NPI: 1134486814 · WAIPAHU, HI 96797 · 261QU0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,536 | $189K |
| 2019 | 5,029 | $199K |
| 2020 | 2,283 | $75K |
| 2021 | 7,666 | $244K |
| 2022 | 7,666 | $273K |
| 2023 | 9,133 | $345K |
| 2024 | 8,478 | $407K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 87502 | 5,632 | 5,146 | $424K | |
| 99214 | 5,054 | 4,521 | $339K | |
| 99204 | 3,501 | 3,171 | $332K | |
| 87635 | 4,213 | 3,801 | $146K | |
| S9088 | Services provided in urgent | 11,408 | 9,977 | $140K |
| 87651 | 3,518 | 3,268 | $112K | |
| 99203 | 1,434 | 1,346 | $90K | |
| 99215 | Prolong outpt/office vis | 702 | 631 | $61K |
| 99213 | 1,320 | 1,243 | $49K | |
| 87634 | 188 | 180 | $13K | |
| 99205 | Prolong outpt/office vis | 106 | 91 | $11K |
| 81025 | 781 | 717 | $5K | |
| 81003 | 2,201 | 1,948 | $4K | |
| 96372 | 435 | 224 | $4K | |
| 94010 | 13 | 13 | $301.64 | |
| J1885 | Ketorolac tromethamine inj | 106 | 96 | $236.13 |
| 36415 | 97 | 86 | $155.69 | |
| J1100 | Dexamethasone sodium phos | 90 | 83 | $140.64 |
| S9999 | Sales tax | 835 | 734 | $8.14 |
| 3077F | 421 | 343 | $0.29 | |
| 3078F | 127 | 106 | $0.11 | |
| 3079F | 60 | 54 | $0.04 | |
| 4000F | 338 | 296 | $0.00 | |
| 1000F | 346 | 302 | $0.00 | |
| 1005F | 1,144 | 964 | $0.00 | |
| 99202 | 31 | 31 | $0.00 | |
| 1034F | 690 | 586 | $0.00 |