Medicare provider payments and utilization data for Hawaii (HI)
Hawaii received $2.0B in total Medicare provider payments across 10 years of data.
The top specialty by spending is Ophthalmology, accounting for $22.8M in payments across 109 providers.
In 2023, 4.0K providers were actively billing Medicare in Hawaii.
Annual Medicare spending grew 27% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Providers in this state flagged by the ML v2 fraud detection model
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2014 | $175.7M | 4.6M | 3.1K | — |
| 2015 | $192.2M | 4.9M | 3.2K | +9.3% |
| 2016 | $183.5M | 4.9M | 3.3K | -4.5% |
| 2017 | $187.3M | 5.1M | 3.5K | +2.1% |
| 2018 | $192.6M | 5.3M | 3.5K | +2.8% |
| 2019 | $199.1M | 5.5M | 3.6K | +3.4% |
| 2020 | $184.4M | 4.8M | 3.6K | -7.4% |
| 2021 | $219.2M | 5.7M | 3.9K | +18.9% |
| 2022 | $214.2M | 5.7M | 3.9K | -2.3% |
| 2023 | $222.4M | 5.9M | 4.0K | +3.8% |
| Code | Description | Payments | Services | Providers |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | $21.9M | 273.1K | 1.4K |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | $12.3M | 210.3K | 1.5K |
| 66984 | Removal of cataract with insertion of prosthetic lens | $6.2M | 9.6K | 70 |
| J0178 | Injection, aflibercept, 1 mg | $5.6M | 8.3K | 16 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $5.4M | 282.5K | 457 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $5.1M | 54.4K | 315 |
| 92014 | Established patient complete exam of visual system | $5.0M | 58.0K | 221 |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | $4.7M | 10.6K | 3 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | $4.2M | 34.4K | 375 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $3.4M | 54.5K | 392 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | $3.3M | 29.8K | 628 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | $3.0M | 20.8K | 90 |
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | $3.0M | 271.9K | 101 |
| 99291 | Critical care, first 30-74 minutes | $2.9M | 17.2K | 275 |
| 99285 | Emergency department visit with high level of medical decision making | $2.8M | 21.2K | 192 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | $2.3M | 8.6K | 33 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $2.3M | 17.6K | 336 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | $2.3M | 79.2K | 13 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | $2.1M | 128.8K | 358 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $2.1M | 19.7K | 261 |
| Specialty | Payments | Providers | Avg per Provider |
|---|---|---|---|
| Ophthalmology | $22.8M | 109 | $209.2K |
| Internal Medicine | $18.6M | 426 | $43.7K |
| Clinical Laboratory | $16.0M | 12 | $1.3M |
| Physical Therapist in Private Practice | $12.5M | 452 | $27.7K |
| Mass Immunizer Roster Biller | $11.9M | 93 | $127.5K |
| Ambulatory Surgical Center | $11.4M | 20 | $568.6K |
| Ambulance Service Provider | $10.1M | 9 | $1.1M |
| Family Practice | $8.3M | 291 | $28.4K |
| Diagnostic Radiology | $7.9M | 111 | $71.1K |
| Dermatology | $7.6M | 58 | $131.7K |
| Cardiology | $7.2M | 61 | $118.0K |
| Nurse Practitioner | $6.5M | 381 | $17.2K |
| Rheumatology | $6.1M | 15 | $407.2K |
| Emergency Medicine | $5.6M | 214 | $26.0K |
| Optometry | $4.8M | 168 | $28.8K |
| Radiation Oncology | $4.4M | 20 | $219.3K |
| Orthopedic Surgery | $4.2M | 64 | $65.2K |
| Nephrology | $4.0M | 42 | $96.1K |
| Independent Diagnostic Testing Facility (IDTF) | $3.8M | 7 | $538.4K |
| Hospitalist | $3.2M | 109 | $29.5K |
| Pathology | $2.8M | 44 | $64.6K |
| Vascular Surgery | $2.8M | 15 | $187.9K |
| Physician Assistant | $2.8M | 174 | $16.0K |
| Neurology | $2.8M | 45 | $61.7K |
| Podiatry | $2.2M | 38 | $59.0K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.