KAPOLEI PEDIATRICS LLC
NPI: 1104946763
· KAPOLEI, HI 96707
· Pediatrics Physician
· NPI assigned 03/29/2007
$410.03
Total Medicaid Paid
Provider Details
| Authorized Official | NINOMIYA, JASON (PROPRIETOR) |
| NPI Enumeration Date | 03/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$18.03 |
| 2022 |
13 |
$54.42 |
| 2023 |
17 |
$17.58 |
| 2024 |
30 |
$320.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
13 |
13 |
$320.00 |
| 99072 |
|
63 |
55 |
$90.03 |