PUKALANI FAMILY PRACTICE, LLC
NPI: 1063009207
· MAKAWAO, HI 96768
· 207Q00000X
$217K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,431 |
$22K |
| 2022 |
4,725 |
$72K |
| 2023 |
4,809 |
$63K |
| 2024 |
3,773 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,243 |
1,744 |
$122K |
| 99213 |
|
939 |
777 |
$46K |
| 99497 |
|
1,101 |
959 |
$28K |
| 99072 |
|
1,050 |
831 |
$5K |
| 99396 |
|
93 |
78 |
$3K |
| 99406 |
|
351 |
266 |
$2K |
| 93000 |
|
379 |
345 |
$2K |
| 99443 |
|
41 |
33 |
$1K |
| 96127 |
|
1,169 |
1,042 |
$1K |
| 99442 |
|
46 |
40 |
$1K |
| G0439 |
Ppps, subseq visit |
34 |
26 |
$990.96 |
| G2211 |
Complex e/m visit add on |
242 |
179 |
$957.32 |
| 94010 |
|
53 |
51 |
$614.83 |
| 94760 |
|
1,947 |
1,541 |
$554.09 |
| G0444 |
Depression screen annual |
88 |
70 |
$355.25 |
| 99211 |
|
15 |
15 |
$127.45 |
| 1170F |
|
95 |
85 |
$0.05 |
| 1125F |
|
29 |
25 |
$0.01 |
| 1160F |
|
22 |
18 |
$0.01 |
| 1159F |
|
22 |
18 |
$0.01 |
| G8510 |
Scr dep neg, no plan reqd |
1,315 |
1,098 |
$0.00 |
| 1036F |
|
2,658 |
1,980 |
$0.00 |
| 1123F |
|
45 |
41 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
670 |
504 |
$0.00 |
| 1158F |
|
76 |
70 |
$0.00 |
| 1124F |
|
15 |
15 |
$0.00 |