Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

KAISER FOUNDATION HEALTH PLAN

NPI: 1093881641 · HONOLULU, HI 96819 · Ambulatory Surgical Clinic/Center · NPI assigned 11/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ADAMS, JAMES controls 12+ related entities in our dataset. Read more

$248K
Total Medicaid Paid
352
Total Claims
348
Beneficiaries
7
Codes Billed
2019-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialADAMS, JAMES (EXECUTIVE DIRECTOR, FINANCE LEADER)
NPI Enumeration Date11/27/2006

Related Entities

Other providers sharing the same authorized official: ADAMS, JAMES

ProviderCityStateTotal Paid
KAISER FOUNDATION HEALTH PLAN INC HONOLULU HI $7.37M
VILLAGE OF BROOKFIELD BROOKFIELD IL $1.54M
MEDTECH LABORATORY SERVICES LLC CYPRESS TX $852K
KAISER FOUNDATION HEALTH PLAN INC KAPOLEI HI $631K
KAISER FOUNDATION HEALTH PLAN INC HONOLULU HI $499K
CITY OF CANTON CANTON OH $326K
KAISER FOUNDATION HEALTH PLAN INC WAIPAHU HI $246K
VEGAS HOSPITAL CARE LLC LAS VEGAS NV $54K
KAISER FOUNDATION HEALTH PLAN INC KANEOHE HI $28K
KAISER FOUNDATION HEALTH PLAN INC LAHAINA HI $8K
KAISER FOUNDATION HEALTH PLAN INC WAILUKU HI $4K
KAISER FOUNDATION HEALTH PLAN INC KIHEI HI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 30 $5K
2020 41 $6K
2022 27 $29K
2023 154 $123K
2024 100 $85K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
45380 Colonoscopy, flexible; with biopsy, single or multiple 88 88 $95K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 95 95 $71K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 85 83 $67K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 27 27 $5K
99152 17 16 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $3K
99153 Mod sedat endo service >5yrs 27 26 $1K