Medicaid Provider Spending

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

TRANSFORMATION HEALTH NETWORK

NPI: 1144621285 · KAILUA KONA, HI 96740 · Urgent Care Clinic/Center · NPI assigned 09/09/2014

$1.68M
Total Medicaid Paid
45,822
Total Claims
40,869
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDE CARVALHO, ELISHA (GROUP PRACTICE MANAGER)
NPI Enumeration Date09/09/2014

Related Entities

Other providers sharing the same authorized official: DE CARVALHO, ELISHA

ProviderCityStateTotal Paid
TRANSFORMATION HEALTH NETWORK KAILUA KONA HI $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,274 $242K
2019 9,704 $329K
2020 5,569 $193K
2021 8,988 $312K
2022 6,656 $253K
2023 4,962 $215K
2024 2,669 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,743 9,629 $554K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5,198 4,917 $375K
S9088 Services provided in an urgent care center (list in addition to code for service) 19,293 17,260 $325K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,164 3,768 $294K
87428 737 643 $34K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 273 255 $28K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 672 589 $23K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 380 376 $20K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 925 436 $12K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 577 535 $7K
81002 1,549 1,398 $4K
81025 211 199 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 101 94 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 173 128 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 32 24 $861.01
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 81 49 $776.02
90715 27 24 $522.13
81003 146 134 $314.63
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 24 $298.02
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 306 257 $66.05
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 207 130 $7.07