KY LE LLC
NPI: 1053906578
· AIEA, HI 96701
· Family Medicine Physician
· NPI assigned 03/05/2021
$151K
Total Medicaid Paid
Provider Details
| Authorized Official | LE, KY (OWNER) |
| NPI Enumeration Date | 03/05/2021 |
Related Entities
Other providers sharing the same authorized official: LE, KY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
167 |
$16K |
| 2023 |
698 |
$62K |
| 2024 |
942 |
$73K |
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 |
1,001 |
703 |
$104K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
525 |
418 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
36 |
$5K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
216 |
156 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$771.15 |
| 96127 |
|
12 |
12 |
$40.38 |