Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › AIEA › PALI MOMI MEDICAL CENTER

PALI MOMI MEDICAL CENTER

NPI: 1013961408 · AIEA, HI 96701 · 282N00000X

$49.28M
Total Medicaid Paid
715,392
Total Claims
581,351
Beneficiaries
253
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 125,173 $8.02M
2019 131,897 $7.80M
2020 85,647 $4.58M
2021 98,101 $6.01M
2022 100,364 $7.18M
2023 96,210 $7.26M
2024 78,000 $8.43M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 31,321 28,525 $14.04M
99285 15,841 13,942 $11.20M
99284 20,752 18,874 $10.31M
99282 7,643 7,232 $2.70M
G0378 Hospital observation per hr 4,204 2,515 $2.45M
74177 3,846 3,641 $2.34M
74176 2,630 2,457 $1.24M
L8699 Prosthetic implant nos 745 683 $655K
77067 6,076 5,985 $519K
A4649 Surgical supplies 55,548 41,245 $372K
99281 1,146 1,071 $360K
93306 2,051 1,971 $290K
76856 3,189 3,080 $233K
77065 Tomosynthesis, mammo 2,615 2,405 $215K
77066 Tomosynthesis, mammo 1,971 1,904 $214K
76811 1,222 1,193 $184K
96366 2,158 1,337 $175K
78452 327 314 $141K
76805 1,445 1,408 $124K
76816 1,413 1,226 $95K
76813 1,327 1,281 $92K
96365 7,562 5,107 $88K
76700 1,760 1,724 $84K
71250 809 763 $78K
93976 756 721 $64K
70553 86 83 $60K
70450 4,344 4,002 $57K
71260 1,054 1,005 $56K
76642 4,461 3,798 $51K
71046 12,964 12,014 $50K
70551 628 581 $47K
36902 155 150 $45K
72100 1,830 1,736 $44K
76770 835 820 $40K
96361 4,885 4,244 $40K
71275 314 300 $31K
C9803 Hopd covid-19 spec collect 3,089 2,825 $30K
96367 2,989 1,854 $29K
96413 2,373 1,286 $29K
88305 2,025 1,872 $28K
36591 1,780 1,032 $26K
76536 543 530 $21K
96372 11,834 9,689 $20K
93005 24,323 20,944 $20K
73130 1,499 1,396 $18K
80307 1,037 927 $18K
73630 1,827 1,703 $15K
77080 246 239 $14K
99291 17 14 $13K
73610 1,571 1,451 $13K
76801 177 164 $12K
93017 767 722 $11K
73030 1,609 1,535 $11K
73560 966 912 $10K
73110 735 692 $10K
73562 1,043 1,016 $9K
76819 199 86 $9K
74183 13 13 $9K
76831 26 26 $8K
86850 1,563 1,373 $8K
36430 350 225 $8K
73502 315 301 $7K
72125 555 534 $7K
96374 11,318 9,858 $6K
93971 272 255 $5K
94060 135 131 $5K
72148 24 24 $4K
94726 38 36 $4K
73721 12 12 $4K
76815 123 113 $3K
96360 1,024 914 $3K
96415 277 133 $3K
J3490 Drugs unclassified injection 30,066 10,254 $3K
72141 12 12 $3K
71045 7,164 6,448 $2K
G0480 Drug test def 1-7 classes 60 57 $2K
76705 228 210 $2K
J0561 Penicillin g benzathine inj 12 12 $2K
73590 155 150 $2K
73140 180 172 $2K
87635 4,579 4,307 $2K
73564 26 25 $2K
80305 2,669 2,467 $2K
86920 271 237 $2K
87502 3,042 2,907 $2K
96375 10,050 7,921 $1K
76817 536 445 $1K
87186 2,685 2,509 $1K
80053 25,017 20,713 $1K
74018 186 177 $1K
10060 149 146 $989.46
72170 75 73 $978.40
94640 5,631 4,037 $761.81
29125 27 26 $740.03
85025 36,525 28,517 $708.75
P9016 Rbc leukocytes reduced 196 150 $705.29
