Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CDR PLASTIC SURGERY, INC.

NPI: 1003947474 · HONOLULU, HI 96813 · Specialist · NPI assigned 03/08/2007

$10K
Total Medicaid Paid
225
Total Claims
204
Beneficiaries
1
Codes Billed
2018-04
First Month
2022-03
Last Month

Provider Details

Authorized OfficialDE LOS REYES, CARL (PRESIDENT)
NPI Enumeration Date03/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70 $3K
2019 122 $6K
2021 16 $571.76
2022 17 $980.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 225 204 $10K