NPI: 1124620869 · WAIANAE, HI 96792 · 261QE0700X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 4,034 | $62K |
| 2023 | 6,420 | $97K |
| 2024 | 8,702 | $371K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90999 | 5,710 | 399 | $529K | |
| J1644 | Inj heparin sodium per 1000u | 978 | 37 | $0.00 |
| 82565 | 119 | 76 | $0.00 | |
| 84520 | 1,087 | 358 | $0.00 | |
| 84155 | 466 | 344 | $0.00 | |
| 83540 | 441 | 328 | $0.00 | |
| 83970 | 164 | 113 | $0.00 | |
| 84100 | 164 | 88 | $0.00 | |
| J1756 | Iron sucrose injection | 154 | 25 | $0.00 |
| 82310 | 205 | 89 | $0.00 | |
| 82108 | 49 | 42 | $0.00 | |
| 83550 | 465 | 341 | $0.00 | |
| 85018 | 1,329 | 338 | $0.00 | |
| 80051 | 96 | 64 | $0.00 | |
| 85025 | 419 | 317 | $0.00 | |
| 82728 | 168 | 115 | $0.00 | |
| 84075 | 163 | 114 | $0.00 | |
| 82040 | 118 | 76 | $0.00 | |
| 82746 | 35 | 25 | $0.00 | |
| A4657 | Syringe w/wo needle | 6,574 | 275 | $0.00 |
| 80069 | 66 | 55 | $0.00 | |
| 83735 | 162 | 113 | $0.00 | |
| 86706 | 12 | 12 | $0.00 | |
| 87340 | 12 | 12 | $0.00 |