combination with G0470 (mental‑health FQHC visit) activity, the data indicate regular, embedded psychotherapy services within the clinic workflow.

FQHC bundle and telehealth payments are material to operations: G0467 shows 14.4K claims, $103 avg paid/claim, $1.5M revenue and ranks #3 of 33 in‑state (94th percentile) described as "notably above typical state volume for this code," while G2025 (telehealth distant site) has 7.4K claims, $156 avg paid/claim, $1.1M revenue and ranks #2 of 21 (95th percentile) also "notably above typical state volume for this code." This pattern signals substantial use of FQHC‑specific billing mechanisms and a significant remote/telehealth component to care delivery.

Competitive standing in the state is strong for core office‑visit and telehealth codes: 99214 and 99213 each rank #11 among several hundred in‑state providers and are noted as "notably above typical state volume for this code," placing the provider among the highest statewide volume performers for established‑patient primary care visits. Similarly, top FQHC and telehealth codes rank in the top 3 statewide, indicating a major regional presence in those service lines.

The concentration in high‑volume E/M and psychotherapy codes creates focused operational exposure: with two office‑visit codes and one psychotherapy code making up the majority of revenue, changes in Medicaid policy or reimbursement for E/M services or psychotherapy could disproportionately affect overall revenue. This profile suggests that payer policy shifts for established‑patient visits or telehealth could have outsized budgetary impact for this provider.

The provider shows institutional longevity with an NPI enumeration date of 2006-07-11 (~20 years ago), supporting the interpretation of a sustained community presence and established care delivery model as an FQHC. Long tenure combined with the high volumes documented for core E/M, FQHC, and telehealth codes suggests stable operational capacity rather than a short‑term or new entrant pattern.

Medicaid: Complete Services Breakdown

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

87 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,620	$210	$5.2M
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…	22,440	$200	$4.5M
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…	12,310	$220	$2.7M
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…	14,430	$100	$1.5M
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	7,350	$160	$1.1M
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,…	3,350	$220	$731K
99442	N/A	2,330	$260	$602.2K
98967	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…	1,440	$260	$373.7K
G0470	Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc…	2,970	$110	$317.4K
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…	1,160	$260	$302.6K

Showing 1–10 of 87

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

Waianae District Comprehensive Health And Hospital Board, Incorporated — 3 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

87 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…	6	70	370	$150	$457.3K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	23	30	2,500	$40	$455.4K
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.	10	20	660	$20	$408.6K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	14	20	1,050	$30	$375.8K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	33	30	1,370	$110	$333.9K
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…	11	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…	3	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…	11	690	650	$90	$235.4K
98967	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…	2	10	60	$260	$199.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	2	20	310	$130	$184K

Showing 1–10 of 87

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.9M
Kokua Villa, Inc.	HI	Developmental Disabilities Clinic/Center	$0	$3.9M
Usrc Waianae, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M
Alternative Structures International	HI	Developmentally Disabled Services Day Training Agency	$0	$3.2M
Dm Wellness LLC	HI	Community/Behavioral Health Agency	$0	$746.3K
Moana Gaspar	HI	Mental Health Counselor	$0	$745.9K
Waianae Valley Physical Therapy, Inc.	HI	Physical Therapist	$0	$737.6K
Jamie Liu	HI	Dentist	$0	$559K
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$531K
Waianae District Comprehensive Health And Hospital Board, Inc	HI	Clinical Medical Laboratory	$20.5K	$279.2K

Waianae District Comprehensive Health And Hospital Board, Incorporated — Billing Profile & Reimbursement Data

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Waianae District Comprehensive Health And Hospital Board, Incorporated — Billing Profile & Reimbursement Data

Sign up for Waianae District Comprehensive Health And Hospital Board, Incorporated — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waianae District Comprehensive Health And Hospital Board, Inc	HI	Family Medicine Physician	$0	$125.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$2.2M
Amr El-sergany	HI	Vascular Surgery Physician	$1.5M	$0
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$1.4M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$1.1M
Robert Aki	HI	Podiatrist	$58.9K	$960.1K
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$893.6K
Neil Anand	MN	Diagnostic Radiology Physician	$529.9K	$58.1K
Ryan Jean-baptiste	CA	Diagnostic Radiology Physician	$517K	$47K