NPI: 1003084427 · PEARL CITY, HI 96782 · 261QP2300X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,627 | $8K |
| 2019 | 2,709 | $8K |
| 2020 | 1,485 | $3K |
| 2021 | 1,854 | $324.16 |
| 2022 | 2,895 | $3K |
| 2023 | 3,525 | $10K |
| 2024 | 3,417 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0302 | Completed epsdt | 1,044 | 1,014 | $36K |
| 99214 | 3,683 | 3,238 | $15K | |
| 99213 | 2,725 | 2,441 | $5K | |
| 99392 | 823 | 807 | $4K | |
| 99391 | 639 | 566 | $4K | |
| 90460 | 229 | 216 | $2K | |
| 87428 | 26 | 25 | $2K | |
| 99393 | 329 | 322 | $1K | |
| 99072 | 4,876 | 4,296 | $748.74 | |
| 96110 | 466 | 460 | $281.60 | |
| 99394 | 111 | 109 | $249.06 | |
| 92551 | 893 | 881 | $134.28 | |
| 90688 | 500 | 487 | $64.63 | |
| 99173 | 900 | 889 | $37.57 | |
| 87880 | 14 | 13 | $16.58 | |
| 90461 | 15 | 14 | $8.00 | |
| 96127 | 30 | 27 | $3.62 | |
| 90656 | 123 | 123 | $0.00 | |
| 90686 | 284 | 278 | $0.00 | |
| G8510 | Scr dep neg, no plan reqd | 114 | 113 | $0.00 |
| 90698 | 199 | 191 | $0.00 | |
| 90677 | 31 | 30 | $0.00 | |
| 90680 | 52 | 51 | $0.00 | |
| 90716 | 13 | 12 | $0.00 | |
| 90697 | 13 | 13 | $0.00 | |
| 90670 | 210 | 201 | $0.00 | |
| 90685 | 32 | 31 | $0.00 | |
| 87804 | 62 | 29 | $0.00 | |
| 90687 | 37 | 36 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| G2252 | Brief chkin by md/qhp, 11-20 | 14 | 13 | $0.00 |
| 90707 | 13 | 13 | $0.00 |