Medicaid Provider Spending

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

KA WAI OLA FAMILY MEDICAL CLINIC, LLC

NPI: 1023257524 · WAIPAHU, HI 96797 · Family Medicine Physician · NPI assigned 02/07/2009

$3K
Total Medicaid Paid
288
Total Claims
246
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialHIURA, TIMOTHY (PARTNER/OWNER)
NPI Enumeration Date02/07/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 52 $810.74
2019 143 $825.77
2020 63 $1K
2021 30 $394.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 152 131 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 70 59 $938.02
3078F 31 26 $0.00
3074F 23 18 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00