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

HI#45 of 49 states

Hawaii Medicaid Spending

Hawaii's Medicaid program paid $325.4M across 2 providers from 2018–2024. 2 providers in Hawaii are flagged on our risk watchlist. The top procedure code is 99214 (Office/outpatient visit, est. patient, mod-high complexity) at $41.7M.

Total Spending

$325.4M

Total Claims

3.3M

Top Providers

2

Beneficiaries

2.7M

Largest Provider

The Queens Medical Center

$200.0M

Top Procedure

99214

$41.7M

Flagged Providers

2

on risk watchlist

Avg Per Provider

$162.7M

across 2 providers

Yearly Spending Trend

Spending by Top Procedures

99214Office/outpatient visit, est. patient, mod-high complexity$41.7M
99213Office/outpatient visit, est. patient, low-mod complexity$38.4M
99283Emergency dept visit, moderate complexity$37.4M
99285Emergency dept visit, high/urgent complexity$35.8M
99284Emergency dept visit, high complexity$35.4M

Top Procedures in Hawaii

CodeTotal Paid
99214

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

$41.7M
99213

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

$38.4M
99283

Emergency dept visit, moderate complexity

$37.4M
99285

Emergency dept visit, high/urgent complexity

$35.8M
99284

Emergency dept visit, high complexity

$35.4M
90832

Psychotherapy, 30 minutes

$16.5M
74177

CT abdomen and pelvis with contrast

$12.1M
G0378

Hospital observation service, per hour

$7.2M
D9999

Unspecified adjunctive procedure, by report

$6.6M
99282

Emergency dept visit, low complexity

$5.1M
74176

CT abdomen and pelvis without contrast

$4.3M
99291

Critical care, first 30-74 minutes

$4.2M
99212

Office/outpatient visit, low complexity

$4.0M
78815

PET imaging for limited area

$3.3M
99391

Preventive medicine, established patient, infant (under 1)

$3.1M