Medicaid Provider Spending

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

MANOA FAMILY MEDICINE, LLC

NPI: 1093911463 · HONOLULU, HI 96822 · Family Medicine Physician · NPI assigned 06/22/2007

$959.22
Total Medicaid Paid
165
Total Claims
146
Beneficiaries
5
Codes Billed
2018-04
First Month
2019-09
Last Month

Provider Details

Authorized OfficialJUN, ANDREW (PARTNER)
NPI Enumeration Date06/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 73 $335.42
2019 92 $623.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 62 57 $734.86
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54 52 $224.36
G9275 Documentation that patient is a current non-tobacco user 12 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 18 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 19 13 $0.00