84132 2,334 1,984 $704.79
88341 58 53 $664.00
83880 4,023 3,479 $630.34
80048 11,026 9,297 $584.33
Q9967 Locm 300-399mg/ml iodine,1ml 8,506 7,575 $502.08
84484 11,890 9,732 $469.16
96523 28 24 $451.97
87491 1,059 1,034 $417.79
A9270 Non-covered item or service 8,267 3,376 $405.84
93308 12 12 $316.65
74022 432 393 $276.69
81025 7,461 6,985 $267.81
73080 15 13 $258.44
93246 16 15 $238.37
87040 3,009 2,723 $237.85
87591 1,070 1,044 $180.91
87651 854 806 $166.13
90715 1,573 1,520 $162.55
71101 70 64 $161.76
J0696 Ceftriaxone sodium injection 5,117 3,938 $159.13
J0131 Inj, acetaminophen (nos) 2,771 2,443 $152.93
83690 8,609 7,694 $151.80
76830 3,110 3,001 $127.59
83605 3,523 3,064 $126.56
87086 5,085 4,733 $123.23
J1100 Dexamethasone sodium phos 9,419 7,826 $121.89
87804 2,571 1,501 $121.13
J2405 Ondansetron hcl injection 10,392 8,171 $117.76
90471 1,716 1,650 $107.59
96376 3,634 2,348 $107.53
Q9963 Hocm 350-399mg/ml iodine,1ml 516 500 $102.13
84703 2,954 2,704 $101.87
J1885 Ketorolac tromethamine inj 8,560 7,497 $90.17
A4648 Implantable tissue marker 12 12 $89.91
J1815 Insulin injection 818 615 $86.30
83036 640 600 $59.79
J2270 Morphine sulfate injection 4,428 3,412 $57.50
84443 999 924 $56.99
81003 6,652 6,293 $55.43
87077 3,364 2,599 $52.56
36415 24,531 18,999 $50.12
81001 5,747 5,241 $49.38
83735 2,288 1,820 $45.72
J1170 Hydromorphone injection 1,984 1,358 $44.89
J3370 Vancomycin hcl injection 830 573 $40.62
85379 449 425 $39.56
J2060 Lorazepam injection 679 549 $38.04
85610 3,475 3,024 $36.58
82948 2,256 1,415 $36.28
E0114 Crutch underarm pair no wood 698 682 $34.00
J2765 Metoclopramide hcl injection 2,848 2,482 $32.17
73660 12 12 $29.88
A4550 Surgical trays 5,911 4,355 $28.80
A4217 Sterile water/saline, 500 ml 1,390 1,330 $28.41
85730 1,146 970 $28.40
81015 2,499 2,396 $23.07
A4565 Slings 250 242 $22.80
84702 83 80 $20.80
86901 2,123 1,759 $20.67
J8540 Oral dexamethasone 562 521 $20.28
73070 14 14 $18.60
J3010 Fentanyl citrate injection 8,140 6,434 $18.51
84145 37 36 $17.77
J1200 Diphenhydramine hcl injectio 2,682 1,948 $16.13
J0137 Inj, acetaminophen (hikma) 445 376 $13.62
J1940 Furosemide injection 1,042 752 $10.68
J7512 Prednisone ir or dr oral 1mg 1,524 1,059 $9.97
87070 553 525 $7.51
87880 387 379 $6.99
A6257 Transparent film <= 16 sq in 4,944 4,324 $5.88
82550 204 190 $4.64
A4215 Sterile needle 15,818 13,440 $4.31
A4620 Variable concentration mask 3,567 3,305 $4.17
86900 1,936 1,584 $3.27
J1642 Inj heparin sodium per 10 u 6,479 2,588 $3.02
A6402 Sterile gauze <= 16 sq in 4,031 3,696 $3.01
C9113 Inj pantoprazole sodium, via 20 12 $2.30
A6449 Lt compres band >=3" <5"/yd 343 331 $2.07
J2704 Inj, propofol, 10 mg 5,845 5,086 $1.23
