Foodland Super Market Limited
Foodland Super Market Limited was paid $4K by Medicaid between Oct 2018 and Jan 2022, across 11 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 21% of everything it billed.
KAPOLEI, HI 96707
Next to other Community/Retail Pharmacy providers in Hawaii
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28 | $138.16 | |
| 2020 | 55 | $392.80 | |
| 2021 | 266 | $3K | |
| 2022 | 14 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 21% | 77 | 75 | $731.92 |
| 0001A | 17% | 14 | 14 | $611.52 | |
| 0012A | 16% | 42 | 42 | $552.24 | |
| 0002A | 15% | 13 | 13 | $524.16 | |
| 90674 | 13% | 20 | 20 | $449.10 | |
| 0011A | 11% | 45 | 43 | $390.39 | |
| 0064A | 7.4% | 20 | 20 | $262.08 | |
| 91300 | 0% | 57 | 50 | $0.00 | |
| 90662 | 0% | 12 | 12 | $0.00 | |
| 91301 | 0% | 49 | 47 | $0.00 | |
| 90686 | 0% | 14 | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Foodland Supermarket LTD | Kailua, HI | $4K |
| Foodland Supermarket LTD | Laie, HI | $125.60 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.