NPI: 1093854622 · KAMUELA, HI 96743 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 93 | $5K |
| 2021 | 4,544 | $180K |
| 2022 | 2,640 | $266K |
| 2023 | 4,361 | $219K |
| 2024 | 4,514 | $933K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 8,250 | 541 | $1.60M | |
| 83550 | 208 | 173 | $0.00 | |
| 84075 | 165 | 137 | $0.00 | |
| 85025 | 532 | 428 | $0.00 | |
| 85018 | 680 | 217 | $0.00 | |
| A4657 | Syringe w/wo needle | 4,099 | 168 | $0.00 |
| 82746 | 30 | 24 | $0.00 | |
| 83735 | 166 | 137 | $0.00 | |
| 82728 | 165 | 137 | $0.00 | |
| 86706 | 46 | 37 | $0.00 | |
| 84132 | 66 | 25 | $0.00 | |
| 87340 | 46 | 37 | $0.00 | |
| 83540 | 535 | 429 | $0.00 | |
| 84155 | 180 | 151 | $0.00 | |
| 83970 | 188 | 137 | $0.00 | |
| 84520 | 569 | 276 | $0.00 | |
| J1756 | Iron sucrose injection | 130 | 24 | $0.00 |
| 82108 | 59 | 50 | $0.00 | |
| 82310 | 38 | 12 | $0.00 |