NPI: 1134161961 · HILO, HI 96720 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 64 | $670.63 |
| 2019 | 39 | $0.00 |
| 2020 | 70 | $839.26 |
| 2021 | 468 | $10K |
| 2022 | 415 | $9K |
| 2023 | 106 | $2K |
| 2024 | 146 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90471 | 537 | 515 | $6K | |
| 0064A | 140 | 140 | $5K | |
| 90686 | 300 | 290 | $5K | |
| 91322 | 16 | 15 | $2K | |
| 0012A | 49 | 49 | $2K | |
| 0011A | 49 | 49 | $2K | |
| 0134A | 50 | 50 | $2K | |
| 90674 | 31 | 31 | $803.58 | |
| 90656 | 37 | 37 | $622.95 | |
| 90480 | 16 | 15 | $567.84 | |
| 90661 | 13 | 13 | $418.92 | |
| 90472 | 19 | 15 | $77.08 | |
| S9430 | Pharmacy comp/disp serv | 51 | 45 | $0.00 |