J2250 Inj midazolam hydrochloride 5,458 4,913 $0.55
A6403 Sterile gauze>16 <= 48 sq in 1,349 1,265 $0.44
A6446 Conform band s w>=3" <5"/yd 370 323 $0.00
J2930 Methylprednisolone injection 220 178 $0.00
A4618 Breathing circuits 571 521 $0.00
J1644 Inj heparin sodium per 1000u 4,191 2,548 $0.00
84100 336 285 $0.00
Q9950 Inj sulf hexa lipid microsph 330 295 $0.00
A9502 Tc99m tetrofosmin 326 314 $0.00
J7030 Normal saline solution infus 828 343 $0.00
U0003 Cov-19 amp prb hgh thruput 705 656 $0.00
A6258 Transparent film >16<=48 in 511 449 $0.00
J0780 Prochlorperazine injection 270 251 $0.00
C1887 Catheter, guiding 151 140 $0.00
87075 72 69 $0.00
J0688 Inj cefazolin sodium, hikma 52 44 $0.00
J0670 Inj mepivacaine hcl/10 ml 94 86 $0.00
87660 160 156 $0.00
J1596 Inj, glycopyrrolate, 0.1 mg 215 205 $0.00
J3475 Inj magnesium sulfate 57 50 $0.00
J1171 Inj, hydromorphone, 0.1 mg 34 30 $0.00
J2720 Inj protamine sulfate/10 mg 92 92 $0.00
J2004 Inj, lidocaine w epinephrine 65 64 $0.00
J0136 Inj, acetaminophen (b braun) 26 21 $0.00
82565 13 13 $0.00
94799 83 68 $0.00
77062 26 26 $0.00
96160 40 39 $0.00
58340 14 14 $0.00
L3908 Who cock-up nonmolde pre ots 13 13 $0.00
L1906 Afo multilig ank sup pre ots 12 12 $0.00
87634 27 20 $0.00
Q9969 Non-heu tc-99m add-on/dose 986 932 $0.00
J3471 Ovine, up to 999 usp units 117 107 $0.00
A7521 Trach/laryn tube cuffed 1,192 1,095 $0.00
J0690 Cefazolin sodium injection 3,854 3,198 $0.00
J7050 Normal saline solution infus 2,184 1,179 $0.00
86140 165 146 $0.00
97162 63 62 $0.00
A4570 Splint 453 444 $0.00
A9585 Gadobutrol injection 1,544 1,465 $0.00
J2371 Inj phenylephrine hcl 20 mcg 200 184 $0.00
J0330 Succinycholine chloride inj 525 488 $0.00
87088 184 175 $0.00
C1725 Cath, translumin non-laser 370 343 $0.00
B4083 Enteral stomach tube levine 37 28 $0.00
77063 894 884 $0.00
A4467 Belt strap sleev grmnt cover 1,124 1,062 $0.00
87081 259 254 $0.00
88342 212 187 $0.00
C1769 Guide wire 301 265 $0.00
C1893 Intro/sheath, fixed,non-peel 343 317 $0.00
87205 39 39 $0.00
U0002 Covid-19 lab test non-cdc 1,203 1,117 $0.00
0241U 72 71 $0.00
88304 111 106 $0.00
J0500 Dicyclomine injection 250 238 $0.00
J2785 Regadenoson injection 264 254 $0.00
12002 14 14 $0.00
12001 64 64 $0.00
J2003 Inj, lidocaine hcl, 1 mg 204 182 $0.00
87510 160 156 $0.00
87480 160 156 $0.00
J1630 Haloperidol injection 13 12 $0.00
J2370 Phenylephrine hcl injection 151 132 $0.00
J1790 Droperidol injection 46 42 $0.00
85018 72 48 $0.00
80320 33 28 $0.00
A4322 Irrigation syringe 72 68 $0.00
85651 78 73 $0.00
A6448 Lt compres band <3"/yd 14 13 $0.00
A6453 Self-adher band w <3"/yd 27 27 $0.00
J7060 5% dextrose/water 33 14 $0.00
80329 14 13 $0.00
70486 16 15 $0.00
J2543 Piperacillin/tazobactam 25 13 $0.00
80051 14 14 $0.00
88307 12 12 $0.00