Medicaid Provider Spending

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

PRIMARY CARE PHYSICIAN ENTERPRISE LLC

NPI: 1164054763 · EWA BEACH, HI 96706 · Clinic/Center · NPI assigned 02/11/2020

$77K
Total Medicaid Paid
14,748
Total Claims
13,254
Beneficiaries
29
Codes Billed
2021-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLIMM, WHITNEY (CHAIR)
NPI Enumeration Date02/11/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 828 $12K
2022 1,726 $18K
2023 3,475 $20K
2024 8,719 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 1,429 1,305 $42K
99213 1,194 1,074 $22K
90460 709 664 $5K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 125 122 $5K
99391 43 39 $768.00
99392 48 46 $713.14
99204 32 26 $432.39
90686 134 130 $398.17
90461 187 179 $279.16
90471 28 26 $204.14
90656 49 49 $39.15
G9903 Patient screened for tobacco use and identified as a tobacco non-user 469 426 $0.00
3074F 1,250 1,104 $0.00
G9273 Blood pressure has a systolic value of < 140 and a diastolic value of < 90 2,214 1,968 $0.00
3044F 370 316 $0.00
3079F 369 325 $0.00
G9275 Documentation that patient is a current non-tobacco user 1,700 1,477 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 590 544 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 322 299 $0.00
90677 13 13 $0.00
1111F 18 12 $0.00
S9999 Sales tax 1,223 1,064 $0.00
3078F 976 889 $0.00
4274F 173 165 $0.00
G8783 Normal blood pressure reading documented, follow-up not required 408 374 $0.00
G8482 Influenza immunization administered or previously received 138 133 $0.00
1160F 376 339 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 147 132 $0.00
3077F 14 14 $0.00