Medicaid Provider Spending

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

KAPOLEI PEDIATRICS LLC

NPI: 1104946763 · KAPOLEI, HI 96707 · 208000000X

$410.03

Total Medicaid Paid

76

Total Claims

68

Beneficiaries

2

Codes Billed

2021-09

First Month

2024-08

Last Month

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 epsdt	13	13	$320.00
99072		63	55	$90.03