SAMUEL MAHELONA MEMORIAL HOSPITAL
NPI: 1033705074
· KOLOA, HI 96756
· Clinic/Center
· NPI assigned 12/14/2020
$342K
Total Medicaid Paid
Provider Details
| Authorized Official | ASATO, CHRISTINE (REGIONAL CFO) |
| Parent Organization | SAMUEL MAHELONA MEMORIAL HOSPITAL |
| NPI Enumeration Date | 12/14/2020 |
Related Entities
Other providers sharing the same authorized official: ASATO, CHRISTINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,430 |
$26K |
| 2022 |
1,296 |
$63K |
| 2023 |
1,968 |
$116K |
| 2024 |
1,510 |
$136K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,150 |
1,981 |
$182K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,218 |
2,049 |
$110K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
388 |
363 |
$33K |
| 87428 |
|
321 |
262 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
124 |
118 |
$2K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
977 |
863 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$186.07 |
| 81002 |
|
14 |
12 |
$33.72